预先为急性护理注册护士进行护理规划的挑战
Lori L Rietze1, Kelli I Stajduhar2, Mary Ellen Purkis3
1School of Nursing, Laurentian University, Sudbury, ON, Canada.
概括
急性护理中的组织压力阻碍了护士讨论预先护理计划 (ACP). 改善ACP需要进行系统性改变,以支持以患者为中心的护理.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 以患者为中心的护理
背景情况:
- 组织因素,如繁重的工作量和缺乏政策,阻碍了急症护理护士的实践.
- 对于护士参与预先护理规划 (ACP) 的社会和组织影响的理解有限.
- 提前护理规划 (ACP) 对患者,他们的家人和医疗保健提供者提供了显著的好处.
研究的目的:
- 探索影响急症护理机构护士预先护理计划 (ACP) 活动的运营,组织和社会因素.
主要方法:
- 进行了一项民族学研究,涉及14名注册护士和9名管理人员在两个东北安大略省急症医院.
- 数据收集包括23个半结构面试,20个小时的观察实地工作,以及对组织文件的分析.
- 归纳数据分析采用了一种代常数比较方法.
主要成果:
- 护士面临着竞争的需求,管理重症患者和组织优先事项 (资金,认证).
- 这些相互竞争的需求大大限制了护士参与患者预先护理计划 (ACP) 的能力.
结论:
- 急症护理机构必须使患者的价值与医疗治疗保持一致,以促进ACP.
- 修订组织政策,明确角色和分配资源对于支持阿克巴国家至关重要.
- 需要进行系统性变革,以便有效地将非洲和非洲国家纳入急症护理护理实践.
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