超越能力和保留:为农村初级保健护士执业者住院计划制定全面评估框架
JoAnna L Hillman1, Janelle C Gowgiel2, Paula S Price3
1Hillman Associates, LLC and Laney Graduate School, Emory University.
Journal of the American Association of Nurse Practitioners
|February 6, 2024
概括
本研究介绍了护士执业 (NP) 住院计划的综合评估框架,重点关注可持续性和农村实践准备. 数据驱动的方法确保了计划的改进,并增加了农村的初级保健提供者.
科学领域:
- 护理教育 护理教育
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 执业护士 (NP) 住院计划需要强有力的评估,而不仅仅是居民的保留和能力.
- 确保NP居住计划的可持续性和居民满意度对于准备NP用于农村实践至关重要.
- 现有的评估往往缺乏对计划改进和长期影响的整体方法.
研究的目的:
- 开发和实施家庭护士实践者 (FNP) 住院计划的综合评估框架.
- 加强为农村实践环境准备国家计划.
- 确保NP居住计划的可持续性和持续质量改进.
主要方法:
- 快速持续质量改进 (QI) 方法被用于整体程序评估.
- 该框架综合了居民评估和从居民,同行教练和临床场所的角度进行计划评估.
- 合作参与涉及外部评估团队,项目领导和临床场所代表.
主要成果:
- 数据驱动的评估通过增加农村初级保健提供者,成功实现了卫生资源和服务管理局的目标.
- 快速的QI方法使得基于居民反的挑战和计划改进能够迅速响应.
- 该框架在评估,改进和确保高级实践注册护士 (APRN) 住院计划的可持续性方面表现出有效性.
结论:
- 开发的评估框架有效地评估和改进农村实践的NP居住计划.
- 这种方法促进了NP居住计划的可持续性和长期影响.
- 建议在未来的住院计划中采用类似的评估策略,以加强农村医疗保健.
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