胸外科专科护士核心能力研究的范围综述

Core competencies of thoracic surgery specialist nurses:a scoping review

目的明确胸外科专科护士核心能力,为胸外科专科护士培训提供参考依据。方法遵循澳大利亚循证卫生保健中心提出的范围综述方法学框架,检索9个数据库,检索时限为建库至2024年2月23日。结果共纳入17篇文献,其中中文文献11篇、外文文献6篇,最终分析、整合出直接护理实践能力、评判性思维能力、专业发展能力、人际交往能力、管理能力和伦理决策能力6个主题、15个子主题,共59个条目的胸外科专科护士核心能力。结论本研究对国内外胸外科专科护士核心能力进行综述,并结合我国护理发展国情,在一定程度上明确了胸外科专科护士的核心能力,更贴合胸外科临床护理实践,未来可基于核心能力构建标准化培训体系,系统培训胸外科专科护士,克服胸外科专科护士核心能力发展难题,进一步提升我国胸外科护理服务质量。

Objective To identify the core competencies of thoracic surgery specialist nurses and provide a reference for training thoracic surgery specialist nurses.Methods Following the methodological framework for scoping reviews proposed by the Joanna Briggs Institute,9 databases were searched from inception to February 23,2024.Results A total of 17 papers were included,including 11 papers in Chinese and 6 papers in other languages.By analyzing and integrating the included literature,6 themes,15 sub-themes,and 59 entries were identified as the core competencies for thoracic surgery specialist nurses.The themes included direct nursing practice competencies,critical thinking competencies,professional development competencies,interpersonal competencies,managerial competencies,and ethical decision-making competencies.Conclusions This study reviewed the core competencies of thoracic surgery specialist nurses based on publications worldwide.Combined with the national conditions of nursing development in China,we clarified the core competencies of thoracic surgery specialist nurses that align more closely with the clinical nursing practice in thoracic surgery.In the future,we suggest building a standardized training system based on these core competencies,systematically training thoracic surgery specialist nurses,addressing the challenges in developing core competencies of thoracic surgery specialist nurses,and further improving the quality of thoracic surgery nursing in China.