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了解影响老年护士从业人员融入卫生系统的因素
Joshua Porat-Dahlerbruch1,2,3, Shoshana Ratz2, Eliana Aaron4
1Department of Acute & Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania.
Journal of the American Association of Nurse Practitioners
|August 23, 2023
概括
整合老年护士执业人员 (NPs) 需要解决沟通不良和缺乏专业间支持等障碍. 政策制定应纳入各种利益相关者的优先事项,以成功实现NP整合和改善老年人护理.
科学领域:
- 老年人护理老年人护理
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 老年护士从业人员 (NPs) 对于解决医疗保健提供者短缺和改善老年人护理至关重要.
- 将NP有效地整合到卫生系统中,对于他们进行最佳实践至关重要.
- 了解影响NP整合的因素对于国际政策制定和最大限度地影响患者护理至关重要.
研究的目的:
- 确定影响以色列老年人NP整合的因素.
- 讨论这些因素对国际政策和研究的适用性.
主要方法:
- 一项以"实施研究综合框架"为指导的定性描述性研究.
- 与58名参与者进行了半结构面试,分为四个专业群体:老年人国家医院,医生,管理人员和决策者.
- 演性内容分析被用来识别和分类28个因素作为促进者,障碍物,中性或混合效应.
主要成果:
- 关键的促进者包括患者的需求和领导层的参与.
- 现有的信息成为一个障碍,而文化则产生了混合的影响.
- 根据专业群体在NP整合中的角色,诸如成本等因素的观点在各个专业群体之间有很大差异.
结论:
- 发现的障碍包括缺乏专业间的支持和沟通中断,这是由于先验政策制定不足而产生的.
- 未来的政策应该整合管理人员,临床医生和决策者的优先事项.
- 基于国家特定研究的实施科学方法可以指导未来的研究和NP整合的国际政策制定.
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