在加拿大新不伦瑞克实施执业护士 (NP) 带领诊所的员工经验
Lillian MacNeill1, Karine Légère2, Sarah Balcom3
1Department of Nursing and Health Sciences, University of New Brunswick, Saint John, Canada.
概括
执业护士领导的诊所改善了新不伦瑞克的初级保健服务. 关键的促进者包括指导和协作,而障碍则涉及时间表和人员挑战.
科学领域:
- 医疗保健提供 医疗保健提供
- 主要护理是指初级护理.
- 护理实践 护理实践
背景情况:
- 在加拿大,获得初级保健是一个重大挑战,15%的新不伦瑞克 (NB) 公民缺乏初级保健提供者 (PCP).
- 新北省政府推出了执业护士 (NP) 领导的诊所,以解决PCP短缺和减少等待列表.
研究的目的:
- 识别NP领导诊所实施的促进者和障碍者.
- 了解临床工作人员对NP领导的临床操作的看法.
主要方法:
- 进行了一项横截面的定性描述性研究.
- 数据是通过半结构化采访收集的,采访了NB的两个NP主导诊所的16名员工.
- 使用定性内容分析来分析数据.
主要成果:
- 促进者包括经验丰富的导师,协作实践环境和设备齐全的设施.
- 发现的障碍是忙实施时间表,复杂的决策,大量案件,空间不足以及招聘/保留困难.
- 由NP领导的诊所对获得初级保健产生了积极的影响,减少了急诊室和门诊的负担.
结论:
- 在加拿大,NP主导的诊所对于改善初级保健的准入至关重要,尤其是在加拿大服务不足的地区.
- 建议包括扩大NP主导的诊所和整合相关卫生专业人员,以更好地整合护理.
- 研究结果为NB及其他地区开发和实施类似诊所提供了洞察力.
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