全科医生的工作方式的变化如何影响社区护士:一项定性研究
Louisa Polak1, Kristian Pollock2, Stephen Barclay1
1Department of Public Health and Primary Care, University of Cambridge, Cambridge.
概括
社区护士由于远程工作和多元化的团队,在息护理方面遇到了挑战,这影响了合作和支持. 决策者必须考虑这些对医疗保健生态系统的更广泛影响.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 护理学研究 护理学研究
- 息护理研究 息护理研究
背景情况:
- 研究初级保健变化的影响,包括远程工作和团队多样化 (医生助理,护理人员),对社区护士的影响.
- 突出了理解这些转变如何影响社区护士患者护理的差距.
研究的目的:
- 探索社区护士在提供息护理方面的经验.
- 探讨全科医生 (GPs) 不断变化的工作实践对社区护理的影响.
主要方法:
- 使用焦点小组进行的定性研究,通过Zoom与英国社区护士进行.
- 对收集的数据进行了使用常量比较的专题分析.
主要成果:
- 社区护士报告说,他们在息护理中的角色扩大,他们感到满意和不满意.
- 不满是由于远程通信阻碍了GP的合作,以及由于感知到远程GP护理不足而增加的工作量.
- 劳动力多样化导致人们担心在委托家庭访问时缺乏必要的"GP支持".
结论:
- 一般医生工作方法的变化影响社区护士,影响合作和支持结构.
- 政策制定者和专员需要评估初级保健变革对整个医疗保健生态系统的更广泛影响,而不仅仅是内部团队动态.
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