建立卓越的桥梁:为临终关怀和息护理护士提供全面的能力框架-一种混合方法研究
Wei-Ying Li1, Ying Fang1, Yi-Qing Liang2
1School of Nursing, Nanjing Medical University, Nanjing, 211166, P. R. China.
BMC palliative care
|December 13, 2023
概括
在中国,为护士制定了一个新的双因素临终关怀和息护理 (HPC) 能力框架. 这一框架包括基本能力和发展能力,解决了对合格的HPC专业人员的迫切需求.
科学领域:
- 医疗保健管理的管理
- 护理教育 护理教育
- 息护理研究 息护理研究
背景情况:
- 尽管需求很高,但中国面临着合格的临终关怀和息护理 (HPC) 护士的严重短缺.
- 现有的HPC能力框架往往没有标准化,不足以满足国家发展需求.
- 一个全面的,多重结构的框架对于在中国推进HPC护理人力资源至关重要.
研究的目的:
- 为中国的护士构建一个全面的,多重结构的临终护理和息护理 (HPC) 能力框架.
- 确定和综合有效的HPC护理实践所需的核心能力.
- 探索拟议的能力框架的理论结构.
主要方法:
- 采用混合方法方法,结合系统审查,定性访谈和两轮Delphi调查.
- 从30篇出版物和13名HPC护士的采访中提取了能力概况.
- 在491个有效问卷的数据上进行了探索性因素分析 (EFA),以确定框架的结构.
主要成果:
- 总共有32个能力从系统审查和采访中综合起来.
- 一项德尔菲调查的结果是将25个能力纳入最终的HPC能力框架.
- EFA确定了一个两要素结构:基本能力 (18项) 和发展能力 (7项).
结论:
- 开发的双因素临终关怀和息护理 (HPC) 能力框架为护理发展提供了一个结构化的方法.
- 该框架为中国HPC护士的当前需求和未来方向提供了重要的见解.
- 这项研究有助于标准化HPC护理能力,并支持中国的劳动力发展.
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