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临床护理教育中的循证实践:一项范围综述

Evidence-Based Practice in Clinical Nursing Education: A Scoping Review.

作者信息

Fiset Valerie J, Graham Ian D, Davies Barbara L

出版信息

J Nurs Educ. 2017 Sep 1;56(9):534-541. doi: 10.3928/01484834-20170817-04.

Abstract

BACKGROUND

Nursing students require education that integrates evidence-based practice (EBP) knowledge across classroom and clinical settings. This study was conducted to identify and examine the literature related to nursing students' use of evidence in clinical education and to identify associated research gaps.

METHOD

A scoping review describing the extent, range, and nature of the research activity focused on students' use of evidence in clinical education.

RESULTS

Included studies (N = 37) describe the barriers and facilitators to nursing students' EBP and describe the evaluation of strategies that support nursing students' engagement in EBP. Most commonly identified barriers include a lack of knowledge and skills for EBP; negative attitudes toward EBP in students, faculty, and nurses; and lack of support in the clinical setting. Evaluated strategies included educational sessions and EBP projects, either alone or in combination, as well as other stand-alone interventions. All but two of the intervention studies reported positive subjective or objective outcomes.

CONCLUSION

On the basis of these results, educators can engage in combined educational strategies that focus on addressing described barriers. [J Nurs Educ. 2017;56(9):534-541.].

摘要

背景

护理专业学生需要接受能将循证实践(EBP)知识整合到课堂和临床环境中的教育。本研究旨在识别和审视与护理专业学生在临床教育中运用证据相关的文献,并找出相关研究空白。

方法

进行一项范围综述,描述聚焦于学生在临床教育中运用证据的研究活动的范围、广度和性质。

结果

纳入的研究(N = 37)描述了护理专业学生循证实践的障碍和促进因素,并描述了对支持护理专业学生参与循证实践的策略的评估。最常确定的障碍包括缺乏循证实践的知识和技能;学生、教师和护士对循证实践的消极态度;以及临床环境中缺乏支持。评估的策略包括教育课程和循证实践项目,单独或联合使用,以及其他独立干预措施。除两项干预研究外,所有研究均报告了积极的主观或客观结果。

结论

基于这些结果,教育工作者可以采用综合教育策略,专注于解决所描述的障碍。[《护理教育杂志》。2017;56(9):534 - 541。]

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