关键护理高级实践护士的国际能力:综合性审查
Verena-Katrin Buchner1, Kathrin Pann1, Roland Essl-Maurer1
1University Hospital Salzburg, Salzburg, Austria.
Journal of advanced nursing
|September 29, 2025
概括
在重症监护中,高级实践护士 (APN) 在国际上表现出先进的技能,但由于监管和教育差距,奥地利在实施这些角色方面面临挑战. 需要改革以符合全球标准.
科学领域:
- 护理科学 护理科学
- 医疗保健政策 医疗保健政策
背景情况:
- 高级实践护士 (APN) 在全球重症监护机构中发挥着至关重要的作用.
- 国际文献强调了他们的先进能力和对患者结果的影响.
研究的目的:
- 审查在重症监护中的APN的角色,能力和实践范围.
- 确定对发展奥地利高级护理角色的影响.
主要方法:
- 进行了综合性审查.
- 进行了PubMed,CINAHL和Web of Science (2007-2023) 的系统搜索.
- 根据Whittemore和Knafl的方法提取数据并进行主题分析.
主要成果:
- 国际研究揭示了APN核心能力和重症监护实践范围中反复出现的主题.
- 奥地利面临的挑战包括有限的法律框架,教育结构和角色明确性,阻碍了APN的实施.
- 在已证明的国际APN能力和奥地利目前的情况之间存在很大的差距.
结论:
- 在国际上,APN通过先进的技能,领导力和基于证据的实践来提高患者的结果和系统效率.
- 在奥地利,限制性法规,有限的教育和不清楚的角色阻碍了充分利用APN能力.
- 解决这些差异需要更明确的角色定义,监管改革和教育战略,以符合国际标准.
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