Advanced practice for children and young people: A systematic review with narrative summary
| العنوان: | Advanced practice for children and young people: A systematic review with narrative summary |
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| المؤلفون: | Tracy Humphrey, Sonya MacVicar, Robin Hyde |
| المساهمون: | Hyde, Robin, MacVicar, Sonya, Humphrey, Tracy |
| المصدر: | Journal of advanced nursingREFERENCES. 76(1) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Adolescent, MEDLINE, Health literacy, Context (language use), CINAHL, advanced practice nurse, children and young people, impact, narrative summary, nurse practitioner, paediatric nurse practitioner, systematic review, 03 medical and health sciences, 0302 clinical medicine, Nursing, systematic review, Health care, medicine, Humans, 030212 general & internal medicine, paediatric nurse practitioner, Child, General Nursing, advanced practice nurse, Advanced Practice Nursing, Narration, 030504 nursing, business.industry, Public health, children and young people, narrative summary, United Kingdom, Systematic review, nurse practitioner, Workforce, impact, 0305 other medical science, business, Psychology |
| الوصف: | To critically appraise and synthesise the current evidence related to the advanced practice nurse (APN) in the children and young people's healthcare setting.A complex landscape of demand and change has influenced the healthcare delivery for children and young people. In the United Kingdom and internationally, governments have endorsed the need for workforce innovation with APN roles introduced to counter these challenges. However, little is known about the impact of these initiatives in the context of children and young people's health care.Systematic review and narrative summary.CINAHL, MEDLINE, DARE, PubMed, Prospero and Cochrane Database of Systematic Reviews were searched for studies published in English language from July 1998 to 2018. Studies were selected based on key search terms and eligibility criteria.The selected studies were appraised using the Effective Public Health Practice Project for quantitative studies. An adapted version of the JBI data extraction tool for experimental/observational studies was used to extract the relevant key findings. This was conducted independently by two researchers.Nine studies were included in the review. The review demonstrated roles were comparable in their clinical practice to medics yet offered higher levels of patient satisfaction, role modelling for staff and led practice initiatives to improve health literacy.This review demonstrates that APN roles in children and young people's health care provide clinical, organizational and professional benefits, with added value to organizations and patients, acting as role models and educators.The findings from this review indicate further research is required to ascertain contextual issues that may influence the implementation of APNs. This research will impact APNs working with children and young people. Equally, it supports the evidence base for service commissioners outlining areas for future research.目的: 在于批判性地评估和综合当前儿童和青少年保健环境中与高级见习护士(Advanced Practice Nurse,APN)相关的证据。 背景: 复杂的需求和变化情形影响了儿童和青少年的医疗保健服务。英国和全球各国政府都赞同劳动力创新的必要性,从而引入高级见习护士来应对这些挑战。然而,关于这些举措对儿童和青年保健的影响,我们知之甚少。 设计: 系统综述和叙述总结。 料来源: 在 CINAHL、MEDLINE、DARE、 PubMed、 Prospero和 Cochrane Database of Systematic Reviews上搜索了从1998年7月到2018年以英语发表的各项研究。研究的甄选依据于搜索关键词和资格标准。 综述方法: 采用了有效公共卫生实践项目(Effective Public Health Practice Project,EPHPP)对所选研究进行定量研究。采用了实验性/观察性研究的改编版JBI数据提取工本来提取相关的关键调查结果。这一操作由两名研究人员独立进行。 结果: 共纳入了9项研究。本篇综述表明,高级见习护士在临床实践中的作用与医生相当,但为工作人员提供了更高水平的患者满意度和角色塑造以及让实践举措得以提高健康素养。 结论: 本篇综述表明,高级见习护士为儿童和青少年保健提供了诸多临床、组织和专业方面的益处,为机构和患者增添了附加值,从而如楷模和教育工作者一样行事。 影响: 本篇综述的结果表明,需要进一步研究,从而确定可能影响高级见习护士实施的情景问题。这项研究将影响从事儿童和青少年保健工作的高级见习护士。同样,它也为服务专员概述未来的研究领域提供了证据基础。. |
| وصف الملف: | |
| تدمد: | 1365-2648 0309-2402 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c6f458eac68d71fc4897901becf8f05 https://pubmed.ncbi.nlm.nih.gov/31642083 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....7c6f458eac68d71fc4897901becf8f05 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652648 03092402 |
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