探索影响高级实践护士实施的因素:在七个欧洲国家进行的比较跨部门研究
Ann Van Hecke1,2, Mary Casey3, Elsie Decoene2
1Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care-University Center for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Journal of advanced nursing
|July 7, 2025
概括
在欧洲实施先进实践护理角色需要解决角色模两可,促进专业间的合作. 强大的组织支持和网络对于高级实践护士 (APN) 至关重要.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 卫生政策 卫生政策
背景情况:
- 高级实践护理 (APN) 的角色正在欧洲各地发展.
- 了解实施因素对于成功将APN整合到医疗保健系统至关重要.
研究的目的:
- 在七个欧洲国家调查影响先进实践护理角色实施的因素.
- 从高级实践护士的角度确定促进者和障碍.
主要方法:
- 从2021年9月到2022年12月进行的跨部门调查.
- 参与了来自比利时,芬兰,德国,冰岛,爱尔兰,西班牙和荷兰的491名高级实践护士.
- 使用自我管理的调查问卷,涵盖患者护理,实践,政策,教育和劳动力因素;使用描述性统计和千平方测试进行分析.
主要成果:
- 多方面的因素影响了各国的APN角色实施.
- 在荷兰,爱尔兰和比利时报告了促进者;在芬兰,冰岛和德国报告了障碍或缺乏知识.
- 关键的挑战包括角色模两可,专业间的合作差距,有限的管理支持和专业的孤立.
结论:
- 强大的组织支持,专业间的合作和明确的角色定义对于APN集成至关重要.
- 网络和指导对于解决专业孤立和维持APN员工队伍至关重要.
- 调查结果可以为医疗保健管理人员和决策者提供成功APN角色整合的关键因素的信息.
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