解释消化内镜在职护士培训的现实主义整合  

Explaining the training of digestive endoscopy nurses-A realist synthesis

作　　者：周微薇 罗宇 何朝晖 Zhou Weiwei;Luo Yu;He Zhaohui(Department of Gastroenterology,The Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519000,China)

机构地区：[1]遵义医科大学第五附属(珠海)医院消化内科,珠海519000

出　　处：《中华胃肠内镜电子杂志》2024年第4期276-281,共6页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：目的对有关消化内镜在职护士培训的证据进行现实主义整合,以发展消化内镜护士培训相关方案理论,旨在说明两个问题:哪种培训方式对消化内镜护士进行培训是有用的?在什么环境下起作用以及为什么起作用?方法通过文献回顾确定理论框架。系统检索并整理国内外消化内镜护士培训的相关文献。根据现实主义整合的方法,依据“情景-机制-结局”及选定的理论框架对文献证据进行归纳分析,以充分解释消化内镜护士培训的适用情景、促进因素、阻碍因素。结果共纳入20篇文献,分析得出两大方面消化内镜护士培训相关“情景-机制-结局”解释路径。(1)在构建消化内镜护士培训统一标准化培训体系、不同内镜护士基础的背景下,护士的外在表现促进培训效果与质量;(2)在消化内镜护士工作繁忙、领导重视度、消化内镜工作特殊性、科室氛围、薪资待遇的背景下,护士内在表现促进或阻碍培训效果。结论依据理论框架对消化内镜护士的培训进行解释,以冰面以上及冰面以下的两条培训路径为切入点有利于消化内镜护士的培训。Objective To conduct a realist synthesis of evidence on the training of digestive endoscopy nurses to develop a theory for digestive endoscopy nurse training programs.The aim is to address two questions:Which training methods are useful for training digestive endoscopy nurses?Under what circumstances do they work and why?Methods Determine the theoretical framework through literature review.Systematically search and collate relevant literature on the training of digestive endoscopy nurses at home and abroad.According to the realist synthesis method,summarize and analyze the literature evidence based on the“context-mechanism-outcome”and the selected theoretical framework to fully explain the applicable scenarios,facilitating factors,and hindering factors of digestive endoscopy nurse training.Results A total of 20 articles were included,and two major aspects of the“context-mechanism-outcome”explanatory paths related to digestive endoscopy nurse training were analyzed.(1)Under the background of constructing a unified and standardized training system for digestive endoscopy nurses and different baselines of endoscopy nurses,the external performance of nurses promotes the training effect and quality;(2)Under the background of the busy work of digestive endoscopy nurses,leadership attention,the particularity of digestive endoscopy work,department atmosphere,and salary and treatment,the internal performance of nurses promotes or hinders the training effect.Conclusion According to the theoretical framework,the training of digestive endoscopy nurses is explained.Taking the two training paths above and below the ice surface as the starting point is beneficial to the training of digestive endoscopy nurses.

关 键 词：消化内镜 护士 培训 现实主义整合 现实主义综述 

分 类 号：R47[医药卫生—护理学]