La Trobe Rural Health School, La Trobe University, Australia.
La Trobe Rural Health School, La Trobe University, Australia.
Aust Crit Care. 2024 Mar;37(2):326-337. doi: 10.1016/j.aucc.2023.06.001. Epub 2023 Aug 3.
The objective of this review was to establish the learning needs and clinical requirements of postgraduate critical care nursing students preparing for clinical practice in rural and regional contexts.
Scoping review.
Published and unpublished empirical studies.
A scoping review based on database searches (CINAHL and Medline) using Aromataris and Munn's four-step search strategy, plus subsequent forward reference search strategy was undertaken, applying predetermined selection criteria. The review aligned to the Preferred Reporting Items for Systematic Reviews and Meta-analysis Extension for Scoping Review. Studies were uploaded into Endnote 20© for storage and into Covidence 2.0© for data extraction. Screening was undertaken by a primary reviewer, with a secondary reviewer evaluating the studies identified as relevant by the first reviewer. Qualitative codes were derived, and reflexive thematic analysis synthesised the results of the review, using Braun and Clarke's six-phase process.
Nine foundational learning needs for critical care nursing students were extracted from the literature. The nine established foundational learning needs were: behavioural attributes/personal base; critical thinking and analysis; ethical practice; identification of risk; leadership, collaboration, and management; professional practice; provision and coordination of clinical care; research knowledge, standards of care, and policy development; and the health consumer experience. Discerning learning needs specific to rural and regional critical care nursing students was difficult. Only one study that met the inclusion criteria was identified. This study identified some instances of interest in relation to rural and regional learning needs. These instances were related to preparation of rural students for low-volume, high-stake situations; transfer of critically ill patients; stabilisation and preparation of critically ill patients; and care of specific patient groups such as, critically ill, bariatric, paediatric, obstetric, trauma, and patients with behavioural issues.
Limited literature exists within the rural and regional critical care nursing educational context, making it difficult to determine the unique learning needs of students within this group. This scoping review lays the groundwork for further research into the needs of critical care nursing students situated within the rural and regional context.
本综述旨在确定准备在农村和地区环境中进行临床实践的研究生重症监护护理学生的学习需求和临床要求。
范围综述。
已发表和未发表的实证研究。
根据 Aromataris 和 Munn 的四步搜索策略，在 CINAHL 和 Medline 上进行了基于范围的综述数据库搜索，此外还采用了后续的向前参考搜索策略，应用了预定的选择标准。该综述与系统评价和元分析扩展的首选报告项目一致，用于范围综述。研究被上传到 Endnote 20© 进行存储，并上传到 Covidence 2.0© 进行数据提取。主要审查员进行筛选，次要审查员评估主要审查员确定的相关研究。从文献中提取了重症监护护理学生的九个基础学习需求。确定的九个基础学习需求包括：行为属性/个人基础；批判性思维和分析；道德实践；识别风险；领导力、协作和管理；专业实践；提供和协调临床护理；研究知识、护理标准和政策制定；以及卫生消费者体验。确定农村和地区重症监护护理学生的具体学习需求具有挑战性。只有一项符合纳入标准的研究被确定。该研究确定了一些与农村和地区学习需求相关的实例。这些实例与农村学生准备低容量、高风险情况；危重症患者的转移；危重症患者的稳定和准备；以及特定患者群体的护理有关，如危重症、肥胖症、儿科、产科、创伤和行为问题患者。
在农村和地区重症监护护理教育背景下，文献有限，难以确定该群体学生的独特学习需求。本范围综述为进一步研究农村和地区背景下重症监护护理学生的需求奠定了基础。
