制定政策干预措施的分类法,以便将执业护士整合到卫生系统中
Joshua Porat-Dahlerbruch1,2,3, Shoshana Ratz2, Moriah Ellen2,3,4
1Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA.
International journal of health policy and management
|December 2, 2024
概括
政策干预对于将执业护士 (NP) 纳入卫生系统至关重要. 这项研究开发了一个分类学,以改善NP集成,并有效地解决供应商短缺问题.
科学领域:
- 卫生政策 卫生政策
- 护理实践 护理实践
- 卫生系统管理管理卫生系统管理
背景情况:
- 由于医生短缺和医疗保健需求的增加,在全球范围内,执业护士 (NPs) 越来越重要.
- 有效地整合NP对于优化患者和系统结果至关重要.
- 关于成功整合NP的实际政策干预措施的信息有限.
研究的目的:
- 划出政策干预措施的分类法,以将NP纳入卫生系统.
- 从国家和组织层面捕捉政策制定方面的观点.
- 介绍以色列在老年学NP中开发的分类学.
主要方法:
- 使用一对一访谈进行的定性描述性研究.
- 涉及四个专业群体:国家政策制定者,组织管理人员,NP和医生.
- 采用演性的内容分析,考虑分歧和趋同的模式.
主要成果:
- 在四个专业组中确定了58名参与者.
- 国家层面的干预措施包括营销,劳动力发展,监管,财政激励,利益相关者合作,教育和研究.
- 组织和单位层面的干预重点是指导方针,基础设施,领导参与,沟通和指导.
结论:
- 制定了三个卫生系统级别 (国家,组织,单位) 的分类法.
- 这些干预措施可以改善对提供者短缺的反应.
- 政策必须解决角色明确性和员工保留问题,以有效地整合NP,并打击短缺问题.
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