护士带领诊所的组织和实施:从五个国家的经验中吸取教训
Marie Cerulus1,2, Nathalie Duerinckx2,3,4, Fabienne Dobbels3
1Gerontology and Geriatrics, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
护士主导的诊所组织在不同的环境中,拥有不同教育程度的护士. 成功实施需要明确的角色,协作和支持框架,以实现可持续的整合.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 卫生政策 卫生政策
背景情况:
- 护士主导的诊所是医疗保健提供的一个不断发展的模式.
- 了解它们的组织和实施因素对于医疗保健系统至关重要.
研究的目的:
- 描述护士领导的诊所的组织.
- 确定促进或阻碍其在五个国家实施的因素.
主要方法:
- 进行了一项描述性的多方法研究.
- 分析包括政策文件,护理资料,文献和27个利益相关者采访.
- 使用复杂干预框架的上下文和实施来绘制上下文因素.
主要成果:
- 护士领导的诊所在各种环境中建立,由具有不同教育背景的护士领导.
- 拥有士学位的高级实践护士通常具有更大的自主权.
- 关键的促进因素包括持续教育,明确的角色划分,组织准备,以及证明的质量,安全和成本效益.
结论:
- 护士主导的诊所需要足够的护士培训和经验,以进行自主执业.
- 成功的整合取决于明确的角色,专业间的合作,以及支持性的法律,教育和金融结构.
- 这项研究为决策者和组织提供了关于采用护士领导诊所模型的指导.
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