在挪威的家庭护理中,护士在购买者-提供者分歧中的职业自由裁量权
Bodil Aarmo Brenne1, Marianne Hedlund2, Kari Ingstad1
1Nord University, Levanger, Norway.
Journal of advanced nursing
|August 14, 2023
概括
挪威的家庭护理护士在购买者-提供者模式中进行导航,在患者护理中平衡组织约束与必要的专业裁量权. 尽管标准化框架,这种灵活性至关重要.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 挪威的家庭护理服务是采用买家提供者组织模式运作的.
- 了解护士在这个框架内如何行使专业自由裁量权,对于有效的医疗保健服务至关重要.
研究的目的:
- 探索在购买者-提供者组织结构的挪威家庭护理服务中护士专业自由裁量权的运作.
主要方法:
- 进行了一项定性描述性研究.
- 通过对15名在家护理的注册护士进行半结构化深度访谈来收集数据.
- 布劳恩和克拉克的六步分析指导了经验数据分析.
主要成果:
- 两个主要主题出现了:"购买者的指示:促进和限制护理"和"专业的自由裁量权满足了购买者-提供者的医疗保健组织".
- 五个相关的准则进一步详细介绍了组织指令和护理实践之间的相互作用.
结论:
- 采购者-提供者模式既有促进者,也对家庭护理的护理实践和专业责任有限制.
- 护士执行补偿工作,并需要灵活性来管理复杂的任务和预料之外的病人需要在这个组织结构.
- 家庭护理的标准化工作强调了护士专业自由裁量权对整体患者护理的持续重要性,需要在组织框架和临床自主性之间取得平衡.
关键词:
他们有自由裁量权.卫生服务管理管理卫生服务管理家庭护理服务 家庭护理服务家庭医疗保健 家庭医疗保健家庭健康 护理 护理护士的作用护士的作用护理 护理 护理专业能力 专业能力标准化的标准化工作.更多相关视频
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