洪都拉斯护士对紧急和重症监护中成人高级护理能力的看法:一种定性研究
Merary Enid Pavón Rivera1, Oscar Fidel Antunez Martinez2, Perla Simons Morales1
1School of Nursing, National Autonomous University of Honduras, Tegucigalpa, Honduras.
洪都拉斯的护士对高级实践护理 (APN) 在重症监护中的角色有着分散的理解,识别基本能力,但面临着自主和进步的重大障碍. 解决这些问题需要明确的框架和政策支持.
科学领域:
- 护理科学 护理科学
- 卫生政策 卫生政策
- 临界护理医学 临界护理医学
背景情况:
- 高级实践护理 (APN) 的实施在中美洲刚刚开始,缺乏监管和培训支持.
- 由于缺乏先进的护理角色,急诊和急诊护理质量的差距和健康差异仍然存在.
研究的目的:
- 探索洪都拉斯护士对紧急和重症监护环境中成人高级护理能力的观点.
- 确定在洪都拉斯先进实践护理的挑战和机会.
主要方法:
- 使用对洪都拉斯北部15名重症监护和急救护士进行深入采访的定性设计.
- 数据分析遵循了Colaizzi的步骤,专注于参与者叙述.
主要成果:
- 关于高级实践护理 (APN) 角色存在缺乏清晰度,经常与临床护士专家 (CNS) 混.
- 在重症监护中APN的基本能力包括关键的程序和认知技能.
- 自主和进步的障碍包括培训不足,资源有限和法律支持不足.
结论:
- 对APN角色的分散理解需要明确的框架,培训和政策支持.
- 护士认识到需要高级能力,研究生教育,领导力和程序自主性.
- 系统性,教育和监管障碍限制了洪都拉斯APN角色的进步和认可.
更多相关视频
09:52Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
06:04Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
相关概念视频
The Professional Nurse
Communication skills: These are critical characteristics, especially speaking and listening.
Current Trends in Nursing I
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Ethical Issues
Ethical Concerns in Healthcare:
Current Trends in Nursing II
National Nursing Organizations II
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
