中国护士对以价值为基础的护理的知识,态度和实践:一个横截面研究
Yuhang Li1,2, Yaxin Liu1,2, Jin Wen3
1Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, 610041, China.
BMC nursing
|August 25, 2024
概括
中国护士对基于价值的护理 (VBC) 的理解有限,发现了普遍存在的低价值医疗实践. 需要进一步培训,以提高VBC知识和实施.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 卫生经济学 卫生经济学
背景情况:
- 基于价值的护理 (VBC) 对于改善患者的治疗结果和提高医疗保健的成本效益至关重要.
- 评估护士的知识,态度和实践 (KAP) 对成功实施VBC至关重要.
研究的目的:
- 评估中国注册护士在价值基础护理方面的KAP.
- 确定中国护理劳动力中VBC采用的障碍和促进者.
主要方法:
- 在中国18个省份的1825名注册护士中进行了一项多中心,在线,横截面的调查.
- 使用五分利克特级别的结构化问卷来评估护士对VBC的KAP.
- 数据是通过Wenjuanxing (SoJump) 平台收集的,目标是专业护理团体.
主要成果:
- 只有41.32%的护士报告熟悉VBC,尽管68%表示对相关培训感兴趣.
- 在自我报告和关于同事的报告之间报告的低价值服务中观察到一个显著的差异 (p < 0.001).
- 护士报告"不必要的实验室检测" (6.52%) 作为最高的低价值服务,而"治疗不足" (12.75%) 在报告同事时是最高的.
结论:
- 中国护士对基于价值的护理原则和实践的理解相对较低.
- 这项研究表明,低价值的医疗实践可能在中国医疗保健系统中普遍存在.
- 建议采取有针对性的教育和培训举措,以提高VBC知识,减少低价值护理.
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