在医院环境中,主护士的工作内容:一个范围审查和多国德尔菲研究
Lukas Billiau1, Simon Malfait2, Karen Mannekens3
1Strategic Policy Cell, Ghent University Hospital, Ghent, Belgium.
International journal of nursing studies
|April 1, 2025
概括
这项研究开发了一个欧洲主护士职位内容汇编,揭示了国际证据和当地专家观点之间的差距. 经过验证的框架指导医院领导人在定义关键的护士负责人角色.
科学领域:
- 护理管理 护理管理
- 医疗保健管理部门的管理.
- 组织领导力 组织领导力
背景情况:
- 首席护士管理复杂的角色,如护士,经理和领导.
- 目前还没有欧洲编制的医院主护士职位内容.
- 这凸显了对主护士职责的标准化框架的需要.
研究的目的:
- 开发和验证欧洲医院内首席护士职位内容的综合汇编.
- 创建一个资源,准确地反映主护士的多方面的职责.
- 为了解决缺乏欧洲特定的护士长职位框架的问题.
主要方法:
- 进行了相关文献的范围审查,随后进行了两轮跨国Delphi研究.
- 纳入标准集中在医院环境中24小时一线责任的护士主任.
- 包括首席护士和护士经理在内的欧洲论领袖参与了德尔菲研究,以改进编译.
主要成果:
- 一项范围审查确定了64个主要护士职位的术语,并将职位内容分为四个主要主题.
- 德尔菲研究最终汇编了四个主要主题,10个子主题和53个任务描述.
- 关键领域包括运营管理,患者护理,人力资源和政策制定,具体排除基于专家共识.
结论:
- 根据国际证据得出的护士主任职位内容与欧洲论领袖优先考虑的不同.
- 在欧洲专家中,主护士任务的感知相关性存在显著的碎片化.
- 编制的汇编为医院提供了一个量身定制的指南,以定义与战略优先事项一致的首席护士角色.
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