护士具有扩展能力的新角色概况,促进长期护理中以人为中心的护理:混合方法干预开发研究
Katharina Silies1, Tilman Huckle2, Nadine Pohontsch3
1University of Lübeck, Institute for Social Medicine and Epidemiology, Nursing Research Unit, Ratzeburger Allee 160, 23562, Lübeck, Germany. Katharina.silies@uni-luebeck.de.
BMC geriatrics
|July 5, 2025
概括
为提高对有复杂需求的养老院居民的照顾,制定了拥有学士学位的护士的新角色概况. 这一角色的重点是直接的住院护理,旨在改善结果和减少医院转移.
科学领域:
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 养老院居民的护理需求日益复杂.
- 较高的护士资格水平和改善的患者结果之间的正相关性.
- 在德国长期护理中,缺乏为学士准备的护士定义的角色配置文件.
研究的目的:
- 为具有高级能力的护士制定创新的角色简介.
- 改善长期护理机构对具有复杂护理需求的居民的护理质量.
主要方法:
- 使用PEPPA框架进行混合方法干预开发研究.
- 系统的文献审查和多个案例研究,以确定转移的根本原因.
- 参与性利益相关者研讨会,以完善角色简介和实施策略.
主要成果:
- 创建了一个新的角色形象,具有四个关键能力领域:慢性疾病管理,赋权和沟通,以人为中心的护理网络和[具体的第四个领域在摘要中没有完全详细说明].
- 一个300小时的额外资格计划是主要的实施策略.
- 组织策略包括共同的目标设定和可适应的干预组件.
结论:
- 一种参与式的方法成功地为直接住院护理的学士准备护士开发了一个新的角色配置文件.
- 这个新角色的可行性,实用性和临床影响将在未来的试点试验中进行评估.
- 这项研究强调了对长期护理中先进实践护理角色发展的结构化方法.
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