"一切都是可适应的":对护士如何在持续的家庭访问护理中做出决策的定性研究,与经历逆境的母亲和儿童一起进行护理
Kie Kanda1, Stacy Blythe1, Rebekah Grace2
1School of Nursing and Midwifery, Western Sydney University, Translational Research and Social Innovation group, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Australia.
家庭访问护士使用一个逐步的决策过程,结合分析和直觉技能,为面临逆境的母亲和儿童提供量身定制的护理. 有效的决策得到了强有力的关系,培训和资源的支持.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 家庭支持 家庭支持
背景情况:
- 持续的家庭访问护理对于支持遇到逆境的母亲和幼儿至关重要.
- 在这种情况下,护士的决策是复杂的,并未得到充分研究.
- 了解这些过程是优化护理服务的关键.
研究的目的:
- 探索提供持续家庭访问护理的护士的决策过程.
- 确定影响护士决策的促进者和障碍.
- 为提高精确家庭访问护理的策略提供信息.
主要方法:
- 定性描述性研究设计. 定性描述性研究设计.
- 四个焦点小组采访了32名家庭访问护士.
- 对收集的数据进行反思性的专题分析.
主要成果:
- 确定了一个分为四个步骤的逐步决策过程:信息收集,探索,实施和检查.
- 促进者包括强大的关系技能,积极的态度,优质的培训,指导和充足的资源.
- 还确定了障碍,影响决策的有效性.
结论:
- 护士决策整合了分析和直观的方法来感知客户的需求和时间干预.
- 护士将护理适应客户独特的需求,同时保持计划的忠诚度.
- 建议包括培养支持性的工作环境,跨学科的合作,和强大的反系统,如临床监督.
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