在线异步持续专业发展工具包的影响,支持初级护理护士参与共享决策:单组前后研究
Marie-Eve Poitras1, Vanessa T Vaillancourt2, Priscilla Beaupré2
1Department of Family Medecine and Emergency Medecine, Université de Sherbrooke, 3001, 12e avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada. marie-eve.poitras@usherbrooke.ca.
BMC nursing
|April 11, 2025
概括
初级护理护士可以使用新的持续专业发展 (CPD) 工具包,改善与复杂患者的共享决策 (SDM). 该工具包增强了护士对SDM的信心和准备,证明了其相关性和影响.
科学领域:
- 护理实践 护理实践
- 医疗保健教育 医疗保健教育
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 是以人为中心的护理和护理实践的基础.
- 初级护理护士需要更好的准备来实施SDM,特别是对于复杂需求的患者.
研究的目的:
- 评估在线持续专业发展 (CPD) 工具包的相关性和影响,旨在提高初级护理护士的SDM技能.
- 评估工具包在提高护士对实践SDM的信心和承诺方面的有效性.
主要方法:
- 一个单组前后研究设计与初级护理护士一起使用.
- 新世界柯克帕特里克模型被用来评估工具包的相关性 (反应) 和学习 (信心,承诺).
- 使用描述性统计和t测试分析了定量数据;使用内容分析分析了开放式问题的定性数据.
主要成果:
- 165名护士参与了该工具包;69名护士完成了调查前和后的调查.
- 96%的护士同意这套工具会改善他们的实践.
- 该工具包显著提高了护士的信心 (p≤0.001) 和使用SDM治疗复杂患者的意图 (p≤0.01).
结论:
- 初级护理护士报告说,他们对实施SDM对有复杂需求的患者的角色有了更好的能力和理解.
- 为初级护理护士和由初级护理护士开发的CPD工具包显示出显著的相关性和学习成果.
相关概念视频
Nursing Implementation
4.8K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.8K
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.4K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.4K
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.1K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.1K
Ethical Dilemmas I
768
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
768
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K


