加先进实践护理的实施战略:一个多中心混合方法研究
Jean Toniolo1,2,3, Edgard Brice Ngoungou1,2,4, Simon Ategbo2,5,6
1Inserm U1094, IRD U270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Tropical Neurology, OmegaHealth, Limoges, France.
高级实践护理在加受到好评,但面临法律框架缺乏等挑战. 成功实施需要监管,教育和解决更好的医疗保健的具体国家需求.
科学领域:
- 医疗保健政策和实践 医疗保健政策和实践
- 护理教育和领导力教育和领导力
- 全球卫生倡议全球卫生倡议
背景情况:
- 高级实践护理 (APN) 为非洲的医疗保健专业人员短缺和流行病学转变提供了解决方案.
- 了解加独特的环境对于成功实施APN计划至关重要.
- 预计将在APN建立一个士学位课程.
研究的目的:
- 探索护士和利益相关者对加APN实施的期望.
- 评估医疗保健专业人员中APN角色的可接受性.
- 确定APN整合的挑战和促进者.
主要方法:
- 在加进行的多中心,横截面,混合方法研究 (2022年4月至5月).
- 包括来自医院和大学的187名医疗保健专业人员.
- 使用问卷和焦点小组讨论,以PEPPA框架和Hamric的模型为指导.
主要成果:
- 一般来说,APN的实施得到了很好的接受,特别是那些了解APN的护士.
- 主要障碍包括缺乏法律框架和缺乏专业认可.
- 促进者包括建立士课程,法律正式化和提高认识.
结论:
- 在加和非洲,APN可以显著解决医疗保健短缺和疾病负担的问题.
- 建立法律框架和护理委员会对于APN监管至关重要.
- 实施策略必须与成功整合的国家特定需求保持一致.
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