Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Karolinska University Hospital, Stockholm, Sweden.
Scand J Caring Sci. 2022 Mar;36(1):16-26. doi: 10.1111/scs.12979. Epub 2021 Mar 13.
Nurses are responsible for nursing care and their expertise is crucial for quality of care. One factor important to successful delivery of evidence-based care is availability of staff with the expertise to support their colleagues in this endeavour. RN/PhDs versed in scientific research with a thorough knowledge of their disciplines have the potential to help narrow the gap between theory and practice. The roles and functions of RN/PhDs involved in clinical care have not yet been well defined.
To explore publications concerning clinical contributions from registered nurses who hold a PhD (RN/PhDs) regarding impact on quality and improvement of care.
A systematic literature review was conducted and qualitative content analysis was applied to the data obtained from the included studies.
The leadership role is considered essential for RN/PhDs, where the focus is on the pursuit of evidence-based practice and the improvement of nursing practices. The opportunity to combine the clinical and academic aspects of nursing is considered crucial in order for RN/PhDs to influence and improve care, yet few such positions are currently available. RN/PhDs cited limited career opportunities as one important reason for not combining clinical and academic work.
In order for nursing practice to reach full potential, clinical positions with clearly defined job descriptions for RN/PhDs are needed. To fully leverage their expertise, it is important to allocate sufficient time to conduct relevant research, as well as to support colleagues and students in the improvement of clinical practice.
护士负责护理工作，他们的专业知识对于护理质量至关重要。成功提供循证护理的一个重要因素是要有具备专业知识的员工来支持同事的工作。精通科学研究且对其学科有深入了解的 RN/PhD 有潜力帮助缩小理论与实践之间的差距。参与临床护理的 RN/PhD 的角色和职能尚未得到很好的定义。
探讨具有博士学位（RN/PhD）的注册护士在临床工作中的贡献对护理质量和改进的影响。
进行了系统的文献回顾，并对纳入研究中获得的数据进行了定性内容分析。
领导角色被认为是 RN/PhD 的关键，重点是追求循证实践和改进护理实践。将临床和学术方面的护理相结合的机会被认为对 RN/PhD 影响和改善护理至关重要，但目前此类职位很少。RN/PhD 指出，职业机会有限是他们不将临床工作与学术工作相结合的一个重要原因。
为了充分发挥护理实践的潜力，需要为 RN/PhD 提供明确的临床职位描述。为了充分利用他们的专业知识，重要的是要分配足够的时间进行相关研究，并支持同事和学生改进临床实践。
