背景:美国护士资格认证中心(ANCC)的实践过渡认证计划(PTAP)建立了护士住院医师计划的标准,以提高和优化技能,知识,以及参加护士住院医师计划的新护士的态度。循证实践(EBP)是提供安全护理的基础。美国国家医学科学院(NAM)的2020年目标之一指出,90%的临床决策将得到最佳证据的支持,以获得最佳患者预后。护士住院医师计划可以从基于证据的策略中受益,以发展新护士的EBP能力。
目的:本范围审查的目的是综合有关将EBP纳入美国护士住院医师计划的策略的文献。
方法:此范围审查是由JBI(以前称为JoannaBriggsInstitute)的范围审查方法提供的。搜索是由PubMed和CINAHL的健康科学馆员进行的。关键词及其同义词,医学主题词(MeSH;PubMed),并使用主题词(CINAHL与全文)。Covidence,文献综述管理计划,用于组织文献和管理评论。Title,abstract,全文审查是在Covidence内部使用由两名独立审稿人组成的三个团队完成的。
结果:在Covidence中输入了四百三十八篇引文。保留了十篇文章供最后审查。文献中出现了将EBP纳入护士住院医师计划的三种策略:(1)护士住院医师暴露于现有的组织资源,(2)完成在线EBP模块,(3)完成EBP项目。
■将EBP能力纳入护士住院医师计划符合NAM和ANCC的目标,然而,缺乏证据来指导护士住院医师计划中的课程开发。这项范围审查证实了需要进一步研究,以告知将EBP纳入护士住院医师计划的最佳实践。
BACKGROUND: The American Nurses Credentialing Center\'s (ANCC\'s) Practice Transition Accreditation Program (PTAP) establishes standards for nurse residency programs to elevate and optimize the skills, knowledge, and attitudes of new nurses participating in nurse residency programs. Evidence-based practice (EBP) is foundational to providing safe nursing care. One of the National Academy of Medicine\'s (NAM\'s) 2020 goals stated that 90% of clinical decisions would be supported by the best available evidence to attain the best patient outcomes. Nurse residency programs can benefit from evidence-based strategies to develop EBP competencies in new nurses.
OBJECTIVE: The purpose of this scoping review was to synthesize the literature around strategies for incorporating EBP into nurse residency programs across the United States.
METHODS: This scoping review was informed by the JBI (formerly known as the Joanna Briggs Institute) methodology for scoping reviews. Searches were conducted by a health science librarian in PubMed and CINAHL with Full Text. Keywords and their synonyms, Medical Subject Headings (MeSH; PubMed), and Subject Headings (CINAHL with Full Text) were used. Covidence, a literature review management program, was used to organize the literature and manage the review. Title, abstract, and full-text reviews were completed within Covidence using three teams of two independent reviewers.
RESULTS: Four hundred and thirty-eight citations were imported into Covidence. Ten articles were retained for the final review. Three strategies for incorporating EBP into nurse residency programs emerged from the literature: (1) exposure of nurse residents to existing organizational resources, (2) completion of online EBP modules, and (3) completion of an EBP project.
UNASSIGNED: The incorporation of EBP competencies in nurse residency programs aligns with NAM\'s and ANCC\'s goals, yet a paucity of evidence exists to guide curriculum development in nurse residency programs. This scoping review corroborates the need for further research to inform best practices for implementing EBP into nurse residency programs.