Department of Gynecology and Obstetrics, Zealand University Hospital, Roskilde, Denmark.
Department of Oncology and Palliative Care, Zealand University Hospital, Roskilde, Denmark.
J Clin Nurs. 2021 Feb;30(3-4):311-322. doi: 10.1111/jocn.15557. Epub 2020 Nov 26.
The aim of this review was to identify key competences of outpatient nurses, as perceived by patients attending nurse-led clinics.
The increased demand for nurses to manage treatment and care in hospital outpatient clinics requires a better understanding of nurses' competences important to outpatients.
An integrative review using Whittemore and Knafl's five-stage model.
Relevant studies were located by systematically searching PubMed, CINAHL and Scopus. A group of three researchers assessed the studies found and the quality of the included studies using the CASP tool. Data were extracted and analysed by thematic analyses. The current study was evaluated using PRISMA checklist.
Nine studies met the inclusion criteria. Three key competences emerged: providing access, sharing knowledge and establishing relationships. The key competences were supported by ten sub-themes that were characterised by nurses' actions and qualities, derived from the included studies.
The identified key competences reflected a holistic approach that encompasses knowledge, skills and attitudes, indicating outpatient nurses being able to manage different ways of involving patients, which may lead to the consideration of outpatient consultations as a kind of negotiation, based on a respectful dialogue.
The findings are usable when optimising the performance and quality of the health workforce, including outpatient nurses, as recommended by WHO (World Health Organization, Global strategy on human resources for health: Workforce 2030, 2016). Furthermore, the identified knowledge emphasises the need for clinical skills training and academic education, specially targeted outpatient nurses, in order to enable the nurses to become experts in specific practice settings.
本综述旨在确定门诊护士的关键能力，这些能力是患者在护士主导的诊所就诊时所感知到的。
由于需要更多的护士来管理医院门诊的治疗和护理，因此需要更好地了解对门诊患者重要的护士能力。
使用 Whittemore 和 Knafl 的五阶段模型进行综合回顾。
通过系统地搜索 PubMed、CINAHL 和 Scopus，找到了相关研究。一组三名研究人员使用 CASP 工具评估了所发现的研究和纳入研究的质量。通过主题分析提取和分析数据。本研究使用 PRISMA 清单进行评估。
符合纳入标准的研究有 9 项。出现了三个关键能力：提供途径、分享知识和建立关系。这些关键能力得到了十个子主题的支持，这些子主题的特征是护士的行为和素质，源自纳入的研究。
确定的关键能力反映了一种整体方法，涵盖了知识、技能和态度，表明门诊护士能够以不同的方式管理患者的参与，这可能导致将门诊咨询视为一种协商，基于尊重的对话。
这些发现可用于优化卫生劳动力的绩效和质量，包括世卫组织（世界卫生组织，《全球卫生人力资源战略：2030 年工作规划》，2016 年）所建议的门诊护士。此外，所确定的知识强调需要对门诊护士进行有针对性的临床技能培训和学术教育，以使护士能够成为特定实践环境中的专家。
