全球APN麻醉的实践范围:一个范围审查
Luzia Vetter1, Daniela Maurer2, Maya Zumstein-Shaha3
1Department of Nursing, Lucerne Cantonal Hospital, Lucerne, Switzerland; Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland.
概括
在麻醉中,高级实践护士 (APN) 通过扩展技能来增强术后护理. 本综述定义了他们的能力和实践范围,强调了他们在麻醉服务中的互补作用.
科学领域:
- 护理 护理 护理
- 麻醉学 麻醉学
- 医疗保健管理的管理
背景情况:
- 术后护理需要在临床评估,患者教育和宣传方面拥有先进的能力.
- 在麻醉中,高级实践护士 (APN) 提供了一个潜在的解决方案,以改善术后护理.
- 虽然麻醉专业化存在,但APN麻醉的高级实践水平和作用尚未普遍确立.
研究的目的:
- 总结关于已建立的高级实践护士 (APN) 麻醉角色的能力和实践范围 (SOP) 的当前证据.
- 确定APN麻醉的必要作用,以有效实施.
- 确定 APN 麻醉的先决条件和 SOP.
主要方法:
- 根据Arksey和O'Malley框架和JBI审查员手册进行了范围审查.
- 在PubMed,PsycINFO,CINAHL和Scopus数据库中搜索了2010年至2023年的论文.
- 美国,亚洲和欧洲的APN麻醉角色的评估描述.
主要成果:
- 从1,749个已识别的论文中,包括了24篇论文.
- 没有发现APN麻醉的统一实践范围 (SOP).
- 在美国,注册护士麻醉师 (CRNA) 代表了具有高度自主性的明确定义的角色.
- 麻醉学角色包括实践发展,临床评估,教育和家庭参与,超越专业护士角色.
- 一些APN麻醉角色专注于特定的条件 (例如,痴呆症,自闭症) 或设置 (例如,术后护理,息治疗).
结论:
- 先进实践护士 (APN) 麻醉是一个互补的角色,将护理专业知识与先进的医学知识相结合.
- APN麻醉提供关键的手术前评估,患者/家庭教育和专业的手术内护理.
- 在麻醉后护理单位和息护理部门的扩大职责突显了APN麻醉的多功能贡献.
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