护士在复杂恶性血液学中的作用:一种定性描述性研究
Margaret F Forbes1, Nancy Carter2, Kristi L MacKenzie3
1Nurse Practitioner and Nurse Practitioner Lead for Hematology, Juravinski Hospital and Cancer Center at Hamilton Health Sciences and Assistant Clinical Professor, School of Nursing, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Seminars in oncology nursing
|March 31, 2024
概括
复杂恶性血液学 (CMH) 的执业护士 (NPs) 提供了宝贵的整体护理. 加强组织结构可以优化NP角色和工作量,但需要测量结果.
科学领域:
- 血液学 血液学 血液学
- 瘤科 护理 护理专业
- 医疗保健管理的管理
背景情况:
- 有限的国际证据存在于复杂恶性血液学 (CMH) 中的执业护士 (NP) 角色.
- 一个加拿大的CMH计划已经使用NP20年,没有事先评估.
- 利益相关者对CMH中NP角色的看法尚不清楚.
研究的目的:
- 探索利益相关者对CMH的NP角色结构,流程和结果的看法.
- 评估NP角色如何在CMH计划中满足患者和医疗服务需求.
- 确定影响CMH中NP角色实施和有效性的因素.
主要方法:
- 以PEPPA-Plus框架为指导的定性描述性研究.
- 针对焦点小组的有目的抽样和与患者和医疗保健专业人员的采访.
- 对定性数据的内容分析,以确定关键主题.
主要成果:
- 确定了与程序演变,护理模式和NP角色战略愿景相关的主题.
- 突出了NP提供的可访问,全面和整体的护理服务,以及工作负载的挑战.
- 观察到积极和消极的结果,但注意到缺乏正式的结果测量.
结论:
- NP角色的实施和结果受到患者/NP特征,组织变化,人员配置和工作组织的影响.
- 组织结构需要改进,以改善CMH护理模式和NP角色优化.
- 国家医疗机构通过全面的护理,安全关注和解决健康的社会决定因素来贡献价值;对结果的进一步研究是必不可少的.
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