护士在住院老年康复病房中的角色：一项范围综述。
The role of nurses in inpatient geriatric rehabilitation units: A scoping review.
机构信息
School of Physical Therapy, Western University, London, Ontario, Canada.
Health and Rehabilitation Sciences, Western University, London, Ontario, Canada.
出版信息
Nurs Open. 2023 Oct;10(10):6708-6723. doi: 10.1002/nop2.1951. Epub 2023 Jul 28.
AIMS
(1) To review and synthesize research on the contributions of nurses to rehabilitation in inpatient geriatric rehabilitation units (GRUs), and (2) to compare these reported contributions to the domains of international rehabilitation nursing competency models. The roles and contributions of nurses (e.g. Registered Practical Nurses, Registered Nurses and Licensed Practical Nurses) in GRUs are non-specific, undervalued, undocumented and unrecognized as part of the formal Canadian rehabilitation process.
DESIGN
Arksey and O'Malley's methodological framework for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines were used.
METHODS
Six databases were searched for relevant literature: MEDLINE, PsychINFO, CINAHL, EMBASE, SCOPUS and Nursing and Allied Health. English articles were included if they examined nursing roles or contributions to inpatient geriatric rehabilitation. Integrated synthesis was used to combine the qualitative and quantitative data, and thematic analysis was used for coding. Three sets of international competency models were amalgamated to explore how different nurse roles in geriatric rehabilitation were portrayed in the included literature.
RESULTS
Eight studies published between 1991 and 2020 were included in the review. Five main geriatric rehabilitation nursing roles were generated from synthesis of the domains of international rehabilitation nursing competency models: conserver, supporter, interpreter, coach and advocate.
CONCLUSIONS
Nurses working in inpatient geriatric rehabilitation are recognized more for their role in conserving the body than their roles in supporting, interpreting, coaching and advocacy. Interprofessional team members appear to be less sure of the nurses' role in the rehabilitation unit. Nurses themselves do not acknowledge the unique rehabilitation aspects of care for older adults. Enhancing formal education, or adding continuing education courses, to facilitate role clarity for nurses in geriatric rehabilitation could improve nurses' and interprofessional healthcare team members' understandings of the possible contributions of nurses working in rehabilitation settings.
目的
（1）综述和综合研究护士对住院老年康复病房（GRU）康复的贡献，（2）将这些报告的贡献与国际康复护理能力模型的领域进行比较。护士（例如注册实习护士、注册护士和执业护士）在 GRU 中的角色和贡献是非特定的、被低估的、未记录的，并且未被视为加拿大正式康复过程的一部分。
设计
采用阿特赛和奥马利的综述方法框架以及系统综述和荟萃分析扩展的首选报告项目进行范围综述指南。
方法
对 6 个数据库进行了相关文献检索：MEDLINE、PsychINFO、CINAHL、EMBASE、SCOPUS 和护理及相关健康。如果文章研究了护理角色或对住院老年康复的贡献，则纳入英文文章。使用综合综合方法将定性和定量数据结合起来，并使用主题分析对数据进行编码。合并了三套国际能力模型，以探讨老年康复中不同护士角色在纳入文献中的描述方式。
结果
综述共纳入 8 项发表于 1991 年至 2020 年的研究。从国际康复护理能力模型的领域综合分析得出 5 个主要老年康复护理角色：保守者、支持者、解释者、教练和倡导者。
结论
在住院老年康复病房工作的护士，其在保护身体方面的作用得到更多认可，而在支持、解释、指导和倡导方面的作用则较少。多专业团队成员似乎对护士在康复病房中的角色不太确定。护士本身也不承认老年人康复护理的独特方面。加强对护士的正规教育，或增加继续教育课程，以促进老年康复护士角色的明确，这可能会提高护士和多专业医疗团队成员对在康复环境中工作的护士的潜在贡献的理解。
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