变革护理实践：绩效改进策略的全面综述
Transforming Nursing Practices: A Comprehensive Review of Performance Improvement Strategies.
作者信息
Rostami Vahideh, Hatam Nahid, Bahrami Mohammad Amin, Rakhshan Mahnaz, Shokri Azad
机构信息
Student Research Committee, School of Management and Medical Informatics Shiraz University of Medical Sciences Shiraz Iran.
Health Human Resources Research Center, School of Management and Medical Informatics Shiraz University of Medical Sciences Shiraz Iran.
出版信息
Health Sci Rep. 2025 May 5;8(5):e70804. doi: 10.1002/hsr2.70804. eCollection 2025 May.
INTRODUCTION
Nurses play a vital role in healthcare systems, directly influencing patient care quality and outcomes. This study aims to identify and analyze strategies for improving nursing performance in Iran through a systematic review and meta-synthesis, following PRISMA 2020 guidelines.
METHODS
Data were collected from four electronic databases: Web of Science, Scopus, PubMed, and Embase. Qualitative studies and mixed methods focused on nursing performance in Iranian healthcare contexts were included. Data management and theme development were facilitated using MAXQDA qualitative analysis software.
FINDINGS
Thirty-seven studies were included, identifying 10 key themes for improving nursing performance: leadership, organizational culture, self-efficacy, mental health support, continuous education, technological integration, working conditions, performance evaluation, recruitment and retention, and service quality improvement.
CONCLUSIONS
A holistic approach, including leadership development, supportive work environments, continuous education, and technology integration, is essential for enhancing nursing performance and healthcare outcomes in Iran.
引言
护士在医疗保健系统中发挥着至关重要的作用，直接影响患者护理质量和结果。本研究旨在遵循PRISMA 2020指南，通过系统评价和元综合分析，确定并分析伊朗提高护理绩效的策略。
方法
从四个电子数据库收集数据：科学网、Scopus、PubMed和Embase。纳入关注伊朗医疗保健环境中护理绩效的定性研究和混合方法研究。使用MAXQDA定性分析软件促进数据管理和主题开发。
结果
纳入37项研究，确定了提高护理绩效的10个关键主题：领导力、组织文化、自我效能感、心理健康支持、持续教育、技术整合、工作条件、绩效评估、招聘与留用以及服务质量改进。
结论
包括领导力发展、支持性工作环境、持续教育和技术整合在内的整体方法对于提高伊朗的护理绩效和医疗保健结果至关重要。
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