解释农村和偏远老年护理设施的背景,为新护理模式做好准备:混合方法研究
Alison Craswell1, Karen Watson1, Marianne Wallis2
1University of the Sunshine Coast, Sippy Downs, Queensland, Australia.
Journal of advanced nursing
|December 9, 2024
概括
在农村老年护理中实施执业护士需要了解当地环境和挑战. 员工重视人际关怀,但由于资源稀缺和时间压力,难以满足复杂的需求.
科学领域:
- 老年学是指老年学的学科.
- 农村卫生 农村卫生
- 医疗保健管理的管理
背景情况:
- 农村地区的地理隔离性限制了医疗保健和熟练的老年护理劳动力.
- 农村老年护理居民有复杂的慢性疾病和终身护理需求.
- 澳大利亚面临全科医生短缺,这影响了农村招聘.
研究的目的:
- 探索农村老年护理设施的内部和外部医疗保健背景.
- 在澳大利亚昆士兰州的农村和偏远老年护理机构实施护士实践者模型的信息.
主要方法:
- 融合混合方法设计使用从阿尔伯塔背景工具的定性访谈和定量数据.
- 从员工那里收集有关角色,文化和人际关系的定性数据.
- 从组织反数据分析家庭观点.
主要成果:
- 关系护理是有价值的,但由于时间限制和当地医疗保健服务稀缺,员工面临着满足居民需求的挑战.
- 存在支持性的组织文化,但政策变化会影响农村环境中的员工招聘.
- 特定环境的需求超出了执业护士的专业知识范围.
结论:
- 了解组织上下文需求对于成功改变农村老年护理至关重要.
- 地理和部门细微差别对实施新的护理模式产生重大影响.
- 农村和偏远的设施必须适应政府对老年人护理部门的不断变化的政策.
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