为患有酒精和其他药物挑战的护士提供"纪律替代"计划是否与全球背景相关? 一个范围广泛的审查
Adam Searby1, Rachel Shuster2, Leila S Ledbetter3
1Monash University, School of Nursing and Midwifery, Melbourne, Victoria, Australia.
International journal of mental health nursing
|March 19, 2025
概括
纪律方案的替代方案帮助有物质使用问题的护士重返实践. 全球实施需要解决方案成本,严格戒酒规则,并根据个人需求量身定制支持.
科学领域:
- 护理 护理 护理
- 医疗保健政策 医疗保健政策
- 药物成治疗 药物成治疗
背景情况:
- 经历过酒精和/或毒品使用的护士对劳动力的可持续性构成风险.
- 由于物质使用问题而失去经验丰富的护士,会影响患者的护理.
- 纪律方案的替代方案为护士提供了一条获得治疗和返回实践的途径.
研究的目的:
- 探索现有的护士纪律方案的替代方案.
- 评估这些计划的全球相关性和适用性.
- 确定国际实施的障碍和促进因素.
主要方法:
- 根据JBI的方法进行了范围审查.
- 从1984年到2024年,在多个数据库 (MEDLINE,Embase,CINAHL,ProQuest) 中进行了搜索.
- PRIMSA-ScR检查清单指导了对19项纳入研究的审查.
主要成果:
- 发现的挑战包括项目成本,严格的禁欲要求和缺乏个性化的支持.
- 程序有时被认为是惩罚性的,阻碍了接受.
- 解决这些问题对于成功的全球采用至关重要.
结论:
- 纪律方案的替代方案对于保留有物质使用挑战的护士至关重要.
- 需要对计划进行修改,以提高全球的可访问性和有效性.
- 改变人们的看法,以支持而不是惩罚的方式是必不可少的.
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