Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland.
Oulu University of Applied Sciences, Oulu, Finland.
J Clin Nurs. 2021 May;30(9-10):1206-1235. doi: 10.1111/jocn.15612. Epub 2021 Feb 2.
The challenges of caring for stroke patients are growing due to population ageing and improved survival rates. Healthcare professionals' competence development in stroke care is a necessity to ensure high-quality patient care.
To identify and describe the competence areas of healthcare professionals working in the stroke patient care pathway and factors influencing these competences.
A mixed-methods systematic review.
The review was conducted according to the JBI guidelines and registered in the PROSPERO database (CRD42020204062). PRISMA checklist guided the review process. Relevant original studies were identified by searching four databases-CINAHL (EBSCO), PubMed, Scopus and Medic. After researcher consensus was reached, 32 studies were selected for inclusion and subjected to content analysis and data tabulation.
Competence in care processes, clinical competence, competence in using self-management strategies, interaction skills, skills in acknowledging family and competence in integrating the available evidence base into patient care were identified as key competence areas. Organisation of services, specialisation in stroke care, continuous development and education, family and carer and training in oral care and cognitive rehabilitation were identified as factors that influence healthcare professionals' competence.
Diverse clinical and interaction competencies are needed throughout the stroke care pathway, and various factors affect healthcare professionals' competence. Further research on healthcare professionals' stroke care competence will be needed to respond to changing healthcare demand.
We recommend organisational support and formulation of stroke care patient guidelines in line with healthcare competence requirements. Focus should be added for nursing professions in developing interactive communication competence since nurses spend the majority of the time providing individual patient care. Also, organisations should integrate continuing training in specialised stroke care for healthcare professionals' competence development.
由于人口老龄化和生存率的提高，照顾中风患者的挑战越来越大。医疗保健专业人员在中风护理方面的能力发展是确保高质量患者护理的必要条件。
确定和描述参与中风患者护理路径的医疗保健专业人员的能力领域以及影响这些能力的因素。
混合方法系统评价。
该综述按照 JBI 指南进行，并在 PROSPERO 数据库（CRD42020204062）中进行了登记。PRISMA 清单指导了综述过程。通过搜索 CINAHL（EBSCO）、PubMed、Scopus 和 Medic 这四个数据库，确定了相关的原始研究。在达成研究人员共识后，选择了 32 项研究进行纳入，并进行了内容分析和数据制表。
确定了护理过程中的能力、临床能力、自我管理策略的使用能力、互动技能、承认家庭的技能以及将现有证据基础整合到患者护理中的能力等关键能力领域。服务组织、中风护理专业化、持续发展和教育、家庭和护理人员以及口腔护理和认知康复培训被确定为影响医疗保健专业人员能力的因素。
在整个中风护理路径中需要多样化的临床和互动能力，并且各种因素影响医疗保健专业人员的能力。需要进一步研究医疗保健专业人员的中风护理能力，以应对不断变化的医疗保健需求。
我们建议组织支持和制定符合医疗保健能力要求的中风护理患者指南。应该更加关注护理专业人员发展互动沟通能力，因为护士在大多数时间里为患者提供个性化护理。此外，组织应整合专门的中风护理继续教育，以促进医疗保健专业人员的能力发展。
