护士对实施护士处方的感知障碍和促进因素:德尔菲研究和焦点小组
Faty Seck1,2,3, Olga Masot2,4,5, Nicola Carey6
1Internal Medicine Service, Santa Maria University Hospital, Lleida, Spain.
Journal of advanced nursing
|November 1, 2023
概括
西班牙的护士通常支持护士处方,并将医生依赖和培训差距作为关键障碍. 继续教育和自主性是成功实施的关键促进因素.
科学领域:
- 护理实践 护理实践
- 药理学 药理学是指药理学的学科.
- 医疗保健政策 医疗保健政策
背景情况:
- 最近在西班牙引入的护士处方,旨在解决医疗保健需求和劳动力短缺问题.
- 医生主导的护理模式在维持患者获得处方药的机会方面面临挑战.
- 咨询护士对于理解人们的看法和为实施护士处方提供信息至关重要.
研究的目的:
- 在西班牙就护士处方的障碍和促进因素达成共识.
- 收集护士关于他们对护士处方的经验和看法的见解.
主要方法:
- 一个三轮的Delphi在线调查.
- 聚焦小组讨论与来自各种护理机构的护士.
- 使用匿名问卷和反的探索方法.
主要成果:
- 确定了护士处方的15个障碍和18个促进因素.
- 主要障碍包括医生依赖,药理学培训不足和缺乏机构支持.
- 关键的促进者包括学术知识,持续培训,专业自主性和适应新角色.
结论:
- 护士通常对护士处方有积极的看法.
- 护士对培训和认证的承诺是关键的内部力量.
- 卫生政策和护理管理是成功实施的重要外部力量.
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