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在医院开展差异化护理实践工作:关于制定新护理角色的学习历史
Dieke Martini1,2, Hugo Schalkwijk1, Lisette Schoonhoven2
1Research Group for Person-Centeredness in an Ageing Society, Fontys University of Applied Sciences, Eindhoven, The Netherlands.
Journal of advanced nursing
|May 29, 2024
概括
新的护理角色,如护士协调员,是通过集体努力和从过去的经验中学习来制定的. 这种自下而上的方法促进了医疗保健团队内的谈判和整合.
科学领域:
- 护理科学 护理科学
- 组织心理学 组织心理学
- 医疗保健管理的管理
背景情况:
- 面向未来的护理角色正在普通医院中出现.
- 了解这些新角色的制定对于医疗保健创新至关重要.
- 差异化的护理实践具有复杂的历史背景,并面临内部阻力.
研究的目的:
- 探索如何在一般医院环境中制定新的,面向未来的护理角色.
- 了解现有医疗保健团队中新护理角色的谈判过程.
- 确定影响差异化护理实践成功整合的因素.
主要方法:
- 一个以行动为导向的参与式研究设计,采用学习历史方法.
- 数据收集包括历史文档分析,直接观察护理实践 (36小时),开放和口头历史采访,焦点小组和播客系列 (7小时).
主要成果:
- 三个主要主题出现了:扩大护理工作的范围,利用过去的经验,并共同解决敏感问题 (禁忌).
- 护士协调员角色在护士团队内通过自下而上的集体责任方法成功协商.
- 对历史背景的认识和反思促进了新角色的整合.
结论:
- 新的护理角色,如护士协调员,通过专注于集体责任和从历史先例中学习,成功实施.
- 一个自下而上的战略,承认过去的经验,并促进团队发展,有助于谈判和整合新的角色.
- 当地,位置条件是制定新的护理角色的有效起点,将重点从个人转移到团队发展.
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