在农村社区实施APRN领导的综合行为健康诊所
Leigh K Cook1, Stephanie A Burge2, Therese L Mathews3
1Leigh K. Cook, MSN, APRN-NP, FNP-C, PMHNP-BC, UNMC College of Nursing, Omaha, NE, USA.
先进实践提供者 (APRNs) 在农村初级保健中领导综合行为健康计划,改善患者的心理健康. 这种模式扩大了获得全面,负担得起的护理的机会,但需要灵活的角色和可持续的资金.
科学领域:
- 主要护理是指初级护理.
- 行为健康整合行为健康整合
- 农村卫生 农村卫生
背景情况:
- 农村初级保健诊所在提供综合健康服务方面面临挑战.
- 综合行为健康计划旨在解决整体患者需求.
- 先进实践提供者 (APRNs) 是扩大医疗保健准入的关键.
研究的目的:
- 描述在农村初级保健环境中实施APRN领导的综合行为健康计划.
- 评估该计划运行的第一年,包括提供的服务和社区响应.
- 评估综合护理对患者焦虑和抑郁症状的影响.
主要方法:
- 一个大学和一个联邦合格健康中心 (FQHC) 之间形成了学术实践伙伴关系.
- 一个跨学科的团队,包括APRNs和行为健康提供者,提供综合护理.
- 华盛顿大学的协作护理模式指导了该计划的实施.
主要成果:
- 该计划成功地在农村卫星诊所实施了综合护理.
- 提供的服务包括与初级保健一起管理行为健康问题.
- 治疗行为健康问题的患者在焦虑和抑郁症状方面有所改善.
结论:
- 由APRN领导的协作护理有效地扩大了农村地区获得全面和负担得起的医疗保健的机会.
- 专业角色的适应性和确保可持续的后补助资金对于计划的长寿至关重要.
- 综合护理模式可以显著改善服务不足人群的心理健康结果.
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