英国地区护理中高级水平实践的划定:政策实施前后的跨部门比较研究
John Unsworth1,2, Crystal Oldman3, Joanne Atkinson4
1Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
International nursing review
|August 6, 2025
概括
地区护理的先进实践对于医疗保健需求至关重要. 经验式学习,不仅仅是资格,发展关键的高级护理技能和能力.
科学领域:
- 护理科学 护理科学
- 医疗保健政策 医疗保健政策
- 高级实践护理高级实践护理
背景情况:
- 高级实践护理对于满足不断增长的医疗保健需求和实现全民健康覆盖来说至关重要.
- 地区护理专注于家庭护理,已经发展到管理慢性疾病和减少住院治疗.
研究的目的:
- 确定英国地区护士团队领导的先进实践领域,制定政策前后改革,旨在防止住院治疗.
- 将这些领域与高级实践护士在家庭和社区环境中的领域进行比较.
主要方法:
- 一项采用在线调查的横截面研究,使用家庭和社区护理高级实践量表.
- 用ANOVA和t测试进行统计分析和组比较.
主要成果:
- 448名地区护士团队领导参与了这项研究;分析了来自548名家庭和社区护士的二次数据.
- 除了药物处方之外,在资格组之间没有发现高级实践领域的显著差异.
- 区护士团队领导在所有高级实践领域的得分明显高于家庭和社区护士,具有类似的领导能力.
结论:
- 经验式学习和指导对于开发高级实践能力至关重要,与科尔布的理论保持一致.
- 区护士团队领导者拥有必要的高级实践能力,这表明需要通过认证框架获得正式认可.
- 政策制定者应该优先考虑体验式学习和认证系统,以支持地区护士过渡到高级实践角色.
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