Abstract:

Objective

To conduct a realist synthesis of evidence on the training of digestive endoscopy nurses to develop a theory for digestive endoscopy nurse training programs. The aim is to address two questions：Which training methods are useful for training digestive endoscopy nurses？ Under what circumstances do they work and why？

Methods

Determine the theoretical framework through literature review. Systematically search and collate relevant literature on the training of digestive endoscopy nurses at home and abroad. According to the realist synthesis method， summarize and analyze the literature evidence based on the “context-mechanism-outcome” and the selected theoretical framework to fully explain the applicable scenarios， facilitating factors， and hindering factors of digestive endoscopy nurse training.

Results

A total of 20 articles were included， and two major aspects of the “context-mechanism-outcome” explanatory paths related to digestive endoscopy nurse training were analyzed. （1） Under the background of constructing a unified and standardized training system for digestive endoscopy nurses and different baselines of endoscopy nurses， the external performance of nurses promotes the training effect and quality； （2） Under the background of the busy work of digestive endoscopy nurses， leadership attention， the particularity of digestive endoscopy work， department atmosphere， and salary and treatment， the internal performance of nurses promotes or hinders the training effect.

Conclusion

According to the theoretical framework， the training of digestive endoscopy nurses is explained. Taking the two training paths above and below the ice surface as the starting point is beneficial to the training of digestive endoscopy nurses.

Key words: Gastroscope, Nurse, Training, Realist synthesis, Realist review