"我们被拉到四个角落":马拉维先进实践儿童护士的定性角色描述
Natasha North1, Petra Brysiewicz2,3, Minette Coetzee1
1Department of Paediatrics and Child Health, The Harry Crossley Children's Nursing Development Unit, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Journal for specialists in pediatric nursing : JSPN
|May 27, 2024
概括
马拉维的专业儿童保健护士 (CHN) 领导着新的服务,拥有独特的知识,但面临着巨大的压力. 他们的角色发展对于资源有限的环境中的劳动力规划至关重要.
科学领域:
- 全球健康 全球健康
- 护理劳动力发展工作人员
- 非洲卫生系统 非洲卫生系统
背景情况:
- 高级护理角色在全球范围内被倡导,以加强医疗保健系统.
- 制定严格的护士角色描述对于有效的劳动力规划至关重要,特别是在资源不足的地区.
- 马拉维十年前在儿童健康系统中引入了先进的护理角色.
研究的目的:
- 调查马拉维儿童保健专家护士 (CHN) 的新兴角色和责任.
- 通过定义高级护理角色,为劳动力规划提供一个证据基础.
- 探索CHN在开发和执行其高级角色时所面临的经验和挑战.
主要方法:
- 采用采访和聚焦小组与马拉维儿童健康护士进行的定性研究.
- 数据分析遵循了定性内容分析原则,并遵守了COREQ的报告标准.
- 超过一半的马拉维儿童健康护理工作人员 (41/80名参与者) 参与其中.
主要成果:
- 在CHN角色中确定了三个关键主题:服务领导和发展,提高护理质量的独特知识和角色发展责任.
- 中医护理人员将他们的高级职位描述为一种特权和负担,导致了与工作有关的重大压力.
- 参与者报告说他们"被拉到四个角落",这表明了多方面的责任和要求.
结论:
- 马拉维的CHN表现出重大成就,但在相当大的压力下运作.
- 对角色内容的多方利益相关者协议对于成功实施高级护理角色至关重要.
- 该研究的方法和结果为其他低资源国家的卫生战略制定提供了人力资源的模型.
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