چالشها و راهکارهای کسب صلاحیت بالینی در ایران: یک مطالعه مروری چالشها و راهکارهای کسب صلاحیت بالینی
مجله اخلاق پزشکی - علمی پژوهشی,
دوره 17 شماره 48 (1402),
21 August 2023
,
صفحه 1-19
چکیده
مقدمه: صلاحیت بالینی پرستاران بعنوان مؤلفه اساسی مراقبت پرستاری یک بحث بسیار مهم و حیاتی است. موضوع صلاحیت پرستاری همیشه یک مسئله چالش برانگیز بوده است. برای حفظ استانداردهای مراقبتی پرستاری شناخت روشهای توسعه و ارتقاء صلاحیت بالینی الزامی است. هدف مطالعه حاضر بررسی و مرور چالشهاي و راهکارهای کسب صلاحیت بالینی در ایران میباشد؛ تا از نتایج بدست آمده بتواند مدیران و مدرسان پرستاري را در ارتقاء صلاحیت پرستاري که هدف غایی آن ارائه مراقبت باکیفیت به بیمار است، یاری نماید.
روش کار: پژوهش حاضر از نوع مروري است. بدين منظور، مقالاتي که در راستاي هدف پژوهشي بوده، به زبان فارسي يا انگليسي نگارش شده وارد مطالعه شدند. مقالات با بهرهگيري از پايگاههاي فارسي شامل SID و Magiran و پايگاههاي لاتين اعم از ProQuest, Science Direct, Google Scholar, Ovid, PubMed استخراج شدند. جستجو بدون محدوديت زماني تا مارس سال 2020 و با استفاده از کليد واژههاي nursing ,clinical competence, challenges انجام شد. بعد از بررسي و مطالعه دقيق عنوان، خلاصه و متن کامل، تعداد زيادي از مقالات به دلايل زبان مقاله، عنوان و هدف متفاوت، خلاصه و يا محتواي نامناسب مقاله کنار گذاشته شدند. در مرحله بعد71 مقاله (44 به زبان فارسي و 27 مقاله به زبان انگليسي) مطالعه شد و درنهايت 23 مقاله موردبررسي قرار گرفت.
نتایج: چالش و راهکار عوامل مربوط به آموزش و بالین مورد بررسی قرارگرفت. دانشجویان بی انگیزه و صلاحیت پایین پرسنل پرستاری تازه کار از چالش های مطرح شده می باشد. اقداماتی در دو سطح آموزش و بالین در کم کردن شکاف آموزش و بالین بعنوان راهکارهای موثر جهت ارتقای صلاحیت بالینی کمک کننده است.
نتیجه گیری: با شناخت چالشها و راهکارهای مطرح شده در جهت ارتقای صلاحیت بالینی پرستاران اقداماتی موثری هم در آموزش و هم بالین از جمله گزینش صحیح دانشجوی، پرسنل پرستاری و مربی، استفاده از شیوه های آموزش بالینی نوین و برگزاری دوره های بازآموزی برای اساتید و پرسنل پرستاری انجام گردد تا با ارائه مراقبت با کیفیت گامی مهم در در راستاي تقویت نظام سلامت برداشته شود.
- چالش
- راهکار
- صلاحیت بالینی
- پرستاری
ارجاع به مقاله
مراجع
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