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The evaluation covered both qualitative and quantitative investigations, concentrating on quantitative publications between 2018 and 2024 and qualitative publications without a time limit. Diverse methodologies were incorporated using the SPIDER framework. A comprehensive electronic search was conducted across six databases: PubMed, Medline, CINAHL, PsychInfo, Wiley Online Library, and Web of Science. Ultimately, 15 research papers were included in the review out of 9490 publications that were initially identified. Included studies were critically appraised using the Critical Appraisal Skills Program (CASP) and the Joanna Briggs Institute Critical Appraisal checklists. <b>Results:</b> A total of 9490 studies were identified, of which 15 (eight quantitative and seven qualitative) were included in this review. 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引用次数: 0
摘要
背景：护理中的自信对改善沟通、减少人际关系紧张和改善医疗结果至关重要。目的：本系统综述的目的是识别和综合护理中自信的文献，重点关注护士对其在复杂医疗环境中的作用、影响因素、挑战和影响的看法。方法：本综述遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。综合混合方法的方法被用来捕捉在护理自信的多面性。评估包括定性和定量调查，重点是2018年至2024年之间的定量出版物和没有时间限制的定性出版物。使用SPIDER框架合并了多种方法。在PubMed、Medline、CINAHL、PsychInfo、Wiley Online Library和Web of Science 6个数据库中进行了全面的电子检索。最终，在最初确定的9490份出版物中，有15篇研究论文被纳入该综述。纳入的研究使用批判性评估技能计划（CASP）和乔安娜布里格斯研究所批判性评估清单进行批判性评估。结果：共纳入9490项研究，其中15项（8项定量研究，7项定性研究）纳入本综述。回顾和随后的分析揭示了五个主要主题：(1)自信的促进因素；(2)自信障碍；(3)自信训练；(4)与其他工作人员的互动；(5)患者关系。结论：自信是必要的熟练护理实践，特别是在复杂的医疗环境。它有助于改善沟通，减轻压力，并增加患者护理。未来的研究应该探索自信训练的长期效益及其在不同文化背景下的影响。
Assertiveness in Nursing: A Systematic Review of Its Role and Impact in Healthcare Settings.
Background: Assertiveness in nursing is crucial to improving communication, reducing interpersonal tensions, and improving healthcare outcomes. Objective: The objective of this systematic review was to identify and synthesize the literature on assertiveness in nursing, focusing on nurses' perspectives regarding its role, influencing factors, challenges, and impact within complex healthcare settings. Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. An integrated mixed methods approach was used to capture the multifaceted nature of assertiveness in nursing. The evaluation covered both qualitative and quantitative investigations, concentrating on quantitative publications between 2018 and 2024 and qualitative publications without a time limit. Diverse methodologies were incorporated using the SPIDER framework. A comprehensive electronic search was conducted across six databases: PubMed, Medline, CINAHL, PsychInfo, Wiley Online Library, and Web of Science. Ultimately, 15 research papers were included in the review out of 9490 publications that were initially identified. Included studies were critically appraised using the Critical Appraisal Skills Program (CASP) and the Joanna Briggs Institute Critical Appraisal checklists. Results: A total of 9490 studies were identified, of which 15 (eight quantitative and seven qualitative) were included in this review. The review and subsequent analysis revealed five major themes: (1) facilitators of assertiveness; (2) barriers to assertiveness; (3) assertiveness training; (4) interaction with other staff; and (5) patient relationships. Conclusions: Assertiveness is essential for proficient nursing practice, especially in complex healthcare environments. It facilitates improved communication, alleviates stress, and augments patient care. Future research should explore the long-term benefits of assertiveness training and its influence across various cultural settings.
期刊介绍：
Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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