高级实践护士的日常实践,为长期护理机构的住户提供初级护理:一种定性研究
Zúñiga Franziska1, Teuscher Ramona2, Stoll Hansruedi3
1Department of Public Health, Institute of Nursing Science, University of Basel, Bernoullistrasse 28, Basel, 4056, Switzerland. franziska.zuniga@unibas.ch.
BMC primary care
|June 8, 2024
概括
长期护理机构的高级实践护士 (APN) 提高了居民的护理质量和工作满意度. 成功的整合需要在APN和LTCF工作人员之间明确的角色,沟通和信任.
科学领域:
- 提供医疗保健的模式.
- 老年人护理医院 老年人护理
- 护理实践的护理实践
背景情况:
- 全球缺乏初级保健专业人员,影响长期护理设施 (LTCFs).
- 增加高级实践护士 (APN) 融入跨专业医疗保健团队.
- 在瑞士LTCF中对APN集成和功能的理解有限.
研究的目的:
- 探索 APN 照顾 LTC 居民的日常实践.
- 调查APN在伯尼西兰地区与LTCF工作人员的合作.
主要方法:
- 使用解释性描述方法的定性研究.
- 通过半结构面试 (个人和焦点组) 和二次数据分析收集数据.
- 以布劳恩和克拉克的原则为指导的主题分析.
主要成果:
- 在医生监督下,APN执行与初级保健医生类似的任务 (例如,患者访问,治疗调整).
- APNs对整个设施的质量改善举措做出了重大贡献.
- 成功的APN-LTCF合作的关键要素包括角色清晰,定义的沟通和建立信任.
结论:
- 将APN整合到LTCF护理系统中可以提高居民护理质量.
- APN的整合对LTCF工作人员的工作满意度产生了积极的影响.
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