Waldrop Julee, Reynolds Staci S, McMillian-Bohler Jacquelyn M, Graton Margaret, Ledbetter Leila
Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA.
Duke University School of Nursing, 307 Trent Drive, Durham, NC 27710, USA; Duke University Hospital, 2301 Erwin Road, Durham, NC 27710, USA.
J Prof Nurs. 2023 May-Jun;46:7-12. doi: 10.1016/j.profnurs.2022.11.009. Epub 2023 Feb 24.
In 2021, the American Association of Colleges of Nurses revised the core competencies for professional nursing education. The revision includes a call for a transformation from a traditional approach to a competency-based approach for teaching and learning.
The purpose of this systematic scoping review was to provide a fuller understanding of how DNP programs have historically evaluated and documented attainment of the essentials of doctoral nursing education in a summative manner in order to inform developing methods for addressing the newly endorsed advanced-level competencies in nursing education.
A systematic scoping review was completed using PRISMA for Scoping Reviews Guidelines. Databases searched included PubMed (MEDLINE), CINAHL, Education Full Text, Web of Science, and ProQuest Dissertations and Theses. Included reports needed to discuss student competencies and reflect the summative evaluation of the DNP essentials in a DNP program. Data extracted included title, lead author name, lead author affiliation, type of program, aims, design, process, results, competencies included, and DNP project inclusion.
Of the 2729 reports initially identified, five met inclusion criteria. These articles described diverse methods for documenting student attainment of DNP competencies including leadership narratives, electronic portfolios, and clinical logs.
DNP programs have used summative evaluation methods to document fulfillment of the DNP essentials, but a competency-based education approach requires additional formative evaluations that incrementally support learners' progression toward achieving competencies. Faculty can modify exemplars presented from a review of the literature to serve as summative or formative evaluations of DNP advanced-level nursing competencies.
2021年,美国护理学院协会修订了专业护理教育的核心能力。此次修订呼吁从传统教学方法向基于能力的教学方法转变。
本系统综述的目的是更全面地了解护理实践博士(DNP)项目历来如何以总结性方式评估和记录博士护理教育要点的达成情况,以便为制定应对护理教育中新认可的高级水平能力的方法提供参考。
按照《系统综述与荟萃分析扩展版首选报告项目指南》(PRISMA for Scoping Reviews Guidelines)完成了一项系统综述。检索的数据库包括PubMed(MEDLINE)、护理学与健康领域数据库(CINAHL)、教育全文数据库、科学引文索引(Web of Science)以及ProQuest博硕士论文数据库。纳入的报告需讨论学生能力,并反映DNP项目中对DNP要点的总结性评估。提取的数据包括标题、第一作者姓名、第一作者单位、项目类型、目标、设计、过程、结果、包含的能力以及DNP项目纳入情况。
在最初识别的2729篇报告中,有5篇符合纳入标准。这些文章描述了记录学生DNP能力达成情况的多种方法,包括领导力叙述、电子档案袋和临床日志。
DNP项目已采用总结性评估方法来记录DNP要点的完成情况,但基于能力的教育方法需要额外的形成性评估,以逐步支持学习者向实现能力迈进。教师可以修改文献综述中呈现的范例,用作DNP高级护理能力的总结性或形成性评估。