初级保健 护士执业人员实践和情绪健康护理的组织支持 提供初级保健 护士执业人员实践和情绪健康护理的组织支持
Eleanor Turi, Amelia Schlak1, Jamie Trexler2
1Office of Research and Development, Department of Veteran Affairs, Washington, District of Columbia.
Journal of patient safety
|May 15, 2024
概括
对执业护士 (NP) 的组织支持增加,使他们能够更频繁地解决患者的情绪健康问题. 确保NP独立管理患者并获得资源对于全面的初级保健至关重要.
科学领域:
- 主要护理是指初级护理.
- 护理实践 护理实践
- 心理健康服务 心理健康服务
背景情况:
- 执业护士 (NP) 在初级保健提供中至关重要.
- 组织支持不足可能会阻碍NP解决患者的情绪健康需求.
- 本研究探讨了NP组织支持和情绪健康护理之间的联系.
研究的目的:
- 研究独立护士实践者 (NP) 实践和提供情绪健康护理的组织支持之间的关系.
- 为了确定更大的组织支持是否与对患者情感关注的注意力增加有关.
主要方法:
- 2017年来自397个国家公路的横截面调查数据的二次分析.
- 组织支持使用NP初级保健组织气候问卷的独立实践和支持子规模来衡量组织支持.
- 由NP评估的情感医疗保健提供,通过NP评估患者情感关注的自我报告频率;使用多级混合效应线性回归分析.
主要成果:
- 独立实践和支持量级上较高的分数与NP报告更频繁地解决患者情绪问题 (β = 0.34,P = 0.04) 有显著的关联.
- 在对NP人口统计和实践特征进行控制后,这种积极的关联仍然存在.
- 研究结果表明,加强组织支持使NP能够将情绪健康护理纳入他们的实践.
结论:
- 对独立护士实践者 (NP) 实践的组织支持与解决患者的情绪问题有积极的联系.
- 初级保健机构应以足够的资源和支持人员培养独立的NP实践.
- 加强组织支持可以改善NP的整体初级保健服务的提供.
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