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优化护理继续教育影响的因素:快速证据综述。

Factors that optimise the impact of continuing professional development in nursing: A rapid evidence review.

机构信息

Division of Nursing and Midwifery, University of Sheffield, Barber House Annexe, 3a Clarkehouse Road, Sheffield S10 2LA, UK.

Division of Nursing and Midwifery, University of Sheffield, Barber House Annexe, 3a Clarkehouse Road, Sheffield S10 2LA, UK.

出版信息

Nurse Educ Today. 2021 Mar;98:104652. doi: 10.1016/j.nedt.2020.104652. Epub 2020 Nov 7.

Abstract

OBJECTIVES

Continuing professional development is essential for healthcare professionals to maintain and acquire the necessary knowledge and skills to provide person centred, safe and effective care. This is particularly important in the rapidly changing healthcare context of the Covid-19 pandemic. Despite recognition of its importance in the United Kingdom, minimum required hours for re-registration, and related investment, have been small compared to other countries. The aim of this review is to understand the factors that optimise continuing professional development impact for learning, development and improvement in the workplace.

DESIGN

A rapid evidence review was undertaken using Arksey and O'Malley's (2005) framework; identifying a research question, developing a search strategy, extracting, collating and summarising the findings.

REVIEW METHODS

In addressing the question 'What are the factors that enable or optimise CPD impact for learning, development and improvement in the workplace at the individual, team, organisation and system level?' the British Nursing Index, the Cochrane Library, CINAHL, HTA database, King's Fund Library, and Medline databases were searched for key terms. A total of 3790 papers were retrieved and 39 were included.

RESULTS

Key factors to optimising the impact of nursing and inter-professional continuing development are; self-motivation, relevance to practice, preference for workplace learning, strong enabling leadership and a positive workplace culture. The findings reveal the interdependence of these important factors in optimising the impact of continuing professional development on person-centred care and outcomes.

CONCLUSION

In the current, rapidly changing, healthcare context it is important for educators and managers to understand the factors that enhance the impact of continuing professional development. It is crucial that attention is given to addressing all of the optimising factors in this review to enhance impact. Future studies should seek to measure the value of continuing professional development for people experiencing care, nurses and the wider organisation.

摘要

目的

继续教育对于医疗保健专业人员至关重要,可使其保持并获取提供以人为本、安全有效的护理所需的知识和技能。在新冠疫情大流行背景下,这一点尤为重要,因为医疗保健领域正在迅速变化。尽管英国已经认识到继续教育的重要性,但与其他国家相比,重新注册所需的最低小时数以及相关投资都很小。本综述的目的是了解能够优化继续教育对工作场所学习、发展和改进的影响的因素。

设计

采用阿特赛和奥马利(2005 年)的框架进行快速证据综述;确定研究问题、制定搜索策略、提取、整理和总结研究结果。

综述方法

为了解决“在个人、团队、组织和系统层面上,哪些因素能够使继续教育对工作场所的学习、发展和改进产生影响或使其效果最大化?”这一问题,本研究在英国护理索引、考科兰图书馆、CINAHL、HTA 数据库、金基金会图书馆和 Medline 数据库中搜索了关键词。共检索到 3790 篇论文,其中 39 篇被纳入综述。

结果

优化护理和跨专业继续教育效果的关键因素是:自我激励、与实践相关、对工作场所学习的偏好、强有力的促进领导和积极的工作文化。研究结果揭示了这些重要因素在优化继续教育对以人为本的护理和结果的影响方面的相互依存关系。

结论

在当前快速变化的医疗保健环境中,教育者和管理者了解增强继续教育效果的因素非常重要。必须关注本综述中所有的优化因素,以增强其效果。未来的研究应尝试衡量继续教育对接受护理的人、护士和更广泛的组织的价值。

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