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有效新护士带教的关键胜任力:基本技能与知识的范围综述

Key Competencies for Effective New Nurse Preceptorship: A Scoping Review of Essential Skills and Knowledge.

作者信息

Wang Qi, Liu Lamei, Zeng Qin, Su Shaoyu, Gao Shujing

机构信息

Department of Pediatric Respiratory and Immunology Nursing, West China Second University Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

J Nurs Manag. 2025 Sep 12;2025:4509979. doi: 10.1155/jonm/4509979. eCollection 2025.

DOI:10.1155/jonm/4509979
PMID:40978706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12449119/
Abstract

The global nursing shortage necessitates rapid integration of new nurses into practice. However, the transition from student to professional remains challenging, with high first-year turnover rates. While preceptorship is vital for facilitating this transition, comprehensive competency frameworks for nurse preceptors are lacking. This study aims to review and define key competencies of registered nurse preceptors, focusing on essential skills and developmental strategies to build a competency framework. A scoping review following established guidelines was conducted. Systematic searches were performed in PubMed, Embase, Web of Science, and Cochrane Library from January 2012 to September 2022. The inclusion of studies was based on a set of defined eligibility criteria, and the results were synthesized into categories regarding the competencies of preceptors and methods for assessing them. A total of 48 studies were included in the final analysis. The competencies required for new nurse preceptors were categorized into four primary areas: (1) role model attributes, (2) teaching abilities, (3) motivational capacities, and (4) personal attribute competency. The review highlighted gaps in preceptor training, with many preceptors lacking formal education or institutional support. Additionally, the review found that the selection of preceptors and new nurses should be a mutual process, and preceptor competencies are closely linked to the effectiveness of induction training. Healthcare institutions should prioritize the development of tailored preceptor training programs to ensure high-quality preceptorship for new nurses. Future research should focus on creating standardized frameworks for preceptors' competencies and evaluating the impact of specific training interventions to improve the effectiveness of preceptorship programs. By investing in preceptor education and fostering supportive environments, healthcare organizations can enhance nurse retention and contribute to the sustainability of the nursing workforce.

摘要

全球护理人才短缺使得新护士迅速融入实际工作成为必要。然而,从学生转变为专业人员仍然具有挑战性,第一年的离职率很高。虽然导师指导对于促进这一转变至关重要,但缺乏针对护士导师的全面能力框架。本研究旨在回顾和界定注册护士导师的关键能力,重点关注构建能力框架的基本技能和发展策略。按照既定指南进行了一项范围综述。于2012年1月至2022年9月在PubMed、Embase、科学网和考科蓝图书馆进行了系统检索。纳入研究基于一组明确的纳入标准,结果综合为关于导师能力及其评估方法的类别。最终分析共纳入48项研究。新护士导师所需的能力分为四个主要领域:(1)榜样属性,(2)教学能力,(3)激励能力,以及(4)个人属性能力。该综述突出了导师培训方面的差距,许多导师缺乏正规教育或机构支持。此外,该综述发现,导师和新护士的选拔应该是一个相互的过程,导师能力与入职培训的有效性密切相关。医疗机构应优先制定量身定制的导师培训计划,以确保为新护士提供高质量的导师指导。未来的研究应侧重于为导师能力创建标准化框架,并评估特定培训干预措施的影响,以提高导师指导计划的有效性。通过投资于导师教育并营造支持性环境,医疗保健组织可以提高护士留用率,并促进护理劳动力的可持续性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d018/12449119/87cf61b715ab/JONM2025-4509979.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d018/12449119/87cf61b715ab/JONM2025-4509979.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d018/12449119/87cf61b715ab/JONM2025-4509979.001.jpg

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本文引用的文献

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Concerns of Novice Nurses in the First Year of Work: A Qualitative Content Analysis.新手护士工作第一年的担忧:一项质性内容分析
SAGE Open Nurs. 2024 Dec 13;10:23779608241300019. doi: 10.1177/23779608241300019. eCollection 2024 Jan-Dec.
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Stress in novice nurses in new work environments: a systematic review.新手护士在新工作环境中的压力:系统评价。
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Program components, impact, and duration of implementing a new nurse orientation program in hospital contexts: A scoping review.
医院环境中实施新护士入职培训计划的项目组成部分、影响及持续时间:一项范围综述
Int J Nurs Stud Adv. 2024 Jun 5;7:100214. doi: 10.1016/j.ijnsa.2024.100214. eCollection 2024 Dec.
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Core competencies for Registered Nurse preceptors: A mapping review of quantitative studies.注册护士带教老师的核心能力:定量研究的映射综述
Nurs Open. 2024 Feb;11(2):e2076. doi: 10.1002/nop2.2076.
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Development and psychometric testing of the preceptors' orientation competence instrument (POCI).导师定向能力工具(POCI)的开发与心理测量学测试。
Nurse Educ Pract. 2022 Oct;64:103445. doi: 10.1016/j.nepr.2022.103445. Epub 2022 Aug 27.
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Mentorship ReSPeCT Study: A Nurse Mentorship Program's Impact on Transition to Practice and Decision to Remain in Nursing for Newly Graduated Nurses.指导关系尊重研究:一项护士指导计划对新毕业护士向实践过渡及留在护理行业的决定的影响
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Transitional Challenges and Role of Preceptor among New Nursing Graduates.新毕业护士面临的过渡挑战及带教老师的角色
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