探索护士Dyads在养老院实践范围的经验:来自FLORENCE项目的定性描述性研究
Ole Martin Nordaunet1,2, Hanne Aagaard1, Cecilia Olsson1,2
1Department of Bachelor Education (Nursing), Lovisenberg Diaconal University College, Oslo, Norway.
PloS one
|October 10, 2025
概括
养老院的注册护士由于工作量而经历了情绪上的压力,影响了他们的专业身份和护理服务. 系统因素,而不是个人态度,塑造了他们的实践范围和委托非注册护士.
科学领域:
- 护理实践 护理实践
- 医疗保健管理的管理
- 老年医疗护理 医疗护理
背景情况:
- 在养老院的注册护士 (RN) 和非注册护士 (non-RN) 的实践范围,特别是关于护理的基本原理,尚不清楚.
- 本研究探讨了RN和非RN在养老院环境中的一般和个人实践范围的经验.
研究的目的:
- 调查RN和非RN在养老院的实践范围方面的经验.
- 检查RN与非RN之间个人实践范围的差异.
- 了解他们的实践范围如何与护理的基础有关.
主要方法:
- 这项定性研究涉及挪威东南部四个养老院的八个护理团队 (16名参与者).
- 通过个别,专注的采访收集的数据.
- 分析采用二元分析的框架方法,遵守SRQR标准.
主要成果:
- 执业护士报告说,由于职业理想与人力不足的现实之间的差距造成了情绪上的压力,影响了他们的身份.
- 系统性因素,如高工作量,塑造了角色感知和护理交付,RN专注于间接护理,非RN专注于直接护理,包括护理的基础知识.
- 对非RN的代表提出了对护理质量和RN角色明确性的担忧.
结论:
- 工作负担,而不是不情愿,定义了RN在关怀基础方面的实践范围.
- 双向分析显示,在复杂的环境中,职业责任的共同构建.
- 建议包括组织策略,以明确角色,加强RN身份和改进委托实践.
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