Department of Nursing Management, Faculty of Health Science, University of Lublin, Lublin, Poland.
Department of Development in Nursing, Faculty of Health Science, University of Lublin, Lublin, Poland.
J Clin Nurs. 2021 Oct;30(19-20):2808-2821. doi: 10.1111/jocn.15810. Epub 2021 Apr 25.
To map and summarise published studies on the career opportunities and roles of doctoral-educated (PhD and DNP) nurses in the clinical setting; to collate actions as proposed in the literature to promote career opportunities and roles for PhD and DNP nurses in the clinical setting.
To improve healthcare outcomes and strengthen leadership in nursing practice, there is the need to place nurses with a doctorate in clinical settings. However, available evidence has never been summarised to map the state of the science in this field.
A scoping review, in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for scoping reviews statement (PRISMA-ScR).
An electronic database of literature was searched by accessing CINAHL Complete and Medline (on EBSCO Host) and SCOPUS to identify studies published between January 2009-December 2019. A thematic analysis was performed by identifying emerging patterns in the research questions.
Ten studies were found with three types of clinical engagement: (a) a practice influencer/developer; (b) a clinical leader; and (c) a clinical teacher for students. Working in clinical areas, doctoral-educated nurses might influence several outcomes at the patient, research, staff and organisational levels.
Clinical roles for doctoral-educated nurses are still uncommon. However, in the last ten years, a debate has started to identify the possible careers in clinical settings, the needs and the challenges encountered while developing clinical academic roles, as well as the outcomes and actions that should be undertaken.
Academic nursing bodies, working with professional bodies and healthcare institutions at different levels, are called on to develop career frameworks, allowing the opportunity for doctoral-educated nurses to be involved in clinical practice and to influence its quality and performance; this might in turn lead to an increase in the quality of research.
绘制并总结已发表的关于在临床环境中具有博士学历（博士和 DNP）的护士的职业机会和角色的研究；整理文献中提出的旨在促进临床环境中博士和 DNP 护士职业机会和角色的行动。
为了改善医疗保健结果并加强护理实践的领导力，需要将具有博士学位的护士安置在临床环境中。然而，目前尚无任何证据被汇总以绘制该领域的科学现状。
根据系统评价和元分析扩展的首选报告项目（PRISMA-ScR）声明，进行了范围审查。
通过访问 CINAHL Complete 和 Medline（在 EBSCO 主机上）和 SCOPUS 来搜索文献电子数据库，以确定 2009 年 1 月至 2019 年 12 月期间发表的研究。通过识别研究问题中的新兴模式来进行主题分析。
发现了十项研究，这些研究涉及三种类型的临床参与：（a）实践影响者/开发者；（b）临床领导者；和（c）学生的临床教师。在临床领域工作的博士学历护士可能会影响患者、研究、员工和组织层面的几个结果。
临床环境中博士学历护士的角色仍然不常见。然而，在过去十年中，已经开始就临床环境中可能的职业、发展临床学术角色所面临的需求和挑战，以及应采取的结果和行动展开辩论。
学术护理机构与专业机构和各级医疗机构合作，需要制定职业框架，为具有博士学历的护士提供参与临床实践的机会，并影响其质量和绩效；这反过来又可能提高研究质量。
