绘制高级实践护士的实践范围,满意度和角色表现驱动因素的地图
Sonja Beckmann1, Gabriela Schmid-Mohler1, Elisabeth Spichiger2
1Center of Clinical Nursing Science, University Hospital Zurich, Switzerland.
Pflege
|February 14, 2024
概括
瑞士的高级实践护士 (APN) 报告说,尽管角色不清楚,但工作满意度很高. 关键的促进者包括专业认可,而实践范围的问题则是最佳角色表现的障碍.
科学领域:
- 护理 护理 护理
- 医疗保健政策 医疗保健政策
- 高级实践护理高级实践护理
背景情况:
- 瑞士的高级实践护士 (APN) 角色,包括临床护士专家 (CNS),执业护士 (NP) 和混合角色,表现出多样化的个人资料和实践范围.
- 这种多样性可能导致角色定义和责任的模两可.
研究的目的:
- 根据Hamric的能力来划分APN任务的执行.
- 评估APN的工作满意度.
- 确定影响APN角色表现的障碍和促进者.
主要方法:
- 在具有学术学位和高级护理能力的临床实践APN中进行了一项全国性的横截面调查.
- 用推断统计和内容分析分析了定量和定性数据.
主要成果:
- 这项研究包括222个APN:中枢神经系统的49%,混合角色的37%,NP的15%.
- 专业临床专家 (APN) 大多数任务是指导临床实践,最少是伦理决策,在能力方面存在显著的基于角色的差异.
- 工作满意度很高 (76%),通常与角色内容有关,而实践范围成为主要障碍,专业认可成为主要促进者.
结论:
- 调查结果提供了对瑞士APN现行实践范围的见解.
- 这项研究可以通过临床实践,教育策略和进一步的研究来告知APN角色的进步.
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