University of Applied Sciences, Oulu, Finland.
The Finnish Centre for Evidence-Based Health Care: A JBI Centre of Excellence, Helsinki, Finland.
J Adv Nurs. 2024 Apr;80(4):1314-1334. doi: 10.1111/jan.15920. Epub 2023 Dec 2.
To identify evidence on frontline nurse leaders' competences in evidence-based healthcare (EBHC) and the instruments measuring these competences.
A scoping review.
The search was conducted in June 2021 and complemented in June 2022. The CINAHL, ProQuest, Medline (Ovid), Scopus, Web of Science databases and MedNar along with the Finnish database Medic were searched.
The scoping review was conducted in accordance with the Joanna Briggs institute methodology for scoping reviews. Titles, abstracts and full-text versions were screened independently by two reviewers according to the inclusion criteria. Deductive-inductive content analysis was used to synthesize data.
A total of 3211 articles published between 1997 and 2022 were screened, which resulted in the inclusion of 16 articles. Although frontline nurse leaders had a positive attitude towards EBHC, they had a lack of implementing EBHC competence into practice. Part of the instruments were used in the studies, and only one focused especially on leaders. None of instruments systematically covered all segments of EBHC.
There is a limited understanding of frontline nurse leaders' competence in EBHC. It is important to understand the importance of EBHC in healthcare and invest in the development of its competence at all levels of leaders. Frontline nurse leaders' support is essential for direct care nurses to use EBHC to ensure the quality of care and benefits to patients. Leaders must enhance their own EBHC competence to become role models for direct care nurses. It is also essential to develop valid and reliable instruments to measure leaders' competence covering all EBHC segments. The results can be utilized in the assessment and development of frontline nurse leaders' EBHC competence by planning and producing education and other competence development methods.
确定以证据为基础的医疗保健（EBHC）一线护士领导者能力的证据和衡量这些能力的工具。
范围综述。
搜索于 2021 年 6 月进行，并于 2022 年 6 月补充。在 CINAHL、ProQuest、Medline（Ovid）、Scopus、Web of Science 数据库和 MedNar 以及芬兰数据库 Medic 中进行了搜索。
根据乔安娜·布里格斯研究所（Joanna Briggs Institute）的范围综述方法进行了范围综述。两名评审员根据纳入标准独立筛选标题、摘要和全文版本。采用演绎归纳内容分析法对数据进行综合。
共筛选出 1997 年至 2022 年发表的 3211 篇文章，其中纳入 16 篇文章。尽管一线护士领导者对 EBHC 持积极态度，但他们缺乏将 EBHC 能力付诸实践的能力。部分工具在研究中使用，只有一项专门针对领导者。没有任何工具系统地涵盖 EBHC 的所有部分。
对一线护士领导者在 EBHC 方面的能力了解有限。了解 EBHC 在医疗保健中的重要性，并在各级领导者层面投资发展其能力非常重要。一线护士领导者的支持对于直接护理护士使用 EBHC 确保护理质量和患者受益至关重要。领导者必须增强自己的 EBHC 能力，成为直接护理护士的榜样。开发有效和可靠的工具来衡量领导者涵盖所有 EBHC 部分的能力也很重要。结果可用于通过规划和提供教育和其他能力发展方法来评估和发展一线护士领导者的 EBHC 能力。
