评估先进的临床从业人员与英国先进实践的四大支柱的参与:一个范围审查
1Acute Medicine, Northampton General Hospital NHS Trust, Northampton, England, UK.
British journal of hospital medicine (London, England : 2005)
|December 24, 2025
概括
英国的高级临床医生 (ACP) 在临床实践中表现出色,但由于工作量和角色模两可,在领导,教育和研究方面面临挑战. 提高参与度需要更清晰的途径和组织支持.
科学领域:
- 医疗保健管理的管理
- 高级实践护理高级实践护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 国家框架定义了先进实践的四大支柱:临床实践,领导力,教育和研究.
- 在英国,高级临床从业人员 (ACP) 的参与不一致,存在持续的挑战.
- 现有的文献缺乏对所有实践支柱的ACP参与的全面概述.
研究的目的:
- 进行范围审查,探索高级临床从业人员 (ACP) 与高级实践的四大支柱的参与.
- 确定促进成功参与的因素,以及英国的非洲,非洲和非洲国家 (ACP) 面临的持续挑战.
- 在所有实践领域,为优化非洲和非洲国家和地区 (ACP) 贡献的战略提供信息.
主要方法:
- 根据Arksey和O'Malley的框架和PRISMA-ScR指南进行了范围审查.
- 在五个数据库和灰色文献 (2017-2025) 中进行了系统的搜索.
- 主题分析综合了来自33项纳入研究的数据.
主要成果:
- 非洲和非洲国家在临床实践中表现出强烈的参与,提高了患者护理和减少等待时间.
- 参与领导,教育和研究支柱是不一致的,受到工作量和不清楚角色的阻碍.
- 国家卫生服务 (NHS) 信任结构的变化会影响先进的临床实践开发和利用.
结论:
- 先进的临床实践角色在直接的患者护理中已经很成熟,但在领导,研究和教育方面未得到充分利用.
- 解决不足利用问题需要改进职业道路,投入时间和组织投资.
- 政策支持至关重要,使非洲和非洲国家能够在先进实践的四大支柱中充分贡献.
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