{"title":"促进改善重症监护病房临床结果的概念分析","authors":"Mpho G. Chipu , Charlené Downing","doi":"10.1016/j.ijnss.2024.10.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>Effective facilitation is crucial to improve critical care outcomes in life-threatening conditions through improved teamwork, caring, decision-making, and problem-solving. The meaning of facilitation remains unprecise in a critical care context despite its frequent usage in nursing education and clinical practice. This study aimed to report a thorough concept analysis to clarify the meaning of facilitation in the critical care context by formulating attributes, antecedents, and consequences and providing model cases related to facilitation.</div></div><div><h3>Methods</h3><div>This analysis was performed by searching online sources published from 1999 to 2023. EBSCOhost, CINAHL, PubMed, and Google Scholar databases were searched using online search engines. The analysis also included the manual search of books, thesaurus and dictionaries that showed relevance to facilitation. Walker and Avant’s eight-step approach was applied to explore and analyze the meaning of facilitation in critical care units.</div></div><div><h3>Results</h3><div>A total of 68 articles were included in the analysis of this study. Eleven attributes, six antecedents, and seven consequences related to facilitation were formulated. The attributes included dynamic, interactive processes, creating a positive environment, mobilizing resources, assistance, student-centered, shared goals, collaboration, engagement, participation, and feedback. Antecedents were facilitator qualities, motivation, a positive learning environment, student-facilitator relationship, time availability, and specified learning outcomes. The consequences of facilitation were identified as follows: change, professional development, competency, quality development, increased job satisfaction, staff retention, and self-confidence.</div></div><div><h3>Conclusions</h3><div>The findings from the analysis indicated that effective facilitation results in nurses and critical care staff developing competency, caring, critical thinking, and independence. Therefore, clinical outcomes in critical care environments are improved through teamwork, decision-making, and problem-solving in life-threatening situations.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"11 5","pages":"Pages 595-603"},"PeriodicalIF":2.9000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A conceptual analysis of facilitation to improve clinical outcomes in critical care units\",\"authors\":\"Mpho G. Chipu , Charlené Downing\",\"doi\":\"10.1016/j.ijnss.2024.10.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>Effective facilitation is crucial to improve critical care outcomes in life-threatening conditions through improved teamwork, caring, decision-making, and problem-solving. The meaning of facilitation remains unprecise in a critical care context despite its frequent usage in nursing education and clinical practice. This study aimed to report a thorough concept analysis to clarify the meaning of facilitation in the critical care context by formulating attributes, antecedents, and consequences and providing model cases related to facilitation.</div></div><div><h3>Methods</h3><div>This analysis was performed by searching online sources published from 1999 to 2023. EBSCOhost, CINAHL, PubMed, and Google Scholar databases were searched using online search engines. The analysis also included the manual search of books, thesaurus and dictionaries that showed relevance to facilitation. Walker and Avant’s eight-step approach was applied to explore and analyze the meaning of facilitation in critical care units.</div></div><div><h3>Results</h3><div>A total of 68 articles were included in the analysis of this study. Eleven attributes, six antecedents, and seven consequences related to facilitation were formulated. The attributes included dynamic, interactive processes, creating a positive environment, mobilizing resources, assistance, student-centered, shared goals, collaboration, engagement, participation, and feedback. Antecedents were facilitator qualities, motivation, a positive learning environment, student-facilitator relationship, time availability, and specified learning outcomes. The consequences of facilitation were identified as follows: change, professional development, competency, quality development, increased job satisfaction, staff retention, and self-confidence.</div></div><div><h3>Conclusions</h3><div>The findings from the analysis indicated that effective facilitation results in nurses and critical care staff developing competency, caring, critical thinking, and independence. Therefore, clinical outcomes in critical care environments are improved through teamwork, decision-making, and problem-solving in life-threatening situations.</div></div>\",\"PeriodicalId\":37848,\"journal\":{\"name\":\"International Journal of Nursing Sciences\",\"volume\":\"11 5\",\"pages\":\"Pages 595-603\"},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352013224001078\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352013224001078","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
A conceptual analysis of facilitation to improve clinical outcomes in critical care units
Objectives
Effective facilitation is crucial to improve critical care outcomes in life-threatening conditions through improved teamwork, caring, decision-making, and problem-solving. The meaning of facilitation remains unprecise in a critical care context despite its frequent usage in nursing education and clinical practice. This study aimed to report a thorough concept analysis to clarify the meaning of facilitation in the critical care context by formulating attributes, antecedents, and consequences and providing model cases related to facilitation.
Methods
This analysis was performed by searching online sources published from 1999 to 2023. EBSCOhost, CINAHL, PubMed, and Google Scholar databases were searched using online search engines. The analysis also included the manual search of books, thesaurus and dictionaries that showed relevance to facilitation. Walker and Avant’s eight-step approach was applied to explore and analyze the meaning of facilitation in critical care units.
Results
A total of 68 articles were included in the analysis of this study. Eleven attributes, six antecedents, and seven consequences related to facilitation were formulated. The attributes included dynamic, interactive processes, creating a positive environment, mobilizing resources, assistance, student-centered, shared goals, collaboration, engagement, participation, and feedback. Antecedents were facilitator qualities, motivation, a positive learning environment, student-facilitator relationship, time availability, and specified learning outcomes. The consequences of facilitation were identified as follows: change, professional development, competency, quality development, increased job satisfaction, staff retention, and self-confidence.
Conclusions
The findings from the analysis indicated that effective facilitation results in nurses and critical care staff developing competency, caring, critical thinking, and independence. Therefore, clinical outcomes in critical care environments are improved through teamwork, decision-making, and problem-solving in life-threatening situations.
期刊介绍：
This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.
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