探索澳大利亚农村初级卫生保健机构的护士执业实践:一个范围审查
Rachel Rossiter1, Rosemary Phillips1, Denise Blanchard2,3,4
1School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Orange Campus, Orange, New South Wales, Australia.
澳大利亚农村的执业护士 (NP) 面临实施障碍,限制他们改善医疗保健准入的潜力. 需要更多的研究和支持才能在服务不足的地区实现它们的好处.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要医疗保健是主要的医疗保健.
- 农村卫生 农村卫生
背景情况:
- 与大都市居民相比,澳大利亚农村居民在医疗保健获取和结果方面面临差异.
- 实践护士 (NP) 被引入,以减轻卫生系统的压力,并改善农村医疗保健的获取.
研究的目的:
- 对澳大利亚农村初级医疗保健中NP实践的证据进行范围和综合.
- 了解NP如何解决服务差距,并识别农村NP实践中的知识差距.
主要方法:
- 对同行评审和灰色文献进行范围审查 (2012年7月 - 2022年6月).
- 搜索了七个电子数据库,灰色文献来源和参考列表.
主要成果:
- 从154个初始来源中确定了19个相关的文章.
- 证据突出了农村NP实践的促进者和障碍.
- 在了解NP在初级保健中的运营价值方面存在重大差距.
结论:
- 由于持续的实施障碍,农村NP角色的全部好处尚未实现.
- 缺乏意识和角色模糊性阻碍了系统的NP整合.
- 强有力的评估,政府支持和资金对于有效的农村NP实施至关重要.
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