在初级医疗保健机构的急性事件:对巴西护理咨询中高级实践能力的分析
Marília Orlandelli Carrer1, Letícia Yamawaka de Almeida2, Andrea Liliana Vesga-Varela2
1Albert Einstein Israeli Faculty of Health Sciences, São Paulo, São Paulo, Brazil.
Nursing open
|July 21, 2025
概括
这项研究发现初级卫生保健护理咨询急性事件的局限性,不一致地应用高级实践护士能力. 在巴西,提高这些技能需要有针对性的教育和改进的临床指南.
科学领域:
- 护理实践 护理实践
- 初级医疗保健是一项主要的医疗保健.
- 高级实践护理高级实践护理
背景情况:
- 在初级卫生保健 (PHC) 中,急性事件的护士咨询至关重要.
- 评估当前护理实践与高级实践护士 (APN) 能力的协调对于服务改进至关重要.
研究的目的:
- 描述在巴西PHC环境中的急性事件咨询期间的护士实践.
- 分析护士在护理管理范围内展示APN能力的程度.
主要方法:
- 一个使用定量和定性方法的多中心,探索性,横截面研究.
- 数据收集包括直接观察咨询 (录像) 和医疗记录分析.
- 该研究包括巴西17个PHC单位的28名护士和203名患者.
主要成果:
- 在咨询期间,在执行护理过程和临床沟通方面发现了挑战.
- 部分应用了APN能力,显著的识别集中在护理 (61.11%),护理提供 (41.20%) 和评估/诊断 (40.50%).
- 总体而言,能力识别平均为47.60%,观察到不一致和有限的应用.
结论:
- 在PHC急性事件的护理咨询中存在重大局限性,特别是在护理过程和APN能力应用中.
- 在文化多样性和高级评估技能等领域发现了差距.
- 建议制定教育计划,资源和临床指导方针,以加强护理实践并支持巴西的APN实施.
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