描述临床护士专家实践:一种混合方法研究
Kelley Kilpatrick1, Ruth Tewah, Eric Tchouaket
1Author Affiliations: Associate Professor and Susan E. French Chair in Nursing Research and Innovative Practice(Dr Kilpatrick), Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University; Affiliate Faculty (Dr Kilpatrick), Canadian Centre for Advanced Practice Nursing Research (CCAPNR); and Regular Researcher (Dr Kilpatrick), Centre intégré universitaire de santé et de services sociaux (CIUSSS) de l'Est-de-l'Île-de-Montréal-Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada; BScN Student, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal (Ms Tewah); and Full Professor and Canadian Research Chair in the Economics of Infection Prevention and Control, Département des sciences infirmières, Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada (Dr Tchouaket); University Lecturer (Dr Jokiniemi), Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio; and Associate Professor (Dr Bouabdillah), Département des sciences infirmières, Université du Québec à Trois-Rivières, Trois-Rivières; Director of Nursing (Dr Biron), McGill University Health Centre, Montréal; Assistant to the Director of Nursing (Ms Emed), Professional Practice and Academic Affairs, Jewish General Hospital, CIUSSS du Centre-Ouest-de-l'Île-de-Montréal; and Assistant Professor (Ms Emed), Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal; Director of Nursing (Ms Martel), Centre hospitalier universitaire (CHU) de Québec-Université Laval; Research Administrator (Ms Atallah), Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University; and Research Professional (Ms Jabbour), CIUSSS de l'Est-de-l'Île-de-Montréal-Hôpital Maisonneuve-Rosemont, Montréal, Québec; and Full Professor and Alba DiCenso Chair in Advanced Practice Nursing (Dr Bryant-Lukosius), School of Nursing, Faculty of Health Sciences, and Associate Member (Dr Bryant-Lukosius), Department of Medical Oncology, Juravinski Cancer Centre, McMaster University; and Codirector (Dr Bryant-Lukosius), Canadian Centre for Advanced Practice Nursing Research, and Health Sciences Centre, Hamilton, Ontario, Canada.
北克的临床护士专家花费大约五分之一的时间直接照顾病人,在角色和地区之间存在很大的差异. 一个拟议的仪表板旨在跟踪他们的实践和结果.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床护士专家 (CNS) 的角色对于推进患者护理和医疗保健系统至关重要.
- 了解CNS时间在各种职业活动中的分布对于优化其影响至关重要.
- 需要一种标准化的方法来跟踪CNS实践维度和结果.
研究的目的:
- 描述加拿大北克的临床护士专家的实践模式.
- 开发一个仪表板原型,用于监测中枢神经系统的角色维度和相关结果.
主要方法:
- 在北克省的六个地点进行了一项连续的混合方法研究.
- 用时间和运动研究 (n=25,203小时) 来量化中枢神经系统活动.
- 焦点小组和采访为工具的调整和仪表板的开发提供了信息.
主要成果:
- 临床护士专家将22.8%的时间用于临床活动,11.2%用于教育,48.6%用于管理/领导,9.6%用于研究.
- 直接的病人护理平均占工作时间的17%,根据专业和地点有显著差异.
- 确定了CNS实践仪表板的基本特征和应用.
结论:
- 临床护士专家如何分配他们在北克的时间存在显著的区域和专业差异.
- 直接的病人护理占中枢神经系统工作时间的约20%.
- 建议进行进一步的研究,以探索中枢神经系统实践与患者结果之间的关系,并实施和评估拟议的仪表板.
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