反思实践对护生的影响：范围审查

IF 3.3 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2025-07-13 DOI:10.1016/j.nepr.2025.104468

Madeleine Bowers , Daniel Terry , Pauletta Irwin

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引用次数: 0

摘要

目的探讨护生临床反思的优缺点及其对临床实践的影响。护理专业的学生在从学生到临床医生的过渡过程中会经历情感负担，许多人努力将理论知识应用于临床能力。反思性实践有助于弥合理论和实践知识之间的差距，同时鼓励护理学生通过自我发现和自我意识进行专业发展。方法于2024年8月对PubMed、Scopus、CINAHL和Web of Science 4个数据库进行了范围综述。纳入了2014年至2024年间的合格研究，重点是在高等教育中攻读学士学位的护理专业学生，他们在他们的项目中进行反思实践，包括医院、社区中心或模拟学习环境等临床环境。数据被提取，分组成主题，并通过叙事综合呈现。审查遵循PRISMA-ScR检查表。结果在13篇被识别的文章中，反思性实践被发现有利于通过专业发展来支持临床能力。此外，当反思性实践纳入临床情境时，护生的自我发现和自我意识得到增强。在面对医疗环境影响时，反思对护生的情绪健康有积极的影响，并支持其临床推理和临床决策。结论反思性实践对临床实践有积极的影响，为实习护士从学生转变为实习护士提供了情感支持。在护理课程中整合反思性实践可能有利于支持和告知护理学生如何反思及其对实践的相关益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The impact of reflective practice on nursing students: a scoping review

Aim

To explore the strengths and weaknesses of clinical reflection and its impact on clinical practice among nursing students.

Background

Nursing students experience emotional burdens when transitioning from a student to a practicing clinician, with many struggling to apply theoretical knowledge to clinical competency. Reflective practices serve to bridge the gap between theoretical and practical knowledge, while encouraging professional development through self-discovery and self-awareness among nursing students.

Methods

A scoping review was conducted in August 2024 across four databases, including PubMed, Scopus, CINAHL and Web of Science. Eligible studies between 2014 and 2024 were included and focused on nursing students undertaking Baccalaureate studies in higher education, who engaged in reflective practice in their program, which included clinical settings such as hospitals, community centres, or simulated learning environments. Data were extracted, grouped into themes and presented through narrative synthesis. The review followed the PRISMA-ScR checklist.

Results

Among the 13 identified articles, reflective practice was found to be beneficial for supporting clinical competency through professional development. Furthermore, self-discovery and self-awareness were enhanced in nursing students when reflective practice was incorporated into clinical situations. Reflection had a positive impact on the emotional well-being of nursing students when confronted with the environmental effects of healthcare and supported their clinical reasoning and decision making in clinical situations.

Conclusion

Reflective practice has a positive impact on clinical practice and provides emotional support during the transition from student to practicing nurse. Integrating reflective practice in nursing curricula may be beneficial to support and inform nursing students how to reflect and its associated benefits to practice.

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.