朱金凤　罗月　马硕　江昱　姚惠萍

[關键词] 护理专业学位研究生;专科护士;培养模式;质性研究;系统评价

[中图分类号] R47-4          [文献标识码] A          [文章编号] 1673-9701（2021）18-0171-07

Meta analysis of qualitative research on the training model of nursing professional master's degree in China

ZHU Jinfeng1   LUO Yue1   MA Shuo1   JIANG Yu1   YAO Huiping2

1.School of Nursing，Zhejiang University of Traditional Chinese Medicine，Hangzhou   310053，China; 2.Intensive Care Unit，Zhejiang Provincial Peoples Hospital，Hangzhou   310034，China

[Abstract] Objective To integrate the relevant qualitative research on the training model of nursing professional master's degree in China，systematically evaluate the views of nursing education degree graduate education participants on the training model of nursing professional  masters degree in my country，and to provide reference for the construction of professional masters degree training model. Methods The relevant qualitative research articles from China Knowledge Network，Wanfang，Weipu Database，and China Biomedical Literature Database were retrieved from the establishment of the database to October 31，2019. The quality of the articles was evaluated by the quality evaluation standard of qualitative research based on the Australian （Joanna Briggs Institute，JBI） Evidence-Based Health Care Center （2008） edition. The results were integrated using the method of collective integration. Results A total of 6 studies were included，19 complete research results were refined，and 7 new categories were summarized including admission requirements，training objectives，curriculum settings，degree thesis，faculty，clinical practice，and professional development. And 3 integrated results were obtained： ①institutions were inconsistent and imperfect in terms of enrollment requirements，training objectives，curriculum settings，and degree thesis; ②the faculty in hospitals had weak teachers，clinical practice assessment standards were not uniform，and the forms were not diverse and comprehensive; ③the association of government and industry lacked policy and financial support for MNS training，and the joint training methods of universities were not coordinated. Conclusion The cultivation mode of nursing professional master's degree in China is not perfect. The parallel training of nursing professional master's degree and specialist nurses will become the development trend of the training mode of professional degree graduates in China. Universities，hospitals and governments should cooperate with each other and work together to build a more scientific and perfect nursing professional master's degree training mode.

[Key words] Postgraduate degree in nursing; Specialist nurse; Training mode; Qualitative research; Systematic review

护理硕士专业学位（Master of Nursing Specialist，MNS）是指针对专科护理发展需要，为培养具有较强专业实践能力，能够创造性地从事专科护理实践，具备承担专科护士角色所需知识和技能的应用型护理专门人才而设置的一种学位类型[1]。2010年，我国国务院学位委员会决定招收护理硕士专业学位研究生，至2018年，MNS招生单位已由首次获批的28所高校发展为87所高校，招生人数也呈逐年增加的趋势[2]。在近十年的发展中，国内学者对护理硕士专业学位研究生培养体系及培养模式的探索研究层出不穷，但目前尚未形成统一的培养模式，且我国护理硕士专业研究生培养模式与学术学位研究生培养模式雷同[3]，MNS培养与护士规范化培训、临床护理实践及专科护士培训存在着衔接不当，重复学习，浪费时间和教育资源等问题[4]。研究生培养模式的好坏对研究生的培养质量起着决定性作用[5]，鉴于此，文章对我国护理专业学位硕士培养模式相关质性研究进行Meta整合，以期更好的完善我国MNS培养模式，提高MNS培养质量。

1 资料与方法

1.1 检索方法

以检索词护理专业学位研究生、专科护士、培养模式、系统评价、质性研究等，系统检索中国知网（CNKI）、维普资讯（VIP）、万方数据（WANFANG）、中国生物医学文献（CBM）数据库自建库开始至2019年10月31日止收录的关于护理专业学位研究生培养模式质性研究的文章，同时追索纳入研究的参考文献。……