医疗保健助理和注册护士二合一,一起工作和分开工作 - - 一项定性研究
Rachael E Carroll1, Kay De Vries2, Claire Goodman3
1Injury, Recovery & Inflammation Sciences, University of Nottingham, Nottingham, UK. Rachael.carroll@Nottingham.ac.uk.
BMC nursing
|December 30, 2024
概括
医院的医疗保健助理和注册护士通常以孤立的,以任务为中心的方式工作. 这种双层关系虽然紧密,但限制了共同的目标和学习,对医疗保健助理的工作产生了负面影响.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 定性研究是指质量研究.
背景情况:
- 调查了医疗保健助理 (HCAs) 和注册护士 (RNs) 的角色和责任.
- 专注于如何在成人急性医院环境中谈判这些角色.
研究的目的:
- 了解HCA和RN合作的动态.
- 探索他们的工作关系对患者护理和工作人员经验的影响.
主要方法:
- 采用了一个专注的民族学定性方法.
- 使用非参与者观察 (148小时) 和采访 (108) 与HCA和RN.
- 使用NVIVO10分析数据以确定关键主题.
主要成果:
- 医疗保健医生与RNs独立和相互依赖地工作,角色通常由任务和病房文化划分.
- 任务划分在观察和解释患者状况方面造成了潜在的分歧.
- 在基本的护理中,RN的参与是不一致的,双向合作很少促进共同的目标或学习.
结论:
- HCA和RN之间的密切,任务驱动的工作关系可能会对HCA造成孤立.
- 双层结构没有有效地促进共同目标,专业发展或护理审查.
- 在这些二中,加强协作和以人为中心的护理的机会似乎有限.
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