支持护理劳动力可持续性的举措：一项快速综合综述方案。

Initiatives to support nursing workforce sustainability: a rapid umbrella review protocol.

作者信息

Murphy Gail Tomblin, Sampalli Tara, Elliott-Rose Annette, Martin-Misener Ruth, Sim Meaghan, Indar Alyssa, Murdoch Jennifer, Hancock Kristy, MacKenzie Adrian, Chamberland-Rowe Caroline, MacInnis Marta, Murphy-Boyle Kaylee, Lownie Clara, Salmaniw Sophia

机构信息

Dalhousie University, Halifax, Nova Scotia, Canada.

Nova Scotia Health, Halifax, Nova Scotia, Canada.

出版信息

BMJ Open. 2025 Sep 5;15(9):e090249. doi: 10.1136/bmjopen-2024-090249.

DOI:10.1136/bmjopen-2024-090249

PMID:40912704

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12414193/

Abstract

INTRODUCTION

The COVID-19 pandemic has made long-standing nursing workforce challenges apparent on an international scale. Decision-makers must develop multi-pronged approaches to foster the development and maintenance of a strong nursing workforce to support health systems. These approaches require attendance to recruitment and retention initiatives that show promise for stabilising the nursing workforce now and into the future.

METHODS AND ANALYSIS

Searches were conducted across MEDLINE, Embase, CINAHL and Scopus from January 2014 up to 11 March 2024. This rapid umbrella review protocol is guided by the Joanna Briggs Institute scoping review methodology and adheres to Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. The research question guiding this review is: what structures have healthcare systems put in place to stabilise, support and sustain the nursing workforce? This review will include existing reviews of nursing workforce initiatives with outcomes that impact nursing recruitment and retention. Results will support local health transformation including the development of a jurisdictional nursing workforce stabilisation strategy. Findings from this review will be relevant for the design, refinement and implementation of nursing workforce sustainability strategies in countries around the globe and may apply to strategies for other healthcare workers.

ETHICS AND DISSEMINATION

Institutional research ethics board exemption was received. The research team is supported by an advisory group that includes provider and patient partners. The results from this study will inform the Nursing Workforce Strategy for the province of Nova Scotia as part of a larger Canadian Institutes of Health Research-funded project. They will also inform broader planning and strategy in Canada through integration with other evidence-generation activities such as comparative policy analyses and workforce planning exercises. Finally, the results will be published in a peer-reviewed journal.

REVIEW REGISTRATION NUMBER

Registered through Open Science Framework: https://doi.org/10.17605/OSF.IO/CUJYK.

摘要

引言

新冠疫情使长期存在的护理劳动力挑战在国际范围内凸显出来。决策者必须制定多管齐下的方法，以促进强大的护理劳动力队伍的发展和维持，从而支持卫生系统。这些方法需要关注那些有望稳定当前及未来护理劳动力队伍的招聘和留用举措。

方法与分析

于2014年1月至2024年3月11日在MEDLINE、Embase、CINAHL和Scopus数据库中进行检索。本快速综合综述方案以乔安娜·布里格斯研究所的范围综述方法为指导，并遵循系统综述和Meta分析方案的首选报告项目指南。指导本综述的研究问题是：卫生保健系统建立了哪些结构来稳定、支持和维持护理劳动力队伍？本综述将纳入对护理劳动力举措的现有综述，这些举措的结果会影响护理人员的招聘和留用。研究结果将支持地方卫生改革，包括制定辖区护理劳动力稳定战略。本综述的结果将与全球各国护理劳动力可持续性战略的设计、完善和实施相关，也可能适用于其他卫生保健工作者的战略。

伦理与传播

已获得机构研究伦理委员会的豁免。研究团队得到一个咨询小组的支持，该小组包括医疗服务提供者和患者代表。本研究的结果将为新斯科舍省的护理劳动力战略提供信息，这是加拿大卫生研究院资助的一个更大项目的一部分。这些结果还将通过与其他证据生成活动（如比较政策分析和劳动力规划活动）相结合，为加拿大更广泛的规划和战略提供信息。最后，研究结果将发表在同行评审期刊上。