国际先进实践护士整合政策干预分类学:一个10个国家名义小组共识技术研究研究
Joshua Porat-Dahlerbruch1,2, Tatyana Miller3, Jocelyn Boyd1
1Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
这项研究创建了一个国际分类法,以指导高级实践护士整合的政策干预. 应用这个框架可以增强护士的角色,并改善全球的健康结果.
科学领域:
- 卫生政策 卫生政策
- 护理实践 护理实践
- 卫生系统研究 卫生系统研究
背景情况:
- 高级实践护士 (APN) 的整合对于最佳的健康结果至关重要,但面临着诸如不清楚的实践范围和领导力差距等共同的国际障碍.
- 缺乏基于证据的政策干预措施阻碍了全球有效的APN整合.
研究的目的:
- 制定一套全面的国际政策干预策略分类,专门设计用于将高级实践护士纳入各种健康系统.
主要方法:
- 一个名义小组专家共识研究涉及来自10个国家的12名专家.
- 方法包括文献审查,单一国家测试,轮回反,实时修订,共识投票和使用准确共识报告文件的成员检查.
主要成果:
- 该研究确定了59个政策干预措施,分为14个不同的组.
- 干预措施被分类为国家 (例如,监管,经济激励),组织 (例如,领导层参与,基础设施) 和护理团队水平 (例如,沟通,工作环境) 的干预措施.
结论:
- 开发的分类是第一个将来自不同卫生系统结构和APN发展的国家的国际视角纳入的.
- 这种分类的实施可以导致更有效的APN整合,可能改善健康结果,并为调整干预提供指南.
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