在急性护理机构中,注册护士和未经许可的辅助人员之间的团队合作:范围审查
Kang Lynn Wong1, Wei Ling Chua1, Peter Griffiths2,3
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
International journal of nursing studies advances
|February 5, 2025
概括
注册护士和没有执照的辅助人员的团队合作是不理想的,因为角色不清楚,委托不足和沟通障碍. 改善这些因素可以提高患者的护理.
科学领域:
- 护理工作人员动力学
- 医疗保健团队协作 医疗保健团队协作
- 患者护理质量 患者护理质量
背景情况:
- 增加未经许可的辅助人员 (UAP) 的就业,以支持注册护士 (RN) 在病床护理中.
- 需要了解影响RN-UAP在急性护理环境中的团队合作的因素.
研究的目的:
- 对影响注册护士和急症护理机构未经许可的辅助人员之间的团队合作因素的现有文献进行范围调整.
- 确定有效的RN-UAP合作的挑战和促进者.
主要方法:
- 使用Arksey和O'Malley (2005) 框架进行范围审查.
- 搜索了8个电子数据库,截至2024年8月.
- 包括38项研究,数据使用融合定性合成进行合成.
主要成果:
- 五个主要主题出现了:角色明确性,委托,沟通,病房文化和人际关系.
- 确定的挑战包括不清楚的角色,无效的委托和沟通障碍.
- 低于最佳的团队合作与排斥轮班交换和权力差异有关.
结论:
- 目前,在急性护理机构中,RN-UAP团队合作的效果并不理想.
- 改进需要明确的角色,有效的委托,增强的沟通和积极的人际关系.
- 未来的研究应该专注于通过教育优化沟通和RN委托技能.
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