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西方国家预注册护理项目中招募和留住男性的障碍与促进因素:一项系统的快速综述

Barriers and facilitators to recruiting and retaining men on pre-registration nursing programmes in Western countries: A systemised rapid review.

作者信息

Gavine Anna, Carson Maggie, Eccles Jacqueline, Whitford Heather M

机构信息

School of Nursing and Health Sciences, University of Dundee, DD1 4HJ, United Kingdom of Great Britain and Northern Ireland.

School of Health in Social Science, The University of Edinburgh, Edinburgh EH8 9AG, United Kingdom of Great Britain and Northern Ireland.

出版信息

Nurse Educ Today. 2020 May;88:104368. doi: 10.1016/j.nedt.2020.104368. Epub 2020 Feb 13.

DOI:10.1016/j.nedt.2020.104368
PMID:32092602
Abstract

BACKGROUND

The recruitment of men to pre-registration nursing programmes in many Western countries has remained static at approximately 10% per year.

AIM

To identify the experiences and attitudes of men on pre-registration nursing programmes in Western countries and the barriers and enablers to their recruitment and retention.

DESIGN

Systematized rapid review.

METHODS

Searches were undertaken in Medline (Ovid), CINAHL (EBSCO) and PsychINFO (EBSCO) databases. Studies in English were included if they were from Western countries, were published since 2000 and related to men's experiences of, or attitudes to, applying for or studying pre-registration nursing. Included papers were quality appraised and findings were thematically analysed and presented in a narrative synthesis.

RESULTS

Records were de-duplicated and 2063 records were screened and 44 articles assessed for eligibility of which 23 articles relating to 22 empirical studies were included in the review. Findings were categorised into the following themes: recruitment experiences/reasons for studying nursing; gender experiences; barriers, difficulties and challenges with programme; and factors affecting retention.

CONCLUSION

Evidence suggests that many men who come into nursing have a family member or acquaintance who is a nurse or that they have had contact with a male nurse as a patient or carer. Motivating factors such as financial security, career mobility and the opportunity to have a job in a caring profession were reported. Improved career advice at school is needed and shortened graduate programmes could be attractive. On programme, some clinical areas were easier for male students, while in others, treatment refusal could cause difficulties. Being in a minority and gender stereotyping can affect experiences. Ensuring equitable treatment, providing additional support and placements in clinical areas with more men could minimise these challenges.

摘要

背景

在许多西方国家,参加预注册护理课程的男性人数一直停滞不前,每年约为10%。

目的

确定西方国家参加预注册护理课程的男性的经历和态度,以及他们招生和留校的障碍与促进因素。

设计

系统化快速综述。

方法

在Medline(Ovid)、CINAHL(EBSCO)和PsychINFO(EBSCO)数据库中进行检索。来自西方国家、2000年以来发表且与男性申请或学习预注册护理的经历或态度相关的英文研究被纳入。对纳入的论文进行质量评估,对研究结果进行主题分析并以叙述性综述的形式呈现。

结果

记录去重后,筛选了2063条记录,评估了44篇文章的 eligibility,其中23篇与22项实证研究相关的文章被纳入综述。研究结果分为以下主题:招生经历/学习护理的原因;性别经历;课程的障碍、困难和挑战;以及影响留校的因素。

结论

有证据表明,许多进入护理行业的男性有家庭成员或熟人是护士,或者他们作为患者或护理人员接触过男护士。据报道,经济保障、职业流动性以及在关爱职业中工作的机会等激励因素。学校需要改进职业建议,缩短研究生课程可能会有吸引力。在课程方面,一些临床领域对男学生来说更容易,而在其他领域,患者拒绝治疗可能会带来困难。作为少数群体以及性别刻板印象会影响经历。确保公平对待、提供额外支持以及在男性较多的临床领域安排实习,可以将这些挑战降至最低。

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