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Contemporary evidence for teaching person-centred communication skills to nursing students using simulation and workplace-based approaches- A scoping review. 使用模拟和基于工作场所的方法向护理学生教授以人为本的沟通技巧的当代证据-范围审查。
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-26 DOI: 10.1016/j.nepr.2026.104779
Mira Adhikari Baral, Sandra Carr

Background: Person-centred communication (PCC) is a key aspect of patient care. Yet, the evidence supporting its utility in clinical education using simulation and work-based teaching approaches is not well described.

Aim: This scoping review aimed to explore the contemporary evidence on teaching and learning PCC skills in nursing education using simulation and workplace-based methods and the effectiveness of those approaches in developing person-centred communication skills and/or improved patient outcomes.

Design: A scoping review was conducted following Preferred Reporting Items for Scoping Reviews (PRISMA_ScR) guidelines.

Methods: A scoping review of the literature published from 2010 to 2024 was conducted in CINAHL, Medline, Embase, Scopus and grey literature to find out the evidence for teaching PCC to nursing students. The search identified 3558 articles. Finally, 117 were selected for the full-text review and only 26 met the inclusion criteria.

Results: Simulation is the widely used contemporary active teaching method in PCC training for nursing students and evidence on the articulation of learning objectives is limited. Training is focused on developing students' skills of active listening and empathy, while other PCC skills, like self-awareness and authentic engagement, are not well integrated into the training. The learning assessment is more focused on student learning.

Conclusion: This review concludes that simulation, as the common approach in PCC training in nursing education did not adequately address a comprehensive set of skills for PCC. The learning assessment is more focused on student learning, although the evidence on the articulation of learning objectives is limited, highlighting the need integrate objectives with comprehensive skill delivery and assessment.

背景:以人为本的沟通(PCC)是病人护理的一个关键方面。然而,支持它在临床教育中使用模拟和基于工作的教学方法的效用的证据并没有很好地描述。目的:本综述旨在探讨在护理教育中使用模拟和基于工作场所的方法教授和学习PCC技能的当代证据,以及这些方法在发展以人为本的沟通技巧和/或改善患者预后方面的有效性。设计:根据范围审查的首选报告项目(PRISMA_ScR)指南进行范围审查。方法:对2010 - 2024年在CINAHL、Medline、Embase、Scopus和灰色文献中发表的文献进行回顾性分析,寻找护生进行PCC教学的证据。搜索确定了3558篇文章。最终选取117篇论文进行全文审阅,只有26篇符合纳入标准。结果:模拟是当代护生PCC培训中广泛采用的主动教学方法,但关于学习目标表达的证据有限。培训的重点是培养学生积极倾听和共情的技能,而其他PCC技能,如自我意识和真实参与,并没有很好地融入培训中。学习评估更关注学生的学习情况。结论:本综述得出结论,模拟作为护理教育中PCC培训的常用方法,并不能充分解决PCC的综合技能。学习评估更关注学生的学习,尽管关于学习目标表达的证据有限,强调需要将目标与全面的技能传递和评估结合起来。
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引用次数: 0
Violence against international nursing students: The responsibility of academics and higher education institutions. 针对国际护理学生的暴力:学术界和高等教育机构的责任。
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-06 DOI: 10.1016/j.nepr.2026.104753
Laura Jackson, Radha Adhikari, Gillian Gamble
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引用次数: 0
"Not by Intuition Alone": The Edinburgh Infirmary and the making of the modern nurse, 1876. “不单单凭直觉”:爱丁堡医务室和现代护士的造就,1876年。
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-02 DOI: 10.1016/j.nepr.2026.104748
Andreas K Demetriades
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引用次数: 0
Operationalizing joy in nursing education: Simulation and interprofessional learning as catalysts for resilience and renewal 在护理教育中实施快乐:模拟和跨专业学习作为恢复力和更新的催化剂
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-09 DOI: 10.1016/j.nepr.2026.104718
Mohammed Al-Hassan

Aim

To propose a conceptual framework that repositions joy as a pedagogical imperative in nursing education and demonstrates how Simulation-Based Learning (SBL) and Interprofessional Education (IPE) can serve as catalysts for cultivating resilience, connection and renewal.

Background

Burnout, moral distress and disengagement among students and educators have revealed the emotional fragility of current educational systems. The Institute for Healthcare Improvement’s Framework for Joy in Work and Bernard’s values alignment theory suggest that joy is not an emotional byproduct but a strategic condition for engagement and well-being.

Design

This paper presents a conceptual synthesis integrating insights from positive psychology, learning science and organizational theory to advance The Joyful Learning Cycle (JLC), a new model for embedding joy as a design principle in nursing education.

Methods

The JLC model was developed through theoretical integration of existing frameworks and reflective analysis of SBL and IPE pedagogies. The five interrelated phases, Inquiry, Connection, Reflection, Celebration and Renewal, operationalize joy as a regenerative, teachable process.

Results

SBL and IPE are identified as high-impact educational modalities that naturally support the cultivation of joy through psychological safety, collective efficacy and shared purpose. The JLC demonstrates how joy can be intentionally designed, measured and sustained within faculty development and curriculum design.

Conclusions

Joy is a pedagogical vital sign, an indicator of learning health and educator well-being. Embedding joy alongside competence as a core metric can transform nursing education into a system that not only trains skilled professionals but sustains the humanity of those who teach and learn.
目的提出一个概念框架,将快乐重新定位为护理教育的教学要求,并展示基于模拟的学习(SBL)和跨专业教育(IPE)如何成为培养弹性、联系和更新的催化剂。学生和教育工作者的职业倦怠、道德困境和脱离参与揭示了当前教育系统在情感上的脆弱性。医疗保健改进研究所的工作乐趣框架和伯纳德的价值观一致性理论表明,快乐不是情感的副产品,而是参与和幸福的战略条件。本文综合了积极心理学、学习科学和组织理论的见解,提出了一个概念综合,以推进快乐学习周期(JLC),这是一个将快乐作为护理教育设计原则的新模型。方法通过对现有框架的理论整合,以及对SBL和IPE教学法的反思分析,构建JLC模型。五个相互关联的阶段,探究,连接,反思,庆祝和更新,将快乐作为一个再生的,可教的过程进行操作。结果ssbl和IPE被认为是高影响力的教育模式,通过心理安全、集体效能和共同目标自然地支持快乐的培养。JLC展示了如何在教师发展和课程设计中有意地设计、衡量和维持快乐。结论快乐是教学生命体征,是学习健康和教育者幸福感的指标。将快乐与能力一起作为核心衡量标准,可以将护理教育转变为一个不仅培养熟练的专业人员,而且保持教与学人员人性的体系。
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引用次数: 0
Innovative strategies in oncology education for undergraduate students: A rapid systematic review 本科肿瘤学教育的创新策略:快速系统综述
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.nepr.2026.104723
Susana Miguel , Helga Martins , José Moreira

Aim

This rapid review was to inform the innovative strategies for teaching oncology to undergraduate nursing students.

Background

Oncology nursing education has become a priority owing to the increasing demand for specialized, person-centered care. Oncology care is recognized as a complex and challenging area in clinical practice and in education, requiring students to possess not only technical knowledge but also communication skills, empathy and decision-making abilities in delicate situations.

Design

A rapid systematic review was conducted in April 2025.

Methods

Four databases were searched: PubMed, Web of Science, the Cumulative Index to Nursing and Allied Health Literature and SCOPUS. The included studies focused on innovative teaching strategies, in undergraduate oncology nursing education, were primary research and were written in English or Portuguese. The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Study quality assessed using JBI guidelines.

Results

Twenty-eight studies published between 1992 and 2025 were included in this review. The identified strategies comprised technological innovations (n = 15), such as clinical simulations, online educational programs and virtual reality; and non-technological approaches (n = 13), including case study analysis, concept mapping and multidisciplinary educational programs.

Conclusions

The integration of technological and non-technological strategies has shown itself is beneficial. A combined approach enables students to develop a broad and diverse set of competencies in oncology, promoting a more complete and effective educational experience.
目的对护理本科学生肿瘤学教学的创新策略进行综述。背景:由于对专业化、以人为本的护理需求的增加,口腔护理教育已成为一个优先事项。肿瘤护理在临床实践和教育中都被认为是一个复杂而具有挑战性的领域,不仅需要学生具备技术知识,还需要学生具备在微妙情况下的沟通技巧、同理心和决策能力。DesignA于2025年4月进行了快速系统审查。方法检索PubMed、Web of Science、the Cumulative Index to Nursing and Allied Health Literature、SCOPUS等数据库。纳入的研究侧重于肿瘤学本科护理教育的创新教学策略,为初级研究,以英语或葡萄牙语撰写。按照JBI指南评估的系统评价和荟萃分析研究质量的首选报告项目进行评价。结果本综述纳入了1992年至2025年间发表的28项研究。确定的策略包括技术创新(n = 15),如临床模拟、在线教育计划和虚拟现实;以及非技术方法(n = 13),包括案例研究分析、概念映射和多学科教育计划。结论技术与非技术策略的结合是有益的。综合方法使学生在肿瘤学方面发展广泛和多样化的能力,促进更完整和有效的教育体验。
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引用次数: 0
Improving the value of empathy in nurses 提高护士同理心的价值。
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2025-10-30 DOI: 10.1016/j.nepr.2025.104616
İnsaf Altun
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引用次数: 0
The effectiveness of AI-based conversational agents in nursing education: A systematic review 基于人工智能的会话代理在护理教育中的有效性:系统回顾
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.nepr.2026.104728
Jinseon Go , Yaeji Lee

Aim

Comprehensive evaluation of randomized and non-randomized controlled trials (RCTs and NRCTs, respectively) on the effectiveness of AI-driven conversational agents in nursing education.

Background

AI-based conversational agents are innovative educational tools enhancing nursing students’ learning outcomes. However, evaluation of their educational effectiveness remains limited.

Design

Systematic review.

Methods

Three Korean database (RISS, KCI, DBpia) and three international database (PubMed, CINAHL, Web of Science) were searched from March 13, 2025 to April 25, 2025, to identify studies investigating the impact through either RCTs or NRCTs. Quality was appraised using Risk of Bias 2 for RCTs and Risk of Bias in Non-randomized Studies-I for NRCTs. Educational outcomes were analyzed based on Kirkpatrick’s evaluation model and Bloom’s taxonomy.

Results

A total of seven studies were reviewed. Four assessed Level 1 (reaction) and all seven assessed Level 2 (learning) as per Kirkpatrick’s model. Affective outcomes were confidence, self-directed learning, motivation and self-efficacy and cognitive outcomes were knowledge, clinical reasoning, critical thinking, problem-solving and learning achievement. Five studies demonstrated significant improvements in both cognitive and affective educational outcomes.

Conclusion

Conversational agents effectively enhanced cognitive and affective competencies in nursing students. Learner-initiated interactions were applied primarily in practice-oriented education, whereas system-initiated ones, in theoretical learning. Therefore, aligning interaction modes and feedback levels with educational purposes and content is essential to maximize learning outcomes. However, evaluation of long-term effects of conversational agent-based education and its impact at the organizational level is limited. Future research should adopt longitudinal and rigorously designed RCTs to provide robust evidence of educational effectiveness.
综合评价人工智能驱动会话代理在护理教育中的有效性的随机对照试验和非随机对照试验(分别为rct和NRCTs)。基于人工智能的会话代理是提高护理学生学习成果的创新教育工具。然而,对其教育效果的评价仍然有限。DesignSystematic审查。方法检索2025年3月13日至2025年4月25日期间的3个韩国数据库(RISS、KCI、DBpia)和3个国际数据库(PubMed、CINAHL、Web of Science),筛选通过rct或nrct调查影响的研究。随机对照试验的偏倚风险为2,非随机对照试验的偏倚风险为1。根据Kirkpatrick的评价模型和Bloom的分类法对教育成果进行了分析。结果共回顾了7项研究。根据柯克帕特里克的模型,4人评估1级(反应),7人评估2级(学习)。情感结果为自信、自主学习、动机和自我效能,认知结果为知识、临床推理、批判性思维、解决问题和学习成绩。五项研究表明,认知和情感教育成果都有显著改善。结论会话代理能有效提高护生的认知能力和情感能力。学习者发起的互动主要应用于以实践为导向的教育,而系统发起的互动则主要应用于理论学习。因此,将互动模式和反馈水平与教育目的和内容相一致,对于最大限度地提高学习效果至关重要。然而,对会话主体教育的长期效果及其在组织层面上的影响的评估是有限的。未来的研究应采用纵向和严格设计的随机对照试验,以提供有力的证据证明教育的有效性。
{"title":"The effectiveness of AI-based conversational agents in nursing education: A systematic review","authors":"Jinseon Go ,&nbsp;Yaeji Lee","doi":"10.1016/j.nepr.2026.104728","DOIUrl":"10.1016/j.nepr.2026.104728","url":null,"abstract":"<div><h3>Aim</h3><div>Comprehensive evaluation of randomized and non-randomized controlled trials (RCTs and NRCTs, respectively) on the effectiveness of AI-driven conversational agents in nursing education.</div></div><div><h3>Background</h3><div>AI-based conversational agents are innovative educational tools enhancing nursing students’ learning outcomes. However, evaluation of their educational effectiveness remains limited.</div></div><div><h3>Design</h3><div>Systematic review.</div></div><div><h3>Methods</h3><div>Three Korean database (RISS, KCI, DBpia) and three international database (PubMed, CINAHL, Web of Science) were searched from March 13, 2025 to April 25, 2025, to identify studies investigating the impact through either RCTs or NRCTs. Quality was appraised using Risk of Bias 2 for RCTs and Risk of Bias in Non-randomized Studies-I for NRCTs. Educational outcomes were analyzed based on Kirkpatrick’s evaluation model and Bloom’s taxonomy.</div></div><div><h3>Results</h3><div>A total of seven studies were reviewed. Four assessed Level 1 (reaction) and all seven assessed Level 2 (learning) as per Kirkpatrick’s model. Affective outcomes were confidence, self-directed learning, motivation and self-efficacy and cognitive outcomes were knowledge, clinical reasoning, critical thinking, problem-solving and learning achievement. Five studies demonstrated significant improvements in both cognitive and affective educational outcomes.</div></div><div><h3>Conclusion</h3><div>Conversational agents effectively enhanced cognitive and affective competencies in nursing students. Learner-initiated interactions were applied primarily in practice-oriented education, whereas system-initiated ones, in theoretical learning. Therefore, aligning interaction modes and feedback levels with educational purposes and content is essential to maximize learning outcomes. However, evaluation of long-term effects of conversational agent-based education and its impact at the organizational level is limited. Future research should adopt longitudinal and rigorously designed RCTs to provide robust evidence of educational effectiveness.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"91 ","pages":"Article 104728"},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing student nurses’ cultural competence in the care of transgender individuals: An integrative review of educational approaches 提高学生护士在跨性别个体护理中的文化能力:教育方法的综合回顾
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-12 DOI: 10.1016/j.nepr.2026.104720
Jane Mary Hager

Objective

This integrative review aimed to synthesise and critically examine educational strategies in improving cultural competence among pre-registration student nurses when caring for transgender patients. It also sought to inform future educational development and identify gaps for further research.

Background

The 2021 UK Census identified at least 262,000 individuals (0.5 % of the population) as transgender, though this is likely underestimated due to stigma and underreporting. Despite evolving public attitudes, 16 % of respondents in a 2019 survey admitted prejudice towards transgender people. The Nursing and Midwifery Council (NMC, 2018) emphasises dignified, non-discriminatory care for all, yet many LGBTQ+ individuals report negative healthcare experiences. Research consistently highlights gaps in education for healthcare professionals, affecting their confidence and ability to provide competent care for transgender individuals.

Design

An integrative review design was adopted, enabling the synthesis of diverse evidence sources to explore educational strategies that enhance cultural competence in pre-registration nursing curricula.

Methods

Using Whittemore and Knafl’s (2005) integrative review framework and Joanna Briggs Institute (2024) mixed-methods guidance, nine studies were synthesised. A constant comparison approach enabled integration of qualitative and quantitative findings.

Results

No single educational strategy emerged as most effective. However, multi-method approaches, especially those involving active learning were consistently linked to improvements in knowledge, attitudes and skills

Conclusion

Findings highlight the need for a standardised, comprehensive approach to cultural competence education in nursing curricula. Integrating such content has the potential to improve care quality, reducing health disparities and ensuring equitable, person-centred care for transgender individuals.
目的本综述旨在综合并批判性地考察在护理跨性别患者时提高预注册学生护士文化能力的教育策略。它还试图为未来的教育发展提供信息,并确定进一步研究的差距。2021年英国人口普查确定至少有26.2万人(占人口的0.5% %)是跨性别者,尽管由于污名和漏报,这一数字可能被低估了。尽管公众态度不断变化,但在2019年的一项调查中,16% 的受访者承认对跨性别者存在偏见。护理和助产委员会(NMC, 2018)强调为所有人提供有尊严的、非歧视的护理,但许多LGBTQ+ 个人报告了负面的医疗保健经历。研究一直强调医疗保健专业人员的教育差距,影响了他们为跨性别者提供合格护理的信心和能力。设计采用综合评价设计,综合多种证据来源,探讨提高注册前护理课程文化能力的教育策略。方法采用Whittemore and Knafl(2005)的综合综述框架和Joanna Briggs Institute(2024)的混合方法指导,对9项研究进行综合。不断比较的方法使定性和定量的研究结果得以整合。结果没有一种教育策略是最有效的。然而,多方法方法,特别是那些涉及主动学习的方法,始终与知识、态度和技能的改善有关。结论:研究结果强调了在护理课程中建立标准化、全面的文化能力教育方法的必要性。整合这些内容有可能提高护理质量,减少健康差距,并确保为跨性别者提供公平、以人为本的护理。
{"title":"Enhancing student nurses’ cultural competence in the care of transgender individuals: An integrative review of educational approaches","authors":"Jane Mary Hager","doi":"10.1016/j.nepr.2026.104720","DOIUrl":"10.1016/j.nepr.2026.104720","url":null,"abstract":"<div><h3>Objective</h3><div>This integrative review aimed to synthesise and critically examine educational strategies in improving cultural competence among pre-registration student nurses when caring for transgender patients. It also sought to inform future educational development and identify gaps for further research.</div></div><div><h3>Background</h3><div>The 2021 UK Census identified at least 262,000 individuals (0.5 % of the population) as transgender, though this is likely underestimated due to stigma and underreporting. Despite evolving public attitudes, 16 % of respondents in a 2019 survey admitted prejudice towards transgender people. The Nursing and Midwifery Council (NMC, 2018) emphasises dignified, non-discriminatory care for all, yet many LGBTQ+ individuals report negative healthcare experiences. Research consistently highlights gaps in education for healthcare professionals, affecting their confidence and ability to provide competent care for transgender individuals.</div></div><div><h3>Design</h3><div>An integrative review design was adopted, enabling the synthesis of diverse evidence sources to explore educational strategies that enhance cultural competence in pre-registration nursing curricula.</div></div><div><h3>Methods</h3><div>Using Whittemore and Knafl’s (2005) integrative review framework and Joanna Briggs Institute (2024) mixed-methods guidance, nine studies were synthesised. A constant comparison approach enabled integration of qualitative and quantitative findings.</div></div><div><h3>Results</h3><div>No single educational strategy emerged as most effective. However, multi-method approaches, especially those involving active learning were consistently linked to improvements in knowledge, attitudes and skills</div></div><div><h3>Conclusion</h3><div>Findings highlight the need for a standardised, comprehensive approach to cultural competence education in nursing curricula. Integrating such content has the potential to improve care quality, reducing health disparities and ensuring equitable, person-centred care for transgender individuals.</div></div>","PeriodicalId":48715,"journal":{"name":"Nurse Education in Practice","volume":"91 ","pages":"Article 104720"},"PeriodicalIF":4.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Construction of a competency evaluation index system for geriatric nursing positions in the context of new medical science: A Delphi study 新医学背景下老年护理岗位胜任力评价指标体系构建:德尔菲研究
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-12 DOI: 10.1016/j.nepr.2026.104714
Shuyue Mu, Rongrong Wang, Xiangnan Wang, Yaqi Zhuang, Wenling Qiu, Guiyu Qu

Aim

To construct a competency evaluation index system for geriatric nursing positions in the context of new medical science.

Background

The new medical discipline is centered on the concept of population health, aiming to establish a comprehensive health service system that incorporates preventive measures, treatment and wellness strategies. It deeply integrates advanced technologies such as artificial intelligence and data science to achieve the digital and intelligent transformation of healthcare services. This places greater demands on the professional competence of nurses working in geriatric care positions. However, the precise competencies that nurses in China's geriatric care settings currently possess to meet the demands of high-quality elderly care remain unclear.

Design

A Delphi study.

Methods

Based on the onion model as a theoretical foundation, this study has preliminarily constructed a draft competency framework through evidence-based integration and behavioral event interviews. Two rounds of Delphi expert consultations were conducted with 19 specialists to revise and refine the indicator system.

Results

The evaluation indicator system comprises four primary indicators, 14 secondary indicators and 51 tertiary indicators, which include professionalism, theoretical knowledge, skills and personal characteristics. The response rates for the two rounds of expert questionnaires were 95 % and 89 %, respectively. The expert authority coefficients for the two rounds were 0.93 and 0.89, respectively.

Conclusion

The indicator system is scientifically sound and reliable, closely aligned with core characteristics such as digital intelligence and interdisciplinary integration. This provides a practical reference point for future development of geriatric care curricula and optimization of talent cultivation programs.
目的构建新医学背景下老年护理岗位胜任力评价指标体系。这门新的医学学科以人口健康的概念为中心,旨在建立一个综合的卫生服务体系,包括预防措施、治疗和健康策略。深度融合人工智能、数据科学等先进技术,实现医疗服务数字化、智能化转型。这对在老年护理岗位上工作的护士的专业能力提出了更高的要求。然而,目前中国老年护理机构的护士是否具备满足高质量老年护理需求的确切能力尚不清楚。设计Delphi研究。方法以洋葱模型为理论基础,通过循证整合和行为事件访谈,初步构建了初步的胜任力框架。与19名专家进行了两轮德尔菲专家咨询,对指标体系进行了修订和完善。结果评价指标体系包括4个一级指标、14个二级指标和51个三级指标,包括专业素养、理论知识、技能和个人特征。两轮专家问卷的回复率分别为95 %和89 %。两轮的专家权威系数分别为0.93和0.89。结论该指标体系科学健全、可靠,与数字化智能化、跨学科融合等核心特征紧密结合。这为今后老年护理课程的发展和人才培养方案的优化提供了实践参考点。
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引用次数: 0
A comparison of transition experiences and practice readiness of newly licensed nurses with in-person and virtual residency training: A national observational study 通过面对面和虚拟住院医师培训,比较新注册护士的过渡经验和实践准备:一项全国观察性研究
IF 4 3区 医学 Q1 NURSING Pub Date : 2026-02-01 Epub Date: 2026-01-13 DOI: 10.1016/j.nepr.2026.104721
Kari A. Mastro , Nicholas A. Giordano , Rosemary Polomano , Beth A. Smith , Karyn Book , James Ballinghoff , Colleen Mattioni

Aim

This study aims to compare the experiences of newly licensed nurses who completed either in-person or virtual Vizient/AACN Nurse Residency Programs™ at a national level.

Background

Nurse residency programs are known to improve retention and intention to stay yet few studies demonstrate a comparison of comprehensive longitudinal survey outcomes with representative samples of nurse-reported outcomes between in-person and virtual formats.

Design

Observational, comparative, longitudinal study

Methods

This study analyzed Vizient/AACN Nurse Residency Program™ longitudinal data from a national United States sample (N = 3153). Linear mixed-effects models examined differences in stand ard nurse-reported outcomes (e.g., Casey-Fink Survey) over time between March 2019 pre-pand emic hires receiving in person training and March 2020 pand emic hires when virtual training occurred.

Results

No statistically significant differences in Casey-Fink Survey Composite scores were observed between nurses in the 2019 and 2020 cohorts when adjusting for time, degree, GPA and previous degree (p = 0.210). The 2020 virtual cohort reported marginally lower Dissatisfaction (p = 0.020) and Leadership scores (p < 0.001), yet slightly higher Commitment scores (p = 0.040), compared with the 2019 new hires. On average, 2020 new hires reported more favorable feedback regarding their preceptors, however, they indicated lower scores for peer interactions and support.

Conclusions

These findings suggest that virtual nurse residency programs can achieve comparable outcomes to traditional in-person formats and may provide a scalable option for rural or resource-limited settings. Future studies should explore long-term retention outcomes and strategies to improve peer engagement in virtual environments.
目的本研究旨在比较在全国范围内完成现场或虚拟Vizient/AACN护士住院培训计划™的新执业护士的经验。众所周知,护士实习计划可以提高留校率和留校意愿,但很少有研究表明,在面对面和虚拟形式之间,综合纵向调查结果与护士报告结果的代表性样本进行了比较。设计:观察性、比较性、纵向研究方法本研究分析了来自美国全国样本的Vizient/AACN护士住院医师计划™的纵向数据(N = 3153)。线性混合效应模型检查了2019年3月接受现场培训的疫情前雇员和2020年3月接受虚拟培训的疫情前雇员之间的长期差异和护士报告的结果(例如Casey-Fink调查)。结果2019年和2020年队列护士在调整时间、学历、GPA和既往学历后,Casey-Fink调查综合评分差异无统计学意义(p = 0.210)。与2019年的新员工相比,2020年的虚拟队列报告的不满意度(p = 0.020)和领导力得分(p <; 0.001)略低,但承诺得分(p = 0.040)略高。平均而言,2020年的新员工对他们的导师有更积极的反馈,然而,他们在同伴互动和支持方面的得分较低。这些发现表明,虚拟护士住院医师项目可以达到与传统面对面形式相当的效果,并可能为农村或资源有限的环境提供可扩展的选择。未来的研究应该探索长期留存的结果和策略,以提高虚拟环境中的同伴参与度。
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引用次数: 0
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Nurse Education in Practice
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