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目的 对专科护士培训迁移行为的相关研究进行范围综述。方法 按照JBI更新的范围综述指南为本文框架，系统检索中国知网、万方数据、维普数据、中国生物医学数据库、PubMed、Embase、CINAHL、Web of Science、Cochrane Library中有关专科护士培训迁移行为的研究，文献检索时间范围为建库至2024年12月1日。结果 最终纳入14篇文献，其中3项干预性研究、9项调查性研究，2项质性研究。专科护士培训迁移行为呈中等水平；用于评估专科护士培训迁移行为的工具共有5种；培训迁移行为的影响因素依据理论模型可分为3类；可助力提升其培训迁移行为的措施包括线上理论+线下实践、情景模拟、个案管理。结论 目前专科护士培训迁移行为水平为中等，且不同地区不同等级医院培训迁移现状不一；培训迁移影响因素包括个人、培训、组织3大类；提升培训迁移效果还需重点营造培训迁移氛围，管理者未来可通过分析影响因素的交叉作用机制，制定分层、个性化的管理方案，以提升专科护士培训迁移行为。
Abstract：Objective To conduct a scoping review of research on training transfer behaviour of specialist nurses.Methods In accordance with the scope review guidelines updated by JBI as the framework of this article, a systematic search of China Knowledge Network, Wanfang Data, Vip Data, and China Biomedical Literature Data、PubMed, Embase, CINAHL, Web of Science, Cochrane Library for studies related to the training transfer behaviour of specialist nurses.The search time limit was set from the date of the establishment of databases to December 1, 2024. Results A total of 14 papers were ultimately included, including 3 intervention studies, 9 survey studies, and 2 qualitative studies. The current training transfer behaviour of specialist nurses was moderate; there were 5 tools used to assess the training transfer behaviour of managers; the influencing factors of training transfer behavior can be divided into 3 categories according to the theoretical model; and measures that can help improve their training transfer behaviour included online theory+offline practice based, virtual teaching, and case management. Conclusion At present, the level of training transfer behaviour of specialist nurses is general, and the current status of training transfer varies between different levels of hospitals in different regions; the influencing factors of training migration include 3 categories: individual, training, and organization; it is necessary for the promotion of effectiveness of training transfer to focus on creating a training migration atmosphere, and managers can analyze the cross-interaction mechanism of influencing factors in the future, and develop hierarchical and personalized management plans in order to enhance the training transfer behaviour of specialist nurses.
[1] LANCET T.2020:unleashing the full potential of nursing[J].The Lancet,2019,394(10212):1879.
[2] 丁炎明，吴欣娟，田君叶，等.我国31个省份三级医院专科护士培养及管理的现状调查[J].中华护理杂志，2021,56(9):1357-1362.DING Y M,WU X J,TIAN J Y,et al.The current situation of the cultivation and development of specialty nurses in tertiary hospitals in China[J].Chinese Journal of Nursing,2021,56(9):1357-1362.
[3] BALDWIN T T,FORD J K.Transfer of training:a review and directions for future research[J].Personnel Psychology,1988,41(1):63-105.
[4] 马芳，李继平.我国护理人员在职培训效果评价及影响因素研究进展[J].中华护理杂志，2015,50(4):472-475.MA F,LI J P.The evaluation and influencing factors of nurse training outcomes in China:a review[J].Chinese Journal of Nursing,2015,50(4):472-475.
[5] 胡晋平，刘君，陈巍，等.体验式学习圈在眼科专科护士培训中的应用[J].中华护理教育，2023,20(1):73-76.HU J P,LIU J,CHEN W,et al.Application of experiential learning theory in ophthalmic specialty nurse training[J].Chinese Journal of Nursing Education,2023,20(1):73-76.
[6] 方蘅英，周雪玲，梁骊敏，等.成果导向视角下专科护士培训迁移的探索与实践[J].中华护理教育，2024,21(7):807-811.FANG H Y,ZHOU X L,LIANG L M,et al.Training transfer for specialty nurses based on results oriented perspective:exploration and practice[J].Chinese Journal of Nursing Education,2024,21(7):807-811.
[7] HAKVOORT L,DIKKEN J,DINH XUAN L T,et al.Integrated measure for training transfer in nursing practice:development and validation study[J].Nurse Education Today,2025,144:106482.
[8] PETERS M D J,MARNIE C,TRICCO A C,et al.Updated methodological guidance for the conduct of scoping reviews[J].JBI Evidence Implementation,2021,19(1):3-10.
[9] 赵静怡，张艳，李伟玲，等.专科护士培训迁移现状及其相关性[J].中国健康心理学杂志，2024,32(10):1545-1549.ZHAO J Y,ZHANG Y,LI W L,et al.Current situation and related factors of training transfer among specialist nurses[J].China Journal of Health Psychology,2024,32(10):1545-1549.
[10] 吕飞飞，张艳.卒中专科护士培训迁移的现状及影响因素分析[J].当代护士，2022,29(1):39-42.LYU F F,ZHANG Y.Analysis of the current situation and influencing factors of training transfer among stroke specialist nurses[J].Modern Nurse,2022,29(1):39-42.
[11] 关华，徐小陶.健康管理专科护士培训迁移现状及影响因素分析[J].中国护理管理，2024,24(4):489-494.GUAN H,XU X T.Current situation and influencing factors of training transfer among health management specialist nurses[J].Chinese Nursing Management,2024,24(4):489-494.
[12] 白阳静，白阳娟，马芳.云南省伤口造口专科护士培训成果转化影响因素分析[J].重庆医学，2019,48(13):2337-2340.BAI Y J,BAI Y J,MA F.Analysis of factors affecting the translation of training outcomes for wound and ostomy specialist nurses in Yunnan Province[J].Chongqing Medical Journal,2019,48(13):2337-2340.
[13] 于玲玲，吴冰冰，孙萌，等.母婴护理专科护士培训后培训迁移现状及影响因素分析[J].齐鲁护理杂志，2024,30(19):97-100.YU L L,WU B B,SUN M,et al.Analysis of the current situation and influencing factors of training transfer after training for maternal and infant specialist nurses[J].Journal of Qilu Nursing,2024,30(19):97-100.
[14] LIN W Q,ZHANG P P,LI Y R,et al.Enhancing training transfer among stroke specialist nurses:insights from latent profile analysis[J].Nurse Education in Practice,2024,81:104180.
[15] KIM C,LEE J,LEE G.The learning transfer of dementia training program participants:its antecedents and mediating effect on the job competency of geriatric caregivers[J].Healthcare,2023,11(22):2991.
[16] HANUM A L,HU Q L,WEI W,et al.A longitudinal assessment of factors affecting training transfer among new clinical nurse specialists[J].International Journal of Nursing Sciences,2024,11(3):308-314.
[17] 杨名钫，马芳.PICC技术规范化培训后迁移行为及其影响因素的纵向研究[J].护理学杂志，2021,36(5):59-61.YANG M F,MA F.Transfer of training after PICC standardized training and the influencing factors:a longitudinal study[J].Journal of Nursing Science,2021,36(5):59-61.
[18] 居淑勤，江长缨，薛海燕，等.培训迁移模型在社区伤口护士培训中的应用效果评价[J].军事护理，2023,40(7):57-60,81.JU S Q,JIANG C Y,XUE H Y,et al.Evaluation on the effects of application training transfer model in the training of community wound nurses[J].Military Nursing,2023,40(7):57-60,81.
[19] 吴莲红，林婷，黄宇燕，等.基于培训迁移理论的个案护理点评在专科护士培训中的应用[J].中国实用护理杂志，2024,40(26):2001-2006.WU L H,LIN T,HUANG Y Y,et al.Application of case nursing review based on training transfer theory in specialized nurses training[J].Chinese Journal of Practical Nursing,2024,40(26):2001-2006.
[20] CLARKE D B,GALILEE A I,KURESHI N,et al.Knowledge transfer and retention of simulation-based learning for neurosurgical instruments:a randomised trial of perioperative nurses[J].BMJ Simulation & Technology Enhanced Learning,2020,7(3):146-153.
[21] 王钰涵，熊莉娟，郭雪琴，等.专科护士培训迁移的发展过程及影响因素的质性研究[J].护理学杂志，2023,38(18):72-75.WANG Y H,XIONG L J,GUO X Q,et al.The development process and influencing factors of training transfer among specialized nurses:a qualitative research[J].Journal of Nursing Science,2023,38(18):72-75.
[22] 居淑勤，瞿文，薛海燕，等.半结构式访谈在社区伤口专科护士培训迁移现状调查中的应用[J].上海医药，2023,44(10):11-14,26.JU S Q,QU W,XUE H Y,et al.Application of semi-structured interviews on the survey of the status of training transfer of wound specialist nurses in the community[J].Shanghai Medical & Pharmaceutical Journal,2023,44(10):11-14,26.
[23] HOLTON E F III.The flawed four-level evaluation model[J].Human Resource Development Quarterly,1996,7(1):5-21.
[24] 吕飞飞.河南省卒中专科护士培训迁移现状及影响因素研究[D].郑州：郑州大学，2021.LV F F.Current status and influencing factors of training migration of stroke specialist nurses in Henan Province[D].Zhengzhou:Zhengzhou University,2021.
[25] TRACEY J B,TANNENBAUM S I,KAVANAGH M J.Applying trained skills on the job:the importance of the work environment[J].Journal of Applied Psychology,1995,80(2):239-252.
[26] MIJARES A H,RADOVICH P.Structured mentorship and the nursing clinical ladder[J].Clinical Nurse Specialist CNS,2020,34(6):276-281.
[27] 蒋家翔.基于核心能力的老年高级实践专科护士培养模式的构建[D].青岛：青岛大学，2018.JIANG J X.Development of a competency-based training model for advanced practice nurses in geriatrics[D].Qingdao:Qingdao University,2018.
基本信息:
DOI：10.16821/j.cnki.hsjx.2026.04.007
中图分类号:R47-4;C975
引用信息:
[1]徐潘悦,李洁琼,张蜜,等.专科护士培训迁移行为研究的范围综述[J].护士进修杂志,2026,41(04):379-384.DOI:10.16821/j.cnki.hsjx.2026.04.007.
2025-11-07
2025-11-07
2025-11-07