"护士还需要多少钱? :"对住院护士对提供艾滋病毒检测的观点进行定性分析
Emily D Grussing1,2, Sally D Dershwitz3,4, Olabimpe Asupoto5
1Tufts Medical Center, Boston, MA, USA. emily.grussing@tuftsmedicine.org.
BMC nursing
|March 27, 2025
概括
护士们发现了医院普遍进行艾滋病毒检测的障碍,例如工作量增加和同意问题. 然而,他们也看到了促进者,比如利用现有系统和教育,为可持续的,护理驱动的艾滋病毒检测协议提供教育.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 实施科学 实施科学
背景情况:
- 疾病控制和预防中心 (CDC) 建议对所有住院患者进行艾滋病毒检测.
- 在住院患者中艾滋病毒检测率低,这对公共卫生构成了挑战.
- 这项研究探讨了在医疗中心实施护理驱动的,普遍的艾滋病毒检测协议.
研究的目的:
- 评估住院护士对实施基于护理的艾滋病毒检测协议的障碍和促进者的观点.
- 确定克服在住院患者中扩大艾滋病毒检测挑战的策略.
主要方法:
- 使用深度访谈和重点小组进行定性研究设计.
- 研究指南是基于实施研究的综合框架和理论领域框架的信息.
- 塔夫茨医疗中心的住院护士有资格,并通过各种方法招聘.
主要成果:
- 出现了八个主要主题,分为障碍物和促进者.
- 障碍包括对图表负担增加,测试优先级,同意范围,错误信息和患者违法行为的担忧.
- 促进者涉及到对测试必要性的信念,利用现有系统 (护理支持,教育) 和培养信任.
结论:
- 护士们对普遍实施艾滋病毒检测表示担忧.
- 现有的系统和策略可以用于可持续的,护理驱动的艾滋病毒检测.
- 成功的关键因素包括协议化,参与,信任和护理冠军.
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