在社区护理中制定和测试专业报告准则的实施反思方法:基于设计的研究
Nicole Vullings1, Maud Heinen1, Marian Adriaansen2
1Radboud Institute of Health Sciences, Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands.
Journal of advanced nursing
|January 21, 2025
概括
一种新的反思方法有助于社区护士和认证护理助理改善日常护理报告. 这种协作方法增强了学习和批判性评估,与专业指南保持一致.
科学领域:
- 护理实践 护理实践
- 医疗保健专业发展
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 在日常护理中实施专业报告准则给护士和护理助理带来了挑战.
- 需要结构化的方法来支持医疗保健专业人员采用新的报告标准.
- 弥合基于研究的指导方针和临床实践之间的差距对于有效的患者护理至关重要.
研究的目的:
- 开发和确定社区护士和认证护理助理反思方法的关键特征.
- 支持在日常护理和护理实践中实施专业报告准则.
- 加强医疗保健专业人员之间的协作学习和批判性评估.
主要方法:
- 基于设计的研究方法在2021年2月至2022年4月期间在荷兰使用.
- 一个设计小组,包括护士,认证护理助理和患者代表,开发了该方法.
- 对视频录像和测试组观察笔记的专题分析完善了该方法并确定了关键特征.
主要成果:
- 开发了一个最终的反思方法,包含三个主要主题:对行为变化的影响,群体学习和批判性反思的条件因素.
- 确定了七个基本的关键特征,包括专注于批判性反思,分配足够的时间,多样化的参与者纳入,适当的组规模,简单性和促进转移到临床实践.
- 该方法涉及两次2小时的会议,最多有6名参与者和一名教练.
结论:
- 开发的反思方法促进社区护士和认证护理助理的协作学习.
- 参与者通过反思和同行反改善了报告质量和日常实践的批判性评估.
- 这种方法有效地与"护理和护理报告"指南保持一致,将研究和临床实践联系起来.
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