护生实施身体评估障碍的整合性综述

Barriers in performing physical assessment among nursing students:An integrative review

目的通过整合性综述明确护生进行身体评估时遇到的障碍。方法以“barrier(障碍)”“physical assessment(身体评估)”“nursing student(护生)”为检索词在Medline,CINAHL,ScienceDirect,Web of Science,ProQuest及Taylor&Francis Online数据库中进行检索。仅纳入英文文献并经同行评审期刊文章,未设年份限制。结果最终纳入12篇论文,共提取两个方面的内容:障碍因素包括个人困难、护理教学方面的挑战、与临床实践有关的挑战;构建基于能力的教学是减少护生身体评估障碍的方法。学生的能力和经验受到多种因素的影响,这些因素共同阻碍了他们成功进行身体评估。结论研究结果对护生进行身体评估过程中涉及的复杂问题提出了有价值的见解,并为改进实践提供了指导。应共同协作以解决护生在进行常规身体评估时经常面临的问题。此外,应在院校和临床环境中融合运用更具建设性和基于能力培养的教学方法。

Objectives:This study aimed to identify barriers in performing physical assessments among nursing students through integrative review study.Methods:The literature were searched in Medline,CINAHL,ScienceDirect,Web of Science,ProQuest,and Taylor&Francis Online using the descriptors barrier,physical assessment,nursing student et al.Only English-language and peer-reviewed journal articles were included,and there were no year restrictions.Results:Twelve articles were selected for review.Two aspects were extracted:the barriers included personal challenges,challenges related to nursing education,challenges related to clinical practice;establishing competency-based education learning as a method to reduce physical assessment barriers.Student competencies and experiences were influenced by various factors that collectively hindered their successful performance of physical assessments.Conclusions:The review findings provide valuable insights into the complex issues involved in the performance of physical assessments and guidance for improvement in practice.A collaborative effort should be made to address the issues often faced by nursing students in performing routine physical assessments.Also,more constructive and competency-based teaching methods should be integrated into academic and clinical settings.