College of Nursing, Isra University, Islamabad, Pakistan.
Memorial University of Newfoundland, Canada, DSW The Caregivers, St. John's Newfoundland, Canada.
J Prof Nurs. 2021 Jan-Feb;37(1):122-134. doi: 10.1016/j.profnurs.2020.06.007. Epub 2020 Jun 12.
Due to the demanding nature of critical care settings, students are prone to experience stress and lack of confidence, which hinders their learning and affects patient care. Educators should be knowledgeable about students' roles, stressors, and challenges as well as strategies to enhance students' competence and confidence to efficiently practice in critical care.
To map and analyze the literature about nursing students' placement, preparedness, and practice in critical care settings and identified areas for future research and practice.
A scoping review using PRISMA guidelines. The literature was searched within eight databases using indexed terms. In total, 32 sources were selected for review. Literature summary tables, thematic synthesis, narrative summaries were used for data extraction and synthesis.
Three themes and 12 sub-themes were generated. The themes included students' experiences and perspectives about critical care placements, strategies to enhance student learning, and the impact of clinical placements and teaching strategies on students.
Critical care placements allow students in understanding the care of complex patients, enhancing their observational skills, and improving their interpersonal relationships in critical care teams. To enhance student preparedness for effective practice, high fidelity simulations and course-based teaching have been demonstrated to be effective.
由于重症监护环境的要求很高，学生容易感到压力和缺乏信心，这会阻碍他们的学习并影响患者的护理。教育者应该了解学生的角色、压力源和挑战，以及增强学生能力和信心的策略，以便在重症监护环境中有效地实践。
绘制和分析关于护理学生在重症监护环境中的安置、准备和实践的文献，并确定未来研究和实践的领域。
使用 PRISMA 指南进行范围审查。使用索引术语在八个数据库中搜索文献。共选择了 32 篇文献进行综述。文献总结表、主题综合、叙述性总结用于数据提取和综合。
生成了三个主题和 12 个子主题。这些主题包括学生对重症监护安置的体验和观点、增强学生学习的策略，以及临床安置和教学策略对学生的影响。
重症监护安置使学生能够理解对复杂患者的护理，提高他们的观察技能，并改善他们在重症监护团队中的人际关系。为了增强学生为有效实践做准备，已经证明高保真模拟和基于课程的教学是有效的。
