护理SCI晨读:新毕业生护士的临床能力:混合方法的系统评价

2020
09/03

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混合方法的系统评价。

SCI护理研究晨读:

新毕业生护士的临床能力:混合方法的系统评价  

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新毕业生护士的临床能力:混合方法的系统评价

 

目标

评估和综合有关描述新毕业护士在临床能力的实证研究证据。

设计

混合方法的系统评价。

数据源

搜索策略包括与以下相关的关键字:newgraduate nurse; clinical competence; and competence assessment。搜索的文献数据库包括CINAHL,MEDLINE,Embase,PsycINFO和Web ofScience。搜索仅限于2010年至2019年9月之间以英文或法文全文发表的论文。

评价方法

纳入标准为:1)实证研究;2)详细的方法和完整的结果部分;3)在临床环境中的能力评估;4)新毕业护士(≤24个月)。两名独立的研究者筛选了符合标准的文献并提取数据,使用混合方法评估工具框架进行质量评估。通过讨论解决分歧。

结果

共纳入42篇论文:定量(N = 31),定性(N =7)和混合方法(N =4)。研究结果表明,新毕业的护士表现出良好或足够的能力。纵向研究显示,0到6个月时,能力显着提高,但从6到12个月,发现的结果不一致。

结论

有许多定量工具可用于衡量临床能力。这表明需要对其进行严格审查。

影响

最近的综述没有全面综合新毕业生护士临床能力的发现。本研究综述发现,尽管期望新毕业生护士应该更有能力,但他们的能力大多被评为良好。纵向研究并不总是显示能力显著提高。这些发现可以帮助护理教育者在整个过渡时期为新毕业生护士提供更多支持,或设计改进的过渡计划。这次综述还确定了可用于能力评估的定量工具和定性方法。

 

Abstract

Aim

To appraise and synthesize evidence of empirical studies reporting assessment ofnew graduate nurses’ clinical competence in clinical settings.

Design

Mixed methods systematic review.

Data sources

The search strategy included keywords relevant to: new graduate nurse; clinicalcompetence; and competence assessment. The searched literature databasesincluded CINAHL, MEDLINE, Embase, PsycINFO and Web of Science. The search waslimited to full‐text papers in English or French, published between 2010–September 2019.

Review Methods

Inclusion criteria were: 1) empirical studies; 2) detailed method and complete resultssections; 3) competence assessment in clinical settings; and 4) new graduatenurses (≤24 months). Two independent reviewers screened eligible papers,extracted data and used the Mixed Methods Appraisal Tool framework for qualityappraisal. Divergences were solved through discussion.

Results

About 42 papers were included in this review: quantitative (N = 31), qualitative (N =7) and mixed methods (N = 4). Findings suggest that new graduate nurses exhibita good or adequate level of competence. Longitudinal studies show a significantincrease in competence from 0–6 months, but findings are inconsistent from 6‐12months.

Conclusion

There are a multitude of quantitative tools available to measure clinical competence.This suggests a need for a review of their rigor.

Impact

No recent reviews comprehensively synthesized the findings from new graduatenurses’ clinical competence. This review has found that new graduate nurses’competence has been mostly assessed as good, despite the expectation that theyshould be more competent. Longitudinal studies did not always show asignificant increase in competence. These findings can help nurse educators inproviding more support to new graduate nurses throughout the transition periodor design improved transition programme. This review also identifiedquantitative tools and qualitative methods that can be used for competenceassessment.

原文链接:https://onlinelibrary.wiley.com/doi/full/10.1111/jan.14487

本文由作者自行上传,并且作者对本文图文涉及知识产权负全部责任。如有侵权请及时联系(邮箱:guikequan@hmkx.cn
关键词:
护士,研究,临床

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