儿童健康护理咨询和高级实践护士的能力
Keila Gisele Lima Reis1, Nayara Vilela de Farias Serranegra1, Andrea Liliana Vesga Varela2
1Hospital Israelita Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.
在儿童健康咨询中,护士在护理过程中表现出弱点,对高级实践护士 (APN) 护理管理能力的应用有限. 需要进一步培训来提高这些必要的护理技能.
科学领域:
- 儿科护理 儿科护理
- 高级实践护理高级实践护理
- 医疗保健管理的管理
背景情况:
- 儿童健康护理咨询对于患者的治疗结果至关重要.
- 高级实践护士 (APN) 需要具备特定的护理管理能力.
- 根据APN标准评估当前的护理实践对于质量改善至关重要.
研究的目的:
- 评估护士在儿童健康咨询中对护理过程的实际应用.
- 确定儿科护理实践中APN的护理管理能力的存在和程度.
主要方法:
- 在巴西四个城市的17个基本卫生单位进行了一项多中心,探索性的顺序混合方法研究.
- 数据收集包括拍摄24次儿童咨询和分析2022年5月至7月的医疗记录.
- 分析的重点是咨询,证明至少50%符合护理流程,以评估APN能力.
主要成果:
- 在分析的24次护理咨询中,有11次 (由7名护士进行) 达到≥50%的护理流程合规门.
- 定性分析显示,虽然存在一些APN护理管理能力,但其应用不完整.
- 报告指出,在系统应用护理流程方面发现了一些弱点.
结论:
- 儿童健康护理咨询显示在护理过程的一贯执行方面存在缺陷.
- 护士们表现出对拟议的APN护理管理能力的部分和肤浅的理解和应用.
- 需要加强培训和支持,以加强护士在护理过程和APN能力方面的技能.
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