Administration approaches of nursing assistants in hospitals: a scoping review
Objectives The administration of nursing assistants (NAs) is closely associated with patient outcomes, but studies evaluating intrahospital administration of NAs are limited. This study aimed to identify existing literature on intrahospital NAs’ administration approaches.Design Scoping review.Data s...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-11-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/11/e063100.full |
| _version_ | 1797988122656505856 |
|---|---|
| author | Yinghui Jin Ben-tuo Zeng Shu-dong Cheng Yan-ming Ding Ji-wei Du |
| author_facet | Yinghui Jin Ben-tuo Zeng Shu-dong Cheng Yan-ming Ding Ji-wei Du |
| author_sort | Yinghui Jin |
| collection | DOAJ |
| description | Objectives The administration of nursing assistants (NAs) is closely associated with patient outcomes, but studies evaluating intrahospital administration of NAs are limited. This study aimed to identify existing literature on intrahospital NAs’ administration approaches.Design Scoping review.Data sources PubMed, Embase, CINAHL, Scopus, ProQuest, CNKI, APA PsycInfo, Wanfang Med, SinoMed, Ovid Emcare, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR were searched for articles published between January 2011 and March 2022.Eligibility criteria for selecting studies Qualitative, quantitative or mixed-method studies and evidence syntheses that evaluate administration approaches, models and appraisal tools of intrahospital NAs were included.Data extraction and synthesis Two independent reviewers conducted search, data selection and data extraction according to Joanna Briggs Institute guidance and methodology for scoping review. The quality of included studies was assessed using Mixed Methods Appraisal Tool or AMSTAR V.2. Data were synthesised using narrative methods and frequency effect size analysis.Results Thirty-six studies were eligible, with acceptable quality. We identified 1 administration model, 9 administration methods, 15 educational programmes and 7 appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of the main focus at four levels, suggesting that included articles were mainly (33%) focused on the competency of NAs, and the lectures were the most (80%) used strategy in quality improvement projects. Evidence from the studies was of low-to-moderate quality, indicating huge gaps between evidence-based research and management practice.Conclusions Practical intrahospital administration approaches were revealed, and fifteen primarily focused topics were identified. We should explore this area more thoroughly using structured frameworks and standardised methodology. This scoping review will help managers find more effective ways to improve the quality of care. Researchers may focus more on evidence-based practice in NA administration using the 15 topics as a breakthrough. |
| first_indexed | 2024-04-11T07:58:55Z |
| format | Article |
| id | doaj.art-2d9b951513244981abb79ef633815bb3 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-11T07:58:55Z |
| publishDate | 2022-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-2d9b951513244981abb79ef633815bb32022-12-22T04:35:48ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-063100Administration approaches of nursing assistants in hospitals: a scoping reviewYinghui Jin0Ben-tuo Zeng1Shu-dong Cheng2Yan-ming Ding3Ji-wei Du41 Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, ChinaSchool of Medicine, Xiamen University, Xiamen, Fujian, ChinaNursing Department, Xiang`an Hospital of Xiamen University, Xiamen, Fujian, ChinaNursing Department, Peking University First Hospital, Beijing, ChinaNursing Department, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, ChinaObjectives The administration of nursing assistants (NAs) is closely associated with patient outcomes, but studies evaluating intrahospital administration of NAs are limited. This study aimed to identify existing literature on intrahospital NAs’ administration approaches.Design Scoping review.Data sources PubMed, Embase, CINAHL, Scopus, ProQuest, CNKI, APA PsycInfo, Wanfang Med, SinoMed, Ovid Emcare, NICE, AHRQ, CADTH, JBI EBP and Cochrane DSR were searched for articles published between January 2011 and March 2022.Eligibility criteria for selecting studies Qualitative, quantitative or mixed-method studies and evidence syntheses that evaluate administration approaches, models and appraisal tools of intrahospital NAs were included.Data extraction and synthesis Two independent reviewers conducted search, data selection and data extraction according to Joanna Briggs Institute guidance and methodology for scoping review. The quality of included studies was assessed using Mixed Methods Appraisal Tool or AMSTAR V.2. Data were synthesised using narrative methods and frequency effect size analysis.Results Thirty-six studies were eligible, with acceptable quality. We identified 1 administration model, 9 administration methods, 15 educational programmes and 7 appraisal tools from the included studies. The frequency effect size analysis yielded 15 topics of the main focus at four levels, suggesting that included articles were mainly (33%) focused on the competency of NAs, and the lectures were the most (80%) used strategy in quality improvement projects. Evidence from the studies was of low-to-moderate quality, indicating huge gaps between evidence-based research and management practice.Conclusions Practical intrahospital administration approaches were revealed, and fifteen primarily focused topics were identified. We should explore this area more thoroughly using structured frameworks and standardised methodology. This scoping review will help managers find more effective ways to improve the quality of care. Researchers may focus more on evidence-based practice in NA administration using the 15 topics as a breakthrough.https://bmjopen.bmj.com/content/12/11/e063100.full |
| spellingShingle | Yinghui Jin Ben-tuo Zeng Shu-dong Cheng Yan-ming Ding Ji-wei Du Administration approaches of nursing assistants in hospitals: a scoping review BMJ Open |
| title | Administration approaches of nursing assistants in hospitals: a scoping review |
| title_full | Administration approaches of nursing assistants in hospitals: a scoping review |
| title_fullStr | Administration approaches of nursing assistants in hospitals: a scoping review |
| title_full_unstemmed | Administration approaches of nursing assistants in hospitals: a scoping review |
| title_short | Administration approaches of nursing assistants in hospitals: a scoping review |
| title_sort | administration approaches of nursing assistants in hospitals a scoping review |
| url | https://bmjopen.bmj.com/content/12/11/e063100.full |
| work_keys_str_mv | AT yinghuijin administrationapproachesofnursingassistantsinhospitalsascopingreview AT bentuozeng administrationapproachesofnursingassistantsinhospitalsascopingreview AT shudongcheng administrationapproachesofnursingassistantsinhospitalsascopingreview AT yanmingding administrationapproachesofnursingassistantsinhospitalsascopingreview AT jiweidu administrationapproachesofnursingassistantsinhospitalsascopingreview |