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重新定义旅程:博士学位和DNP职业发展轨迹的全面系统审查
1Henrietta Szold School of Nursing, Faculty of Medicine, Hadassah Medical Center, Hebrew University, Jerusalem, Israel.
Worldviews on evidence-based nursing
|January 13, 2026
概括
医生准备的护士,包括博士和护理实践博士 (DNP) 持有者,展示重叠和非传统的职业道路. 调查结果显示,需要灵活的模型,将学术和临床角色整合起来,以应对角色错位等挑战.
科学领域:
- 护理科学 护理科学
- 医疗保健 职业 教育 教育 专业
背景情况:
- 医生准备的护士传统上从事研究 (博士学位) 或临床实践 (DNP) 角色.
- 实际的职业发展轨迹往往与这些预期有所不同,特别是在美国.
- 博士学位护士的学术和临床环境的全球整合正在发展.
研究的目的:
- 系统地审查和批判性地检查拥有博士学位的护士的职业道路.
- 研究研究和临床实践在这些角色的交叉点.
- 了解博士和DNP准备护士在学术和临床环境中的整合.
主要方法:
- 在五个主要数据库中按照PRISMA指南进行系统的文献搜索.
- 包括从最初的6003个引用中识别的23项研究.
- 采用专题分析来综合所选研究的发现.
主要成果:
- 美国的博士和DNP护士显示重叠,非传统的职业道路;临床领导力博士,学术界的DNP.
- 在全球范围内,博士生护士经常在研究,教育和实践中担任混合角色.
- 这两个群体都经历了角色错位,身份挑战,边缘化和有限的机构支持.
结论:
- 博士学位和DNP职业道路之间的传统界限正在模糊.
- 需要结合学术和临床实践的灵活职业模式.
- 应对挑战需要适应性的机构支持和角色定义,以医生准备护士.
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