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本科护理专业临床教育模式的有效性:一项系统综述。

The effectiveness of clinical education models for undergraduate nursing programs: A systematic review.

作者信息

Jayasekara Rasika, Smith Colleen, Hall Cath, Rankin Elaine, Smith Morgan, Visvanathan Vicky, Friebe Terry-Renette

机构信息

School of Nursing and Midwifery, University of South Australia, North Terrace Adelaide SA 5000, Australia.

School of Nursing and Midwifery, University of South Australia, North Terrace Adelaide SA 5000, Australia.

出版信息

Nurse Educ Pract. 2018 Mar;29:116-126. doi: 10.1016/j.nepr.2017.12.006. Epub 2017 Dec 16.

Abstract

Clinical nurse education is a major part of all undergraduate programs preparing nurses for competent professional practice. While research mostly evaluated specific clinical education models, few studies compared different type of models and limited attention has been given to the effect on student learning outcomes. This systematic review aimed to examine the effectiveness of clinical education models for undergraduate nursing programs. This systematic review utilised the Joanna Briggs Institute systematic review approach (JBI, 2014). A web-based literature search was conducted to identify research studies published from 2002 to 2015 using a three-step search strategy. All selected papers were assessed by at least two independent reviewers for inclusion criteria, methodological validity, and data extraction in the review. This systematic review included nine studies including two pre-post-test studies with a control group totalling 1893 participants including 1286 nursing students. The evidence regarding the effectiveness of clinical education models for undergraduate nursing programs is notably weak; however this review found limited evidence that the clinical facilitator model is preferable to the preceptor model and the Clinical Education Unit (CEU) model provided greater engagement and an enhanced learning environment compared with the standard facilitation model.

摘要

临床护士教育是所有本科护理专业培养具备专业能力护士的重要组成部分。虽然研究大多评估特定的临床教育模式,但很少有研究比较不同类型的模式,且对学生学习成果的影响关注有限。本系统评价旨在检验本科护理专业临床教育模式的有效性。本系统评价采用了乔安娜·布里格斯循证卫生保健中心系统评价方法(JBI,2014)。运用三步检索策略进行基于网络的文献检索,以识别2002年至2015年发表的研究。所有入选论文至少由两名独立评审员根据纳入标准、方法学有效性和本评价中的数据提取进行评估。本系统评价纳入了9项研究,其中包括两项有对照组的前后测研究,共有1893名参与者,其中包括1286名护理专业学生。关于本科护理专业临床教育模式有效性的证据明显不足;然而,本评价发现有限的证据表明临床指导教师模式优于带教模式,且与标准指导模式相比,临床教育单元(CEU)模式能提供更高的参与度和更好的学习环境。

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