一个逻辑模型和多国共识定义撒哈拉以南非洲的初级息治疗
Oladayo Afolabi1, Anna Peeler1, Kennedy Nkhoma1
1King's College London (O.A., A.P., K.N., C.E., E.N., E.A.O.L., R.H.), Florence Nightingale Faculty of Nursing, Midwifery & Palliative care, Cicely Saunders Institute, London, UK.
Journal of pain and symptom management
|March 27, 2025
概括
撒哈拉以南非洲地区的初级息护理需要特定于环境的定义和运行. 培训医疗保健工作者和提供资源对于改善息护理获取和结果至关重要.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 撒哈拉以南非洲地区在多样化的医疗保健系统中面临着日益增长的息治疗需求.
- 在该地区实现全民医疗覆盖,实现初级息治疗是必不可少的.
- 需要一个明确的定义和模型来指导撒哈拉以南非洲地区的初级息护理发展.
研究的目的:
- 在撒哈拉以南非洲的背景下对初级息护理进行概念化和操作化.
- 开发一个基于证据的逻辑模型,用于撒哈拉以南非洲的初级息护理.
- 建立针对撒哈拉以南非洲卫生保健系统量身定制的初级息治疗的共识定义.
主要方法:
- 在津巴布韦哈拉雷,与有意抽样的初级息护理专家进行了一次研讨会.
- 使用CDC指南开发了一个逻辑模型.
- 使用修改名义组技术制定了一个共识定义.
主要成果:
- 来自8个国家的24名专家参加了会议,其中大多数人担任多个角色 (研究人员,医生,护士).
- 确定了撒哈拉以南非洲地区初级息治疗的基本资源,活动,产出和结果,包括改善生活质量和熟练的劳动力.
- 确定的主要定义组件是整体的,文化一致的护理,以及医疗保健入口点的可访问性,重点是提供者类型或位置的访问.
结论:
- 开发的组件涉及撒哈拉以南非洲的独特背景,挑战和优势.
- 优先培训初级医疗保健工作人员在息治疗方面的培训至关重要.
- 有必要提供足够的支持和资源,以提高该地区的初级息护理成果.
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