护士的经验与理想诊所项目实施在eThekwini区的护士经验
Thembelihle S P Ngxongo1, Mthokozisi Zulu1
1Department of Nursing, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa.
Health SA = SA Gesondheid
|June 6, 2024
概括
由于结构限制和支持不足,护士在实施理想诊所项目时面临着挑战,阻碍了实现初级医疗保健标准. 改善管理行动对于成功实施至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 护理学研究 护理学研究
背景情况:
- 理想诊所实现和维护 (ICRM) 计划由南非国家卫生部推出,旨在加强初级医疗保健 (PHC) 服务并支持国家医疗保险.
- 进展报告显示,在人事和资源分配等关键领域的50%目标尚未实现.
研究的目的:
- 探索和描述护士在实施理想诊所项目 (ICP) 的经验.
主要方法:
- 在Thekwini区的18家PHC诊所中使用了一种探索性描述性定性设计.
- 通过对24名护士进行半结构面试收集数据,并使用Tesch的开放编码方法进行分析.
主要成果:
- 确定的主要主题是结构限制,诊所运营流程和PHC诊所的支持系统.
- 护士报告说,在经营诊所和获得足够的支持方面存在挑战,这影响了ICP的实施.
结论:
- 护士的负面经验和看法对实现ICP标准构成了重大障碍.
- 解决结构性问题和加强支持对于改善ICP实施和实现目标至关重要.
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