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探索肾脏病学护士的能力:一项全面的范围综述。

Exploring the competencies of nephrology nurses: A comprehensive scoping review.

作者信息

Andreoli Desirèe, Morales Palomares Sara, Mancin Stefano, Parozzi Mauro, Gazineo Domenica, Palmisano Addolorata, Angileri Salvatore Alessio, Ricco Mattia, Anastasi Giuliano, Savini Serenella, Cangelosi Giovanni, Godino Lea, Sguanci Marco

机构信息

Azienda Ospedaliera Santa Maria della Misericordia, Perugia, Italy.

Department of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende, Italy.

出版信息

Int Nurs Rev. 2025 Mar;72(1):e13085. doi: 10.1111/inr.13085.

DOI:10.1111/inr.13085
PMID:39741113
Abstract

BACKGROUND

Chronic kidney disease (CKD) presents a significant global health challenge. Nephrology nurses, possessing specialized competencies, play an essential role in providing high-quality care to CKD patients.

AIM

This scoping review aims to comprehensively map and synthesize literature on the competencies of nephrology nurses worldwide.

METHODS

A scoping review was reported using the PRISMA-ScR framework and aligned with the Joanna Briggs Institute (JBI) methodology. The population, concept, and context (PCC) model was employed to formulate the research question. The search was conducted between June and July 2023 across five databases:Medline, Scopus, Cochrane Library, ASSIA, and CINAHL, with additional consultation of gray literature sources. Screening of articles, data extraction, and quality appraisal were independently performed by two authors. Critical appraisal was conducted using JBI critical appraisal tools. Data were analyzed using descriptive analysis.

RESULTS

Of the 8786 records identified, 25 were included. The included articles predominantly consisted of position papers published between 2000 and 2022, with studies conducted across all continents. Core competencies for nephrology nurses were identified, along with advanced competencies encompassing advanced clinical practice, education, leadership and management, and research.

CONCLUSION

The review of competencies among nephrology nurses worldwide reveals a comprehensive and diverse set of skills required to address the complexities of CKD. As the field of nephrology continues to evolve, ongoing efforts should be directed toward refining and expanding the competencies of nephrology nurses in individual national contexts as well as defining, in the light of a systematic mapping of skills, homogeneous training paths.

IMPLICATIONS FOR NURSING

This scoping review aims to synthesize global literature on nephrology nurses' core and advanced skills, providing a foundation for defining competencies at both national and institutional levels.

摘要

背景

慢性肾脏病(CKD)是一项重大的全球健康挑战。具备专业能力的肾病科护士在为CKD患者提供高质量护理方面发挥着至关重要的作用。

目的

本范围综述旨在全面梳理和综合全球范围内有关肾病科护士能力的文献。

方法

采用PRISMA-ScR框架报告范围综述,并与乔安娜·布里格斯研究所(JBI)方法保持一致。运用人群、概念和背景(PCC)模型来制定研究问题。于2023年6月至7月期间在五个数据库中进行检索:Medline、Scopus、Cochrane图书馆、ASSIA和CINAHL,并额外查阅灰色文献来源。两名作者独立进行文章筛选、数据提取和质量评估。使用JBI批判性评估工具进行批判性评估。采用描述性分析对数据进行分析。

结果

在识别出的8786条记录中,纳入了25条。纳入的文章主要包括2000年至2022年发表的立场文件,研究在各大洲均有开展。确定了肾病科护士的核心能力,以及包括高级临床实践、教育、领导与管理以及研究在内的高级能力。

结论

对全球肾病科护士能力的综述揭示了应对CKD复杂性所需的一套全面且多样的技能。随着肾病领域的不断发展,应持续努力在各个国家背景下完善和扩展肾病科护士的能力,并根据技能的系统梳理来确定统一的培训路径。

对护理的启示

本范围综述旨在综合全球有关肾病科护士核心和高级技能的文献,为在国家和机构层面界定能力提供基础。

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