一项针对减少护理不文明行为的干预措施的混合方法系统评价
A Mixed-Methods Systematic Review of Interventions to Address Incivility in Nursing.
出版信息
J Nurs Educ. 2020 Jun 1;59(6):319-326. doi: 10.3928/01484834-20200520-04.
BACKGROUND
Incivility negatively affects patient safety, academic performance, and staff retention. This systematic review aimed to identify effective intervention strategies for addressing incivility in nursing education and practice.
METHOD
Joanna Briggs Institute methodology for mixed-methods systematic reviews was used. Six databases were searched for incivility intervention studies with nurses or nursing students in academic or health care settings. Data from 39 studies were extracted and thematically synthesized.
RESULTS
Two intervention categories, educational and administrative, were identified and used to cluster six intervention strategy themes. Six outcome themes were synthesized to examine strategy effectiveness.
CONCLUSION
Findings indicated strong support for multicomponent interventions that incorporate educational strategies of sharing information, skill application, and reflective processing of learning with both nursing students and practicing nurses. Minimal evidence exists on how to increase civility among nursing faculty or enhance faculty role-modeling and coaching for students. Addressing this gap may improve civility in the profession. [J Nurs Educ. 2020;59(6):319-326.].
背景
无礼行为会对患者安全、学术表现和员工保留产生负面影响。本系统评价旨在确定针对护理教育和实践中不文明行为的有效干预策略。
方法
采用乔安娜·布里格斯研究所（Joanna Briggs Institute）混合方法系统评价方法，在学术或医疗保健环境中对护士或护理学生进行不文明干预研究的 6 个数据库中进行检索。提取 39 项研究的数据并进行主题综合。
结果
确定了两个干预类别，教育和行政，并使用这两个类别对六个干预策略主题进行了聚类。综合了六个结果主题以检验策略的有效性。
结论
研究结果表明，多组分干预措施具有很强的支持作用，这些干预措施将信息共享、技能应用以及对学习的反思性处理等教育策略整合到护理学生和执业护士中。关于如何提高护理教师的文明程度或增强教师对学生的榜样作用和指导作用的证据很少。解决这一差距可能会提高该行业的文明程度。[J Nurs Educ. 2020;59(6):319-326.].
Zotero 插件