日常生活,短期优先事项和护士的角色阻碍了医院环境中的自我管理支持:一项混合方法研究
Susanne van Hooft1, Elke Berger2, Cailey van Torenburg3
1Research Centre Innovations in Care, Rotterdam University of Applied Sciences, P.O Box 25035, 3001 HA Rotterdam, the Netherlands.
International journal of nursing studies advances
|December 25, 2024
概括
由于医院的压力,护士经常优先考虑任务,而不是患者的自我管理支持. 需要更广泛的患者旅程视角来改善护理和增强护士的能力.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 患者护理 患者护理
背景情况:
- 在护理实践中,自我管理支持至关重要.
- 护士在医院实施自我管理支持时经常面临挑战.
研究的目的:
- 探索影响护士支持医院患者自我管理的因素.
- 了解护士对自我管理支持中的障碍和促进者的看法.
主要方法:
- 混合方法设计涉及问卷 (n=269) 和采访 (n=38) 与医院护士.
- 在SEPSS-36问卷中评估了自我效能和自我管理支持的表现.
- 半结构面试探讨了影响因素,目标设定,后续护理和护士的作用.
主要成果:
- 在自我管理支持方面,护士报告的自我效能 (18.34/24) 比实际表现 (12.03/24) 高.
- 采访表明,他们专注于医疗任务而不是情感支持,高患者流动阻碍了有意义的互动.
- 护士认为情感支持是对核心工作责任次要的.
结论:
- 医院护士的日常任务被短期优先事项所主导,往往掩盖了患者自我管理支持.
- 对即时任务的狭关注可能会阻碍患者的护理;更广泛的患者旅程视角是有益的.
- 重新评估护士的角色和医院的优先事项可以加强患者的自我管理支持.
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