评估在法国实施先进实践护理角色:一个多个案例研究
Jocelyn Schwingrouber1, Denise Bryant-Lukosius2, Kelley Kilpatrick3
1Faculté des Sciences Médicales et Paramédicales, Nursing School, CEReSS, Aix-Marseille Université, Marseille, France.
Journal of advanced nursing
|September 2, 2023
概括
利益相关者参与和领导是实施先进实践护理角色的关键. 解决角色障碍和加强非临床参与对于最佳整合和患者护理至关重要.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 卫生政策 卫生政策
背景情况:
- 高级实践护理 (APN) 的角色在全球范围内不断发展.
- 成功实施需要了解促进和阻碍因素.
- 融入医疗保健团队对于患者的治疗结果至关重要.
研究的目的:
- 描述法国APN角色的引入过程.
- 确定影响APN角色实施和整合的因素.
- 检查 APN 在角色活动中的时间分配.
主要方法:
- 采用了多个案例研究设计.
- 通过观察,采访和文档分析收集的数据 (2021年1月至3月).
- 专题分析用于检查来自法国人口地区的五个案例的数据.
主要成果:
- 关键的促进者包括利益相关者参与和领导力支持.
- 障碍包括不清楚的角色理解,资金不确定性和COVID-19大流行.
- APN大部分时间都花在临床活动上,对团队整合和患者护理的影响有积极的感知.
结论:
- 强有力的利益相关者参与和领导力促进了APN角色的实施,特别是在以团队为基础的护理中.
- 需要进一步努力,以促进APN参与非临床任务并克服障碍.
- 政策和评估策略对于最佳的APN角色开发和系统集成至关重要.
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