描述一项关于组织和实施前线护理服务在多种健康系统中的实施效率研究计划
Miriam Bender1, Marjory Micki Williams2
1Sue & Bill Gross School of Nursing, University of California, Irvine 854 Medical Sciences Quad, Irvine, California, USA.
Journal of advanced nursing
|August 17, 2024
概括
这项研究探讨了临床护士领导护理模式,即一线护理干预. 研究结果为医疗保健系统提供了切实可行的策略,通过成功实施来提高患者护理质量和安全.
科学领域:
- 护理科学 护理科学
- 实施科学 实施科学
- 医疗保健管理的管理
背景情况:
- 临床护士领导者 (CNL) 护理模式是一种系统级干预措施,赋予护士在患者护理的前沿地位.
- 了解影响CNL模型实施及其结果的因素对于改善医疗保健质量至关重要.
研究的目的:
- 为了澄清临床护士领导实践.
- 开发和验证前线护理交付的翻译模型,将CNL实践纳入其中.
- 确定与成功实施CNL模型相关的模式和关键结果.
主要方法:
- 一个纵向的研究计划,采用知识建设轨迹.
- 利用多种定性 (有根据的理论,案例研究) 和定量 (描述性,相关性,准实验性) 的研究设计.
- 在基于系统的参与性框架内采用混合方法进行实施效率研究.
主要成果:
- 证明了临床护士领导者护理模型的有效性,作为在各种医疗保健环境中的复杂干预.
- 展示了患者护理质量和安全方面的改进.
- 通过阐明实施,干预和背景之间的相互依存关系,为实施科学做出了贡献.
结论:
- 基于证据的实施策略 ("食谱") 可以适应特定的卫生系统环境和需求.
- 为组织护理实践提供了可行的证据,使其成为成功的现实世界护理模型.
- 旨在通过优化护理角色来实现更安全,更高质量的患者护理.
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