在澳大利亚农村实施增强的儿科喘护理:医疗保健专业人员的定性见解
Ryan Mackle1, Carmen Crespo-Gonzalez2, Melinda Gray3
1Discipline of Paediatrics and Child Health, School of Clinical Medicine, UNSW Sydney, NSW, Australia; Department of Respiratory Medicine, Sydney Children's Hospital, Sydney Children's Hospitals Network, NSW, Australia.
医疗保健专业人员发现了一种新的喘护理模式,适用于农村儿童. 这种方法使用标准化资源和虚拟访问来改善护理的一致性和获取,尽管存在一些实施挑战.
科学领域:
- 儿科喘护理 儿科喘护理
- 农村卫生实施科学 农村卫生实施科学
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 农村卫生保健专业人员在提供有效的儿科喘护理方面面临重大障碍.
- 挑战包括分散的护理,资源限制以及地理/劳动力问题.
- 从家出发的喘护理项目实施了一种多元组件模型,以解决澳大利亚地区的这些问题.
研究的目的:
- 探索医疗保健专业人士对农村环境中新型儿科喘护理模式的可行性和可接受性的观点.
- 评估标准化教育资源的实际实施情况,免费后的沟通以及虚拟后续访问.
- 确定影响医疗保健专业人员采用该模型的上下文因素.
主要方法:
- 使用虚拟焦点小组和与25名医疗保健专业人员进行半结构面试进行的定性研究.
- 参与者来自新南威尔士州四个农村地方卫生区的13家医院.
- 数据分析采用了由实施研究综合框架 (Consolidated Framework for Implementation Research) 提供信息的混合感应-演主题分析.
主要成果:
- 医疗保健专业人员认为这种模式是可以接受的,他们重视标准化资源和虚拟家庭访问,以克服地理障碍.
- 确定的挑战包括父母参与度的变化,全科医生可访问性和劳动力不稳定性.
- 该模型在实现一致,公平的护理,改善准则遵守和加强医院社区合作方面取得了成功.
结论:
- 实施的喘护理模式被认为是可行的,并被农村卫生保健专业人员所接受.
- 该研究强调了将该模型纳入常规临床实践的潜力.
- 持续实施可能会从数字化资源和更强大的整合到护士领导的护理途径中受益.
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