认知复述在解决护理不端行为中的有效性：一项综合评价。
Effectiveness of Cognitive Rehearsal in Addressing Nursing Incivility: An Integrative Review.
出版信息
J Contin Educ Nurs. 2024 Nov;55(11):523-529. doi: 10.3928/00220124-20240927-01. Epub 2024 Oct 2.
BACKGROUND
Incivility is detrimental to nurses, patients, and health care organizations. Cognitive rehearsal has shown promise in addressing incivility, yet the most recent review of cognitive rehearsal training contained articles published in 2014 and earlier. This review integrates current knowledge of the effectiveness of cognitive rehearsal training in addressing nursing incivility.
METHOD
Four databases were searched from January 2018 to April 2023. Thematic analysis was used to analyze 22 studies.
RESULTS
Three main themes emerged: (a) theoretical frameworks, (b) participant responses to cognitive rehearsal training, and (c) work culture influences. Nine theoretical frameworks uncover the mechanism behind nursing incivility and provide guidance on how to remedy it.
CONCLUSION
Cognitive rehearsal training that includes four core components can foster skills and confidence to address nursing incivility and, in turn, decrease its occurrence, but training alone is not sufficient. Nurse managers and leaders need to model civil behavior, support zero tolerance, create a safe environment for reporting incivility, and intervene effectively. .
背景
无礼行为对护士、患者和医疗保健组织都有害。认知排练已被证明在解决无礼行为方面有一定的效果，但最近对认知排练训练的综述包含的文章都是在 2014 年及更早发表的。本综述整合了当前关于认知排练训练在解决护理无礼行为方面的有效性的知识。
方法
从 2018 年 1 月到 2023 年 4 月，四个数据库被搜索。主题分析被用于分析 22 项研究。
结果
出现了三个主要主题：（a）理论框架，（b）参与者对认知排练训练的反应，和（c）工作文化影响。九个理论框架揭示了护理无礼行为背后的机制，并提供了如何纠正它的指导。
结论
包括四个核心组成部分的认知排练训练可以培养技能和信心来处理护理无礼行为，从而减少其发生，但仅训练是不够的。护士经理和领导者需要树立文明行为的榜样，支持零容忍，为报告无礼行为创造一个安全的环境，并进行有效的干预。
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