提供者对成人社区息护理实施的观点:一个范围审查
Nicole Dussault1, Dorian Ho2, Haripriya Dukkipati3
1Duke University School of Medicine, Durham, NC, USA.
Medical care research and review : MCRR
|January 2, 2025
概括
社区息护理 (CBPC) 的障碍包括提供者误解和劳动力短缺. 解决提供者,组织和政策因素对于扩大息护理获取至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
- 定性研究综合 定性研究综合
背景情况:
- 社区息护理 (CBPC) 计划正在扩大,但面临实施挑战.
- 提供者对CBPC障碍和促进者的观点尚不清楚.
- 了解这些观点是改善人们获得息护理的关键.
研究的目的:
- 对美国成人CBPC实施障碍和促进者的提供者观点进行范围审查.
- 在提供者,组织和外部环境层面确定关键主题.
- 为扩大CBPC计划的策略提供信息.
主要方法:
- 在OVID,MEDLINE和CINAHL系统搜索定性研究 (2010-2024年).
- 利用PRISM框架合成来组织发现.
- 包括34篇同行评审的文章.
主要成果:
- 提供者层面的障碍:对息治疗 (PC) 的误解,沟通不良. 促进者:多学科团队,推提供者教育.
- 组织障碍:时间限制. 促进者:领导力买入,共设诊所.
- 外部环境障碍:PC员工数量有限,补偿不足.
结论:
- 扩大CBPC的规模需要在提供者,组织和政策层面解决多方面的障碍.
- 干预措施应针对提供者教育,组织支持和报销政策.
- 为了成功实施CBPC,未来的努力必须整合各利益相关者的不同观点.
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