Hypothetical model for on‐the‐job training through case conferences of public health nurses
Hypothetical model for on‐the‐job training through case conferences of public health nurses
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通过公共卫生护士案例会议进行在职培训的假设模型
DOI：
10.1111/phn.13115
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发表时间：
2022
影响因子：
2.1
通讯作者：
Ishimaru Mina
中科院分区：
文献类型：
--
作者：
Sato Taichi;Ishimaru Mina
公共卫生护士（PHN）在支持弱势个人和家庭方面面临困难。在职培训（OJT）对于提高护士的能力至关重要。然而，PHN管理人员缺乏系统实施OJT的知识。本研究的目的是开发一个假设的模型，系统地促进在职培训的PHN通过案例会议（CC）。文献综述，基于一个综合的方法，有三个阶段：（1）理论框架的发展，（2）文献综述，（3）建模。从五个数据库（MEDLINE，CINAHL，PsycInfo，科克伦中央对照试验登记，日本医学文摘社）进行文献综述，以确定OJT过程，其结果，并根据理论框架与OJT相关的条件。基于18篇文章，该模型从“OJT过程通过CC”，包括CC设计，实施和评估OJT产生“结果通过CC”。结果包括工作人员的看法和行为的变化，改善客户的条件，并减少工作人员的流动。在职培训模式涉及“将CC作为在职培训实施的条件”和“个人和组织条件”。未来的研究应将具体实践情境的社会、政治和历史背景纳入假设模型中，以帮助完善模型用于实践。
Public health nurses (PHNs) face difficulties supporting vulnerable individuals and families. On‐the‐job training (OJT) is essential for improving nurses’ competencies. However, PHN managers lack the knowledge to systematically implement OJT. The aim of this study was to develop a hypothetical model to systematically promote OJT for PHNs through case conferences (CC). Literature review, based on an integrative approach, has three stages: (1) theoretical framework development, (2) literature review, and (3) modeling. Literature review from five databases (MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, Japan Medical Abstract Society) was conducted to identify the OJT process, its outcomes, and the conditions associated with OJT according to the theoretical framework. Based on 18 articles, this model progressed from “OJT process through CC,” comprising the CC design, implementation, and evaluation to OJT produced “outcomes through CC.” Outcomes included staff perception and behavior changes, improvements in client's condition, and staff turnover reductions. The OJT model involved “conditions for implementing CC as OJT” and “individual and organizational conditions.” Future research should incorporate the social, political, and historical contexts of specific practice situations into the hypothetical model to help refine the model to be used in practice.