The effectiveness of educational interventions on trauma intensive care unit nurses' competence: A systematic review and meta-analysis
被引:16
|
作者:
Almarhabi, Maha
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机构:
Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, England
King Abdulaziz Univ, Fac Nursing, Jeddah, Saudi ArabiaKings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, England
Almarhabi, Maha
[1
,2
]
Cornish, Jocelyn
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机构:
Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, EnglandKings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, England
Cornish, Jocelyn
[1
]
Lee, Geraldine
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机构:
Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, EnglandKings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, England
Lee, Geraldine
[1
]
机构:
[1] Kings Coll London, Florence Nightingale Fac Nursing Midwifery & Pall, James Clerk Maxwell Bldg,57 Waterloo Rd, London SE1 8WA, England
[2] King Abdulaziz Univ, Fac Nursing, Jeddah, Saudi Arabia
Major trauma;
Intensive Care Units nurses;
Competence;
Knowledge;
Skills;
Practice;
Education;
Systematic review;
Meta-analysis;
KNOWLEDGE RETENTION;
TRAINING COURSE;
CONFIDENCE;
EXPERIENCE;
MANAGEMENT;
PATIENT;
SKILLS;
PERCEPTIONS;
SETTINGS;
OUTCOMES;
D O I:
10.1016/j.iccn.2020.102931
中图分类号:
R47 [护理学];
学科分类号:
1011 ;
摘要:
Objectives: To examine the current evidence on the effect of education on intensive care unit nurses' knowledge and skills competence in caring for adult major trauma patients. Methodology: A systematic review and meta-analysis was conducted to identify relevant studies through a comprehensive search, following strict eligibility criteria. Five databases were searched: MEDLINE, PubMed, CINAHL, Cochrane and Web of Science. A subsequent hand search was performed. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument tool was used to assess methodological quality. Results: Five eligible quantitative studies were identified and appraised. The overall results demonstrated that educational interventions have positive effects in improving intensive care nurses' knowledge and practice in managing major trauma patients. Meta-analysis was applied to three homogenous studies relating to knowledge outcome. Results demonstrated significant improvements immediately post intervention and at one-to three-month follow-up [MD (mean difference) = 29.12, 95%CI (confidence interval) 10.29-47.95; P < 0.00001], and [MD = 23.70, 95%CI 8.84-38.56; P < 0.00001], respectively. A slight decrease in the knowledge and practice scores was noted from one-to three-month follow-up. Conclusion: This review demonstrated the significant effects of trauma education on improving intensive care nurses' knowledge and practices. Further research should develop valid competencies and policies to drive nurses' practice and potentially improve the safety and quality of care. (c) 2020 Elsevier Ltd. All rights reserved.
机构:
Univ British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Vancouver Coastal Hlth Res Inst, GF Strong Rehabil Res Lab, Rehabil Res Program, Vancouver, BC, Canada
St Pauls Hosp, Med Program, Stroke Unit, Providence Hlth Care, Vancouver, BC, CanadaUniv British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Parappilly, Beena P.
Field, Thalia S.
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Univ British Columbia, Fac Med, Div Neurol, Vancouver Stroke Program, Vancouver, BC, CanadaUniv British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Field, Thalia S.
Mortenson, William B.
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机构:
Vancouver Coastal Hlth Res Inst, GF Strong Rehabil Res Lab, Rehabil Res Program, Vancouver, BC, Canada
Univ British Columbia, Fac Med, Dept Occupat Sci & Occupat Therapy, Vancouver, BC, Canada
Int Collaborat Repair Discoveries, Vancouver, BC, CanadaUniv British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Mortenson, William B.
Sakakibara, Brodie M.
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h-index: 0
机构:
Univ British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Vancouver Coastal Hlth Res Inst, GF Strong Rehabil Res Lab, Rehabil Res Program, Vancouver, BC, Canada
Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, CanadaUniv British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Sakakibara, Brodie M.
Eng, Janice J.
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机构:
Univ British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
Vancouver Coastal Hlth Res Inst, GF Strong Rehabil Res Lab, Rehabil Res Program, Vancouver, BC, CanadaUniv British Columbia, Dept Phys Therapy, Fac Med, Vancouver, BC, Canada
机构:
Mayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
Helgeson, Scott A.
Imam, Jaafer S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Texas Med Branch, Dept Pulm & Crit Care Med, Galveston, TX USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
Imam, Jaafer S.
Burnside, Rebecca C.
论文数: 0引用数: 0
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Mayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
Burnside, Rebecca C.
Fernandez-Bussy, Sebastian
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Dept Pulm Med, Jacksonville, FL 32224 USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
Fernandez-Bussy, Sebastian
Brigham, Tara J.
论文数: 0引用数: 0
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机构:
Mayo Clin, Dept Med Lib, Jacksonville, FL 32224 USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
Brigham, Tara J.
Patel, Neal M.
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机构:
Mayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USAMayo Clin, Dept Pulm & Crit Care Med, 4500 San Pablo Rd South, Jacksonville, FL 32224 USA
机构:
Queens Univ, Dept Crit Care Med, Kingston, ON, Canada
Kingston Gen Hosp, Watkins C, Room 5-411,76 Stuart St, Kingston, ON K7L 2V7, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Muscedere, John
Waters, Braden
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机构:
McMaster Univ, Div Crit Care Med, Hamilton, ON, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Waters, Braden
Varambally, Aditya
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机构:
Midwestern Univ, Sch Med, Glendale, AZ USAQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Varambally, Aditya
Bagshaw, Sean M.
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机构:
Univ Alberta, Fac Med & Dent, Dept Crit Care Med, Edmonton, AB, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Bagshaw, Sean M.
Boyd, J. Gordon
论文数: 0引用数: 0
h-index: 0
机构:
Queens Univ, Dept Crit Care Med, Kingston, ON, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Boyd, J. Gordon
Maslove, David
论文数: 0引用数: 0
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机构:
Queens Univ, Dept Crit Care Med, Kingston, ON, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Maslove, David
Sibley, Stephanie
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机构:
Queens Univ, Dept Crit Care Med, Kingston, ON, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada
Sibley, Stephanie
Rockwood, Kenneth
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机构:
Dalhousie Univ, Div Geriatr Med, Dept Med, Halifax, NS, CanadaQueens Univ, Dept Crit Care Med, Kingston, ON, Canada