高级护士实践人员 (ANPs) 质量和成果框架 (QOF) 计划的经验:英国的案例研究
Nagina Khan1, Stephen Peckham2,3
1Centre for Health Services Studies, University of Kent, Canterbury, UK N.Khan-523@kent.ac.uk.
BMJ open
|November 24, 2024
概括
按绩效支付计划应该包括护士,特别是高级执业护士 (ANP),他们是医疗保健中的重要合作者. 承认他们的领导潜力可以提高国家卫生服务机构内的质量倡议和患者护理.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 质量改善倡议 质量改善倡议
背景情况:
- 英国的绩效支付 (P4P) 计划主要侧重于医生活动,忽视了护理保健的重要作用.
- 护士是医疗保健专业人员中最大的群体,但他们对质量框架 (如质量和结果框架 (QOF)) 的贡献往往被低估.
- 高级护士执业人员 (ANP) 在医疗保健系统中具有显著的领导潜力.
研究的目的:
- 探索高级护士从业人员 (ANPs) 与质量和结果框架 (QOF) 的经验.
- 检查ANP的领导潜力和影响医疗保健系统的能力,特别是长期条件 (LTC) 护理.
- 应用隐性领导理论 (ILT) 框架来理解P4P计划中的护理角色.
主要方法:
- 采用一个案例研究方法,合成了六篇关于QOF和ANP的文章.
- 主题综合侧重于ANP在一般实践中的LTC护理方面的领导力发展.
- 分析检查了ANP影响更广泛的医疗保健系统的能力.
主要成果:
- 六个主要主题出现了:以患者为中心的护理,战略决策,奉献和公平,护理活力,协作挑战和护理领导力.
- 这些ANP表现出智慧,奉献精神和活力,在医疗保健机构中扮演合作者的角色.
- 尽管护理活动很重要,但在QOF中却被忽视了.
结论:
- 担任领导角色的护士培养积极的工作关系,管理冲突,并为共同目标做出贡献.
- 应用ILT特征证实护士能够有效地作为合作者发挥作用.
- 未来的P4P计划必须采用集体方法,整合所有医疗保健人员,以加强质量举措和医疗保健服务.
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