克服不确定性:指导实施澳大利亚放射治疗高级从业者的框架
Kristie Matthews1,2, Gillian Duchesne3
1School of Primary and Allied Health Care, Monash University, Melbourne, Victoria, Australia.
Journal of medical radiation sciences
|August 1, 2023
概括
在澳大利亚实施高级从业放射治疗师 (APRT) 需要在不确定性,权力,价值和身份方面进行导航. 了解这些因素是成功放射治疗先进实践策略的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 辐射瘤学 辐射瘤学
- 高级实践护理高级实践护理
背景情况:
- 辐射治疗在澳大利亚的先进实践实施是有限的.
- 越来越多的癌症服务需求需要了解实施障碍.
- 探索影响澳大利亚高级从业放射治疗师 (APRT) 的因素至关重要.
研究的目的:
- 探索影响澳大利亚先进实践者放射治疗师 (APRT) 实施的因素.
- 将发现综合成一个指导APRT实施的框架.
- 为寻求APRT实施的从业者提供见解.
主要方法:
- 国家在线重点小组和53名参与者的案例研究.
- 分析使用构造主义立足理论来识别"导航不确定性"过程.
- 从类别和属性的更高层次合成到抽象的发现.
主要成果:
- 四个相互交织的因素影响APRT实施:不确定性,权力,价值和身份.
- 不确定性源于角色的概念化和同化.
- 权力动态涉及倡导和合法化;价值对结果至关重要;身份与个人过渡和边界工作有关.
结论:
- 成功的APRT实施策略取决于认识到和谈判不确定性,权力,价值和身份.
- 描述了包含这些因素的框架,以指导从业者.
- 解决这些核心因素对于推进放射治疗实践至关重要.
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