初级保健实践中的痴呆症护理管理:在执业护士中进行了一项描述性研究
Lusine Poghosyan1, Maura Dougherty2, Grant R Martsolf3
1Center for Healthcare Delivery Research and Innovation, Columbia University School of Nursing, 560 West 168th Street, New York, NY, 10032, USA. lp2475@cumc.columbia.edu.
BMC primary care
|May 15, 2025
概括
在初级保健中,执业护士 (NPs) 报告了痴呆症护理质量的挑战,并面临着倦怠. 加强实践支持对于不断增长的痴呆症患者群体至关重要.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 全球有超过5500万人患有痴呆症,每年诊断出1000万新病例.
- 在美国,有690万65岁以上的人患有痴呆症,这给医疗保健系统带来了巨大的压力.
- 高级实践护士,特别是执业护士 (NP),是扩大痴呆患者初级保健能力的关键,但面临着重大挑战.
研究的目的:
- 探索实践结构能力,组织背景和美国初级保健中照顾痴呆症患者的NP的工作成果.
- 确定国家医院在初级保健机构内提供痴呆症护理时所面临的挑战.
主要方法:
- 在美国初级保健实践中为痴呆症患者提供护理的NP进行了全国横截面调查.
- 该调查使用了修改后的迪尔曼方法,包括邮件和在线问卷,并通过邮件,电子邮件和电话发送后续提醒.
- 总共有968个NP回应,代表了847个实践,估计回应率为16.4-36.4%.
主要成果:
- 与整体护理相比,NP报告说痴呆症护理质量较差,其中45%的痴呆症护理不到"非常好".
- 实践中发现了严重的缺陷,包括痴呆症护理的结构能力和组织管理.
- 超过三分之一的NP报告说他们经历了倦怠.
结论:
- 政策和实践倡议必须侧重于加强初级保健实践,以提供优质的痴呆症护理,支持不断增长的NP工作人员.
- 加强NP在痴呆症护理中的能力和角色可以提高组织满足患者需求的能力.
- 广泛的NP倦怠对他们的对痴呆症护理劳动力的贡献构成重大风险.
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