影响执业护士临床自主权影响的因素:自决的视角
Emily B Lockwood1, Madrean Schober2
1University Lecturer, School of Nursing and Midwifery, University College Cork, Cork, Ireland.
International nursing review
|April 23, 2024
概括
增加的临床经验增强了执业护士的临床自主权. 组织文化和卫生政策等因素显著影响这种自主性,影响医疗保健提供. 进一步的研究应该集中在制定自决策略上.
科学领域:
- 护理实践 护理实践
- 医疗保健政策 医疗保健政策
- 组织行为 组织行为
背景情况:
- 全球对执业护士 (NP) 的需求很高,但他们的临床自主性尚未得到充分研究.
- 现有的文献侧重于角色混,而不是影响NP自治的因素.
- 了解NP的临床自主性对于优化NP在医疗保健中的作用至关重要.
研究的目的:
- 从自决的角度探索影响执业护士临床自主权的因素.
- 确定影响NP自主性的内在和外在因素.
- 为提高NP在医疗保健中的作用制定策略.
主要方法:
- 使用爱尔兰执业护士的有目的全国样本进行的横截面研究.
- 通过Dempster实践行为量表和先进的护理实践临床自主度表收集的数据.
- 从公开评论中获得的定性数据使用专题分析进行了分析.
主要成果:
- 较高的临床经验水平与执业护士的临床自主性增加有关.
- 性别和组织文化被确定为对NP临床自主性的重大影响.
- 根据报告的性别,没有发现自主性的显著差异,尽管教育程度各不相同.
结论:
- 能力和相关性等内在激励因素支持NP的临床自主性和创新的医疗保健.
- 当利益相关者合作时,认证,专业标准和卫生政策都会对NP的自主性产生积极的影响.
- 卫生政策和组织文化之间的脱节会对NP的临床自主性产生负面影响.
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