在创伤和急救护士专家实践中实施高级技能的障碍
Haroldene Stevens1, Cornelle Young2, Tshepo L Motsepe2
1Department of Health and Wellness, Western Cape College of Nursing, South Cape Karoo Nursing Campus, George, South Africa.
Health SA = SA Gesondheid
|August 13, 2025
概括
创伤和急救护士专家面临的障碍是由于法律问责不清楚和不支持的实践环境而实施高级技能. 解决这些问题对于改善南非急诊室患者护理至关重要.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 南非面临着高伤害和紧急情况的负担,需要专门的护理.
- 研究生课程培训创伤和急救护士专家,以改善患者的治疗结果.
- 这些专家遇到障碍,阻碍他们充分利用先进技能.
研究的目的:
- 探索和描述创伤和急救护士专家对技能实施障碍的看法.
- 确定限制这些专业护士实践范围的因素.
主要方法:
- 采用了一种探索性描述性的定性设计.
- 数据是通过对西开普公立医院的10名专业护士进行半结构面试来收集的.
- 用专题分析来分析数据,通过既定的标准确保可信度.
主要成果:
- 确定的主要主题包括法律问责和实践责任的不确定性.
- 发现压迫性的实践环境阻碍了技能实施.
- 忽视创伤和急救护士专家技能的作用和价值是显而易见的.
结论:
- 职位描述和实践范围没有更新后专业培训,导致技能未充分利用.
- 跨学科团队和管理层缺乏认可,导致对实践界限的不确定性.
- 专业护士无法充分发挥他们的能力,这会影响在高需求的紧急情况下的患者护理.
相关概念视频
01:21Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
01:22The Professional Nurse
4.7K
Professional nurses are not limited to bedside care and are taking roles of greater responsibility. A nurse should have a knowledge-based practice, including personal, theoretical, procedural, cultural, and reflexive knowledge. Additionally, nurses must be competent in cognitive, technical, interpersonal, and ethical/legal skills. Some of the best attributes of successful nurses include the following:
Communication skills: These are critical characteristics, especially speaking and listening.
Communication skills: These are critical characteristics, especially speaking and listening.
4.7K
01:28Current Trends in Nursing I
1.7K
Current trends in nursing include:
1.7K
01:30National Nursing Organizations II
1.4K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
1.4K
01:21Interdisciplinary Care: The Health Care Team-I
1.8K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
1.8K
01:24Critical Thinking I
3.6K
Critical thinking helps decision-making and allows nurses to recognize barriers to success and find solutions to possible issues. It helps to brainstorm and implement ideas to achieve goals. Critical thinking helps acknowledge and state workflow inefficiencies while improving management techniques. Nurses understand the value of critical thinking and look for fellow nurses with critical thinking skills to upgrade their professional standards. Critical thinking can advance a nurse's career...
3.6K