评估和推进初级护理护士自主权的集体情报战略
Alba Brugués Brugués1,2, Jèssica Morillas Vázquez3, Enric Mateo Viladomat4
1Associació d'Infermeria Familiar i Comunitària de Catalunya, Carrer Pujades 350, 08019 Barcelona, Catalonia, Spain.
Healthcare (Basel, Switzerland)
|June 26, 2025
概括
在初级保健团队中,护士需求管理 (NDM) 的采用率很高,但护士报告了团队合作和可访问性方面的挑战. 一个新的工具,xGID,有助于评估NDM和指导护理模式转型.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 初级保健创新初级保健的创新
背景情况:
- 欧洲的卫生系统正在向主动,以人为中心的护理模式过渡.
- 护士需求管理 (NDM) 赋予护士自主响应人口健康需求的权力.
- 对NDM实施缺乏标准化的评估工具,导致直观的采用.
研究的目的:
- 测量使用xGID仪器在初级保健小组 (PCT) 中采用NDM的情况.
- 通过集体智能促进共享诊断,组织反思和有针对性的建议.
- 为在初级保健中实施NDM提供标准化的评估工具.
主要方法:
- 在加泰罗尼亚的47个PCT中设计和实施了xGID工具.
- 1474名医疗保健专业人员参与了这项研究.
- 结构化调查评估了NDM采用的维度:专业自主,团队合作,连续性和可访问性.
主要成果:
- 总体而言,NDM采用得分高,为7.6/10.
- 在各个专业群体和实践领域中观察到NDM感知的显著差异.
- 护士们对团队合作,纵向护理和可访问性表示担忧,强调他们的关键角色和工作量.
结论:
- 标准化的NDM评估工具对于识别障碍和改变护理模式至关重要.
- 在临床实践中,xGID仪器的参与式方法促进了数据驱动的决策.
- 国家医疗管理被定位为未来初级保健系统的基本组成部分.
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