Evidence map›Paper›PMID 41399271›Full record

SynthesisInternational journal of nursing practice2025

The Effectiveness of Community Nurse Training Programs to Improve Nurses' Competency in Community Settings: a Systematic Review and Meta-Analysis.

Napamon Pumsopa, Ann Jirapongsuwan, Surintorn Kalampakorn, Sukhontha Siri, Piyanee Klainin-Yobas

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of nursing practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Napamon PumsopaDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-5372-7006
Ann JirapongsuwanDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0349-3547
Surintorn KalampakornDepartment of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-1193-8937
Sukhontha SiriDepartment of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0009-0005-7565-0854
Piyanee Klainin-YobasAlice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.ORCID https://orcid.org/0000-0003-2581-4572

Funding

Faculty of Graduate Studies, Mahidol UniversityFoundation Mondharoph KamalsnaGraduate studies of Mahidol University Alumni Association
6 · The paper itself

Abstract

aimThis study aimed to synthesise the best available evidence on the training methods used in community nurse training programs and examine the effectiveness of such programs on enhancing competency (knowledge, skills and traits) among nurses or nurse practitioners working in community healthcare units.

methodsA search was conducted on 10 electronic databases to retrieve published and grey literature, specifically randomised controlled trials and clinical control trials. Two reviewers independently screened records, appraised article quality and extracted data from the included studies. Meta-analysis was performed using the RevMan 5.4 software. Effect measures were expressed as standardised mean differences (SMD) and confidence intervals. Subgroup analyses were also performed based on delivery methods.

findingsFourteen studies were included, 13 of which targeted knowledge as an outcome, 10 focused on nurses' skills and four examined nurses' traits. The analysis revealed that community nurse training programs improved nurses' knowledge via hybrid pedagogical (SMD = 0.15-2.21), online (SMD = 0.12-0.29) and onsite methods (SMD = -0.51 to 0.11) and enhanced their skills through hybrid (SMD = 0.90) and onsite training (SMD = 0.44). Furthermore, the programs improved nurses' traits in psychological empowerment, job productivity, professional development and affect dimensions.

conclusionsNursing schools and healthcare institutions may employ diverse pedagogical approaches, including hybrid methods, to achieve positive outcomes for community nurse training programs to improve clinical competencies.

Indexed as

Clinical CompetenceCommunity Health NursingHumanscommunity nursingcompetencyhybrid trainingmeta‐analysisnurse trainingsystematic review

Identifiers

PMID41399271
PMCPMC12706423

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.