重新进入工作岗位的护士需要“练习”多少小时才能保持安全的“练习”?

IF 6.3 4区 医学 Q1 NURSING
Emma Eaton , Amanda Henderson
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引用次数: 0

摘要

背景:为了向公众保证注册护士是称职和有能力的,需要对护理进行监管。当护士长时间不练习时,他们提供安全的当代护理的能力逐渐减弱。关于如何最好地确保重新进入劳动力市场的护士提供安全和合格的护理,几乎没有证据。目的确定护士在临床环境中接受监督的执业安排,以证明在长时间离开专业后保持必要的执业标准的能力。方法采用定量评估设计确定护士在监督下重返执业计划中的工作表现。在5年(2019-2024年)期间,对20名具有监督实践要求的护士在急性临床领域进行监测。被监督的实习小时数被记录下来,直到护士达到必要的实习标准。能力是由基于澳大利亚护理和助产委员会实践标准的工作场所绩效的用户友好验证措施确定的。结果护士在休息后需要接受监督实践以证明工作场所绩效的必要标准的小时数与护士在休息前是否具有丰富的专业经验有明显的对比。具有5年以上专业经验的护士(n = 10)在120-216小时的监督实践后证明了必要的实践标准,而在返回工作岗位之前具有不同轨迹(即没有丰富经验)的护士(n = 10)需要450小时的监督实践才能被认为适合无条件注册。结论护士在督导下的实践需求可能因以往经验而异。了解返回职业的群体的不同需求可以帮助医疗保健领导者为长时间返回的护士规划安全监督的实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How many hours do nurses who re-enter the workforce need to “practise” to maintain safe “practice”?

Background

The regulation of nursing is needed to assure the public that registered nurses are competent and capable. When nurses do not practice for extended periods, their capacity to provide safe contemporary care gradually lessens. There is little evidence about how best to ensure that nurses who re-enter the workforce will provide safe and competent care.

Purpose

To ascertain the number of hours nurses in a supervised practice arrangement within a clinical environment take to demonstrate competence in maintaining requisite standards of practice following an extended period away from the profession.

Methods

A quantitative evaluation design determined nurses’ workplace performance during a supervised return-to-practice program. Twenty nurses with supervised practice requirements placed in acute clinical areas over a 5-year period (2019–2024) were monitored. The number of supervised hours of practice were recorded until the nurse met the requisite standards for practice. Competence was determined by a user-friendly validated measure of workplace performance based on Nursing and Midwifery Board of Australia standards for practice.

Results

The number of hours that nurses needed to undergo supervised practice to demonstrate the requisite standard of workplace performance after a break contrasted markedly depending on whether nurses had substantial experience in a specialty prior to their break. Nurses (n = 10) with more than 5 years’ experience in a specialty demonstrated requisite standards for practice after 120–216 h of supervised practice, whereas nurses (n = 10) who had different trajectories (i.e., without substantial experience) prior to their return to work needed 450 h of supervised practice before they were deemed suitable for unconditional registration.

Conclusion

Supervised practice needs may vary based on a nurse's previous experience. Understanding different needs of cohorts returning to the profession can assist healthcare leaders in planning for safe supervised practice for nurses returning after prolonged periods.
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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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