在中国实施实践护士培训试点计划的障碍和促进因素:由CFIR指导的描述性定性研究
Qian Zhang1, Shifan Han2, Wenjing Dong3
1School of Nursing, Shanxi Medical University, Taiyuan 030001, China; Department of Nursing, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan 030032, China.
Nurse education today
|November 26, 2024
概括
中国的执业护士显示出处方的潜力,但面临法律支持和培训缺乏等障碍. 解决这些因素是成功实施和政策制定的关键.
科学领域:
- 护理实践 护理实践
- 医疗保健政策 医疗保健政策
- 实施科学 实施科学
背景情况:
- 在全球范围内,有44个国家允许护士开处方,美国有27个州授予执业护士完全执业权.
- 中国大陆缺乏国家立法,允许执业护士开处方,尽管正在出现试点项目.
- 了解中国护士处方的障碍和促进因素对于程序开发至关重要.
研究的目的:
- 识别,评估和综合护士从业人员和利益相关者对中国护士处方的看法.
- 在两个试点项目中探索影响护士处方开发和实施的障碍和促进因素.
主要方法:
- 采用了一种描述性的定性研究设计.
- 数据是通过与执业护士,合作者,政策制定者和培训师的半结构面试收集的.
- 实施研究综合框架 (CFIR) 指导数据分析.
主要成果:
- 在五个CFIR领域中确定了31个障碍物和50个促进者.
- 主要障碍包括紧迫性不足,缺乏政策/法律支持,培训不足和公众意识低.
- 促进者包括实践经验,护士能力/信心,团队合作和医疗需求.
结论:
- 中国在护士执业者处方倡议方面有很大的潜力.
- 解决已识别的障碍和利用促进者对于成功实施至关重要.
- 试点计划的结果可以显著影响未来的国家护士处方政策.
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