基于社区的护理发展的障碍和促进者:范围审查
Naiemeh Seyedfatemi1, Hamid Peyrovi1, Salime Goharinezhad2
1Nursing and Midwifery Care Research Canter (NMCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
社区护理 (CBN) 发展面临着诸如组织薄弱和媒体影响力等挑战. 改革政策,加强教育和提高公众意识是克服这些障碍以获得更好的医疗保健的关键.
科学领域:
- 公共卫生 公共卫生
- 护理科学 护理科学
- 医疗保健管理的管理
背景情况:
- 新兴的慢性疾病和新出现的传染病 (例如,COVID-19) 给医疗管理带来了重大挑战.
- 基于社区的护理 (CBN) 为解决不断变化的健康和社会问题提供了一个潜在的解决方案.
- 了解影响CBN发展的因素对于有效的医疗保健服务至关重要.
研究的目的:
- 确定影响社区护理发展的障碍和促进者.
- 系统地审查对影响CBN的因素的现有研究.
主要方法:
- 进行了全面的范围审查.
- 在2000年至2023年期间搜索了五个主要数据库 (ProQuest,PubMed,CINAHL,Scopus,Web of Science).
- 对22篇选定的文章进行了主题分析.
主要成果:
- 促进者包括教育,文化敏感性,政策改革,公众意识,护理经验和改进的服务提供方法.
- 障碍物被分为组织力量弱,工作倦怠,错误的信念/期望和负面的媒体影响.
- 教育和公众意识成为成功CBN的重要因素.
结论:
- 改革政策,强调文化能力,教育和公众意识对于推动CBN至关重要.
- 解决组织的弱点,倦怠,误解和媒体描绘是消除障碍的关键.
- 需要进行战略性干预,以促进社区导向护理的发展.
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