执业护士的农村产前护理:叙事审查
Monica Kneller1, Edith Pituskin1, Nicole L Tegg1
1Faculty of Nursing, University of Alberta, Edmonton, Canada.
Women's health reports (New Rochelle, N.Y.)
|June 7, 2023
概括
执业护士 (NPs) 可以通过解决障碍和加强获取来改善农村产前护理 (PNC). 由NP领导的项目在服务不足的地区提供高效,公平和包容的孕产妇和新生儿健康服务.
科学领域:
- 提供医疗保健服务.
- 农村的健康 农村的健康
- 孕产妇和儿童的健康
背景情况:
- 加拿大农村人口在获得初级医疗保健方面面临重大障碍,这影响了孕妇获得基本产前护理 (PNC) 的机会.
- 地理孤立和社会因素加剧了农村环境中孕妇获得医疗保健的不平等现象.
- 不足够的PNC对孕产妇和新生儿的健康结果构成风险,突出了需要可访问的护理解决方案的需要.
研究的目的:
- 在各种医疗保健系统中确定和审查现有的护士执业者 (NP) 领导的农村产前护理 (PNC) 计划.
- 探索可以支持和改善贫困农村人口的孕产妇和新生儿健康结果的模型.
- 为加拿大农村地区提供有效的NP主导PNC服务的发展提供信息.
主要方法:
- 对2002年至2022年间发表的文章进行了系统的文献搜索.
- 搜索的数据库包括CINAHL (EBSCO主机) 和MEDLINE (OVID).
- 如果研究重点是农村环境,NP在初级保健中的作用,并以英语出版,但不包括城市或专业产科护理,则将研究纳入.
主要成果:
- 从经过审查的文献中出现了五个主要主题:护理障碍,移动卫生诊所,协作/分层护理模式,远程医疗,以及NP作为初级保健提供者的作用.
- 搜索确定了34篇可能相关的文章,综合了农村医疗保健提供各种方法的发现.
- 有证据表明,包括技术和协作框架在内的多种策略可以增强农村PNC.
结论:
- 在加拿大农村地区实施合作的NP-led模型可以有效地克服产前护理的现有障碍.
- 这些计划有可能为孕妇和新生儿提供高效,公平和包容的医疗保健服务.
- 在地理上孤立的社区,NP主导的倡议对于改善孕产妇和新生儿健康结果至关重要.
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