在急诊和重症监护室绘制先进实践护理的地图:一个范围审查
Oscar Fidel Antunez Martinez1, Yoselin Isabel Vallejo Bustamante2, Nelson Orlando Varela Zuniga3
1National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
International emergency nursing
|February 11, 2026
概括
高级实践护士 (APN) 改善了急诊和重症监护病房,但不一致的角色和法规阻碍了他们的全部影响. 标准化能力和政策是有效整合和基于证据的实践的关键.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 临床实践 临床实践
背景情况:
- 高级实践护士 (APN),包括执业护士和临床护士专家,对于急诊室和重症监护室 (ICU) 的质量和效率至关重要.
- 挑战仍然存在,包括各种角色定义,不一致的监管框架,以及需要更新的流行后证据.
研究的目的:
- 在ED和ICU内对APN角色,能力和结果进行全球综合的最新证据.
- 确定APN实施中的挑战,并探索将其有效整合到重症监护机构的战略.
主要方法:
- 根据阿克西和奥马利的框架和PRISMA-ScR指南,进行了全面的范围审查.
- 通过搜索六个数据库,确定了专注于ED或ICU中的APN的符合条件的研究,数据由两位独立审查员提取和综合.
主要成果:
- 25项研究强调了APN在先进的临床推理,程序技能,领导力和基于证据的实践方面的能力.
- 确定的主要挑战包括角色模两可,监管局限性和缺乏自主权,由COVID-19后的劳动力和教育差距加剧.
- 建议的解决方案包括标准化能力,政策改革,专业研究生教育和加强专业间合作.
结论:
- 虽然APN显然提高了ED和ICU的结果和效率,但不一致的角色定义限制了它们的整体影响.
- 对于这些关键环境中APN实践的现有证据基础在很大程度上来自低级别的研究.
- 未来的APN实施需要严格的评估,以产生强有力的统计证据,支持APN主导的护理模型的可扩展性.
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