目的 通过文献综述探讨护生对移动学习的态度及影响因素.方法 对PubMed、CINAHL、ProQuest、Web of Science、EMBASE、Cochrane Library等6个电子数据库进行检索,并对相关文献进行人工检索.检索时间为建库至2020年10月21日,文献综述按照PRISMA(2009)指南和综合评价方法进行.采用混合方法评估工具(Mixed Methods Appraisal Tool,MMAT)对纳入文献进行质量评价.结果 共检索出316篇文献,通过对标题、摘要和全文内容审查,最终纳入18篇文献,包括6篇量性研究、5篇质性研究及7篇混合方法研究.大部分护生对移动学习持积极态度.虽然护生对移动学习有强烈的意愿,但实际使用率较低.有利因素包括有用性、方便性和易用性,不利因素包括硬件设备、内容更新速度和软件稳定性的限制.结论 大部分护生对移动学习有积极的态度和意愿,但实际使用率较低.有利因素和不利因素并存.未来还需要更多的研究来进一步评估移动学习如何提高护生的知识和技能,从而改善患者护理.
Purpose:This study aimed to explore whether the attitudes of nursing students toward the use of mobile learning are positive or negative and to identify the factors influencing their attitudes by reviewing the literature.Methods:Electronic search of six databases,including PubMed,the Cumulative Index of Nursing and Allied Health Literature,ProQuest,Web of Science,EMBASE,and Cochrane Library,was conducted,and relevant references within articles were manually searched.Retrieval time was from inception to October 21,2020.The literature review was conducted in accordance with the PRISMA guidelines and the integrative review method.The Mixed Method Appraisal Tool(MMAT)was used for quality assessment.Results:A total of 316 articles were identified,and 18 English-language studies were finally included by reviewing titles,abstracts,and full text.Six quantitative,five qualitative,and seven mixed-method ar-ticles related to nursing students'attitudes toward the use of mobile learning were identified.The results showed that most nursing students had positive attitudes toward mobile learning.Although students expressed strong intentions for mobile learning,the actual usage rate in practical settings was low.Several advantageous factors included usefulness,convenience,and ease of use,whereas disadvanta-geous factors included hardware facility,updated content,and software stability.Conclusion:Most nursing students have positive attitudes and willingness to mobile learning,but the actual use rate remains low.Advantageous and disadvantageous factors coexist.Further studies are needed to assess how mobile learning improves nursing students'clinical knowledge and improves patient care.