正式医院环境中的支持和护理助理的特征:一个范围审查
Vincent A Kagonya1, Onesmus O Onyango2, Michuki Maina2
1Health Services Unit, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya. VKagonya@kemri-wellcome.org.
Human resources for health
|November 28, 2023
概括
全球卫生系统面临着医疗保健工作者短缺的问题. 本研究研究了护理助理如何命名,使用和管理,发现了显著的差异,需要更明确的角色和监管来改善患者护理.
科学领域:
- 医疗保健劳动力研究 劳动力研究
- 医疗保健服务研究 医疗服务研究
- 医疗卫生的人力资源
背景情况:
- 全球卫生工作人员短缺1500万,影响了医疗保健工作者与人口的比例.
- 低技能护理助理被提出作为一种节省成本的策略,以减轻护理配额,延迟或遗漏.
- 未经许可的辅助人员的角色,监管和治理仍然被不一致地定义.
研究的目的:
- 绘制和整理有关正式医院环境中护理助理的标签,利用,监管和管理的证据.
- 调查护理助理对患者护理和医疗保健系统的影响.
主要方法:
- 从七个主要的学术数据库和谷歌学者中对文学进行了全面的范围审查.
- 在参与者-背景-概念框架和主题内容分析的指导下进行资格选和数据综合.
主要成果:
- 分析了来自15个国家的73份记录,其中大多数来自高收入国家.
- 为护理助理确定了各种各样的头和角色,包括直接的病人护理,行政任务和在某些国家扩展的职责.
- 临床和组织治理存在显著差异,缺乏报告的许可,监管和任务转移政策.
结论:
- 护理助理的名义和任务的实质性变化需要更新职业分类以提高清晰度.
- 护理助理对患者结果和护理经验的影响需要进一步调查.
- 对来自低收入和中等收入国家的护理助理进行更多的实证研究是非常必要的.
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