目的:系统探讨管理实习护生在临床实习期间经历的工作场所暴力的干预措施的有效性。
方法:对实验研究的系统回顾。
方法:根据系统评价和荟萃分析指南的首选报告项目进行综述。关键搜索概念,如“护生”,\"教育\",“工作场所暴力”,检查“临床放置”和“临床研究”以确定相关文章(附录A)。两名独立审稿人完成了筛选,关键评估和数据提取。由于纳入研究之间的异质性,结果进行了叙述合成。
方法:MEDLINE(Ovid),CINAHL(EBSCOhost),WebofScience核心合集(ClarivateAnalytics),Scopus(Elsevier),Embase(Ovid),科克伦中部,ERIC(ProQuest),从成立到2023年2月27日,搜索了ProQuestCentral和ProQuest社会科学高级收藏。
结果:本综述共纳入13项研究。管理注册护生在临床实习期间经历的工作场所暴力的主要干预措施是教育。研究的方法各不相同,包括教学教学,电子学习,角色扮演和模拟实践。纳入的研究显示,注册护生的信心得到了不确定的改善,应对技巧,知识,临床实习期间处理工作场所暴力的能力和自我效能感。只有一项研究评估了工作场所暴力的发生率,发现涉及工作人员和学生的多方面干预降低了发生率。
结论:鉴于教育干预的异质性,干预措施对管理学生临床实习期间工作场所暴力的影响尚不确定。为了解决这个差距,高品质,需要在机构和组织层面采取积极和综合的干预措施。
OBJECTIVE: To systematically investigate the effectiveness of interventions for managing workplace violence experienced by registered nursing students during clinical placement.
METHODS: A systematic review of experimental studies.
METHODS: The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The key search concepts such as \"Nursing students\", \"Education\", \"workplace violence\", \"clinical placement\" and \"clinical study\" were inspected to identify relevant articles (Appendix A). Two independent reviewers completed screening, critical appraisal and data extraction. Due to heterogeneity among the included studies, results were synthesized narratively.
METHODS: MEDLINE (Ovid), CINAHL (EBSCOhost), Web of Science Core Collection (Clarivate Analytics), Scopus (Elsevier), Embase (Ovid), Cochrane CENTRAL, ERIC (ProQuest), ProQuest Central and ProQuest Social Science Premium Collection were searched from inception to 27th February 2023.
RESULTS: A total of 13 studies were included in this review. The predominant intervention for managing workplace violence experienced by registered nursing students during clinical placements was education. Approaches varied among studies and included didactic teaching, e-learning, role-playing and simulation practice. The included studies showed uncertain improvements in registered nursing students\' confidence, coping skills, knowledge, competence and self-efficacy in dealing with workplace violence during clinical placements. Only one study assessed the incidence rate of workplace violence and found that a multi-faceted intervention involving both staff and students decreased the incidence.
CONCLUSIONS: Given the heterogeneity of educational interventions, the effect of interventions for managing workplace violence during students\' clinical placement is uncertain. To address this gap, high-quality, proactive and combined interventions at both institutional and organizational levels are needed.