在以团队为基础的初级保健中影响执业护士小组规模的因素:一个定性案例研究
Ruth Martin-Misener1, Faith Donald2, Jennifer Rayner3,4
1School of Nursing, Dalhousie University, 5869 University Ave, Box 15000, Halifax, NS, B3H 4R2, Canada. ruth.martin-misener@dal.ca.
BMC primary care
|August 14, 2024
概括
执业护士从业人员
科学领域:
- 初级医疗保健是一项主要的医疗保健服务.
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球医疗保健接入危机需要创新的初级保健模式.
- 更多地依赖于执业护士 (NP) 和检查他们的患者小组能力.
- 关注影响加拿大基于团队的初级保健中NP患者小组规模的因素.
研究的目的:
- 调查影响护士执业医生患者小组规模的因素.
- 了解加拿大安大略省以团队为基础的初级保健的动态.
主要方法:
- 多个案例研究设计涉及八个基于团队的初级保健实践 (农村和城市).
- 包括至少有两年经验的执业护士.
- 对40名参与者 (NPs,管理人员,医生) 的面对面采访进行了内容分析.
主要成果:
- 患者,提供者,组织和系统因素影响NP患者小组规模.
- 关键的子因素包括患者需求的复杂性,整体护理,NP经验,团队动态和行政支持.
- 对护理的NP整体方法,解决社会决定因素和并发症,影响小组规模,通常被称为"灰色区域".
结论:
- 国家医生的整体护理,解决社会决定因素和并发性疾病,由于全面的患者需求评估,减少了小组规模.
- 多学科团队可以优化服务提供,以更好地满足患者的健康和社会需求.
- 团队服务的战略结构可能会增加NP患者小组的能力.
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