一个先进的实践护理框架可以解决劳动力短缺的问题吗? 一个区域卫生服务的案例研究
Lisa Bourke1, Keryn Wright1, Cathy Scott2
1Department of Rural Health, The University of Melbourne, Shepparton, Vic, Australia.
Contemporary nurse
|February 1, 2024
概括
开发一个先进的实践护理框架可以帮助农村护士短缺. 然而,资源和人员短缺阻碍了实施,需要在服务不足的地区制定先进实践护理和助产框架的国家战略.
科学领域:
- 护士和助产士的护理和助产士的工作
- 医疗保健劳动力发展工作人员
- 高级实践角色高级实践角色
背景情况:
- 全球护士和助产士的短缺在农村地区仍然存在.
- 高级实践护理角色可以提高员工的留守率,并解决劳动力差距.
- 一个区域卫生服务机构通过员工咨询,探索开发先进实践护理框架.
研究的目的:
- 通过使用高级实践角色划分 (APRD) 工具,探索护士和助产士对其角色的观点.
- 评估在区域卫生服务中实施先进实践框架的可行性.
主要方法:
- 在澳大利亚的Goulburn Valley Health (GVH) 进行了一项混合方法案例研究.
- 使用修改后的APRD调查问卷分发给所有护理和助产人员.
- 与高级护理和助产人员 (3-6年级) 举行了焦点小组.
主要成果:
- 护士和助产士主要从事直接的病人护理,最少的时间用于研究,出版或领导.
- 虽然支持教育和先进实践,但高级员工认为资源限制,文化障碍和人员短缺是障碍.
- 缺乏资源和现有的员工短缺是先进实践框架实施的重大障碍.
结论:
- 一个先进的实践框架可能有助于缓解农村卫生服务人员短缺的问题.
- 实施受到共同的农村卫生服务挑战的限制:缺乏资源和劳动力短缺.
- 建议制定一项国家战略,在需要的领域内嵌入先进实践角色并支持框架实施.
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