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[医生对精神病学护士临床评估技能的看法:一个案例研究]
Samira Marti1, Ursula Bregenzer2, Veronika Waldboth1
1Institut für Pflege, Departement Gesundheit, Zürcher Hochschule für Angewandte Wissenschaften ZHAW, Winterthur, Schweiz.
Pflege
|June 28, 2023
概括
医生和心理学家认为,护士的临床评估和决策 (CADM) 在精神病治疗中是有价值的. 然而,不清楚的角色和责任阻碍了它的成功实施.
科学领域:
- 护理 护理 护理
- 精神病学是一个精神病学.
- 医疗保健管理的管理
背景情况:
- 患有同时出现的精神和身体疾病的患者往往会得到低于最佳的身体护理.
- 精神病护士的医疗专业知识提高了患者的医疗护理.
- 护士的临床评估和决策 (CADM) 在2017年在瑞士的一家精神病医院实施.
研究的目的:
- 探索医生和高级心理学家对CADM实施的经验.
- 确定优化专业间协作的策略.
- 促进CADM在精神病护理中的可持续整合.
主要方法:
- 采用了一个嵌入式单个案例研究设计.
- 数据分析利用了基于理论的策略.
- 进行了半结构化的专家采访 (n=11) 和非结构化的观察.
主要成果:
- 九个主要主题出现了:优势,弱点,风险,机会,期望,挑战,好处,CADM护士的能力和未来的愿望.
- 医生和高级心理学家认为CADM对跨专业团队和患者都有好处.
- 责任范围,角色定义和应用程序的模糊性提出了实施挑战.
结论:
- 护士的CADM被认为是跨专业团队和患者护理的资产.
- 对角色,责任和应用的更清晰的定义对于有效的CADM实施至关重要.
- 解决实施障碍可以提高在精神病学环境中CADM的整合和可持续性.
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