关于非洲息护理发展的综合范围审查:最近的进展和持续的差距
Fernanda Bastos1,2, Eduardo Garralda1,2, Alvaro Montero1,2
1Institute for Culture and Society, ATLANTES Global Observatory of Palliative Care, University of Navarra, Pamplona, Spain.
Frontiers in health services
|December 24, 2024
概括
在非洲,息治疗 (PC) 的需求很高,但服务仍然有限. 虽然自2017年以来PC开发的进展显而易见,但在确保整个非洲大陆的公平获取方面仍然存在重大挑战.
科学领域:
- 全球健康 全球健康
- 息护理研究 息护理研究
- 非洲卫生系统 非洲卫生系统
背景情况:
- 非洲面临着对息治疗 (PC) 的大量需求,全球有5680万人需要它.
- 非洲PC发展现有的审查需要更新,以反映最近的进展.
- 世界卫生组织 (WHO) 关于PC开发的框架已经扩展到包括研究和赋权.
研究的目的:
- 进行2017年至2023年非洲息护理发展的范围审查.
- 评估PC服务,教育,药物,政策,研究和社区赋权方面的进展.
- 确定非洲息治疗的持续挑战和未来发展领域.
主要方法:
- 范围审查方法遵循阿克西和奥马利的框架和PRISMA-ScR检查清单.
- 系统地搜索数据库 (PubMed,CINAHL,Embase) 和灰色文献 (政府网站,非洲PC协会地图).
- 对118个符合纳入标准的记录进行分析,根据世卫组织PC开发框架进行评估.
主要成果:
- 报告指出,成人专业化息护理服务的增加,但在54个国家中,有15个国家提供儿科服务.
- 在29个国家的本科课程中整合了息护理教育; 在28个国家,吗啡的可用性增加了,但消费仍然很低.
- 尽管PC出版物和26个国家PC协会的数量有所增加,但人均服务提供仍然非常低.
结论:
- 自2017年以来,非洲的息护理发展取得了进展,特别是在成人服务和教育方面.
- 在服务获取,儿科护理和必需药品消费方面仍然存在显著的差异和局限性.
- 持续的研究,政策制定和社区赋权对于在非洲实现公平的息护理准入至关重要.
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:25Continuing Care
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
01:21Planning Nursing Care I
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
01:27Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare: