实施护士处方的障碍和促进因素:基于实施研究综合框架的定性综合
Qian Zhang1, Gege Cao2, Xuan Duan2
1Department of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, Shanxi, China.
Journal of clinical nursing
|October 27, 2025
概括
护士处方的障碍包括成本,法律问题和培训不足. 促进者涉及经验,领导力支持和团队合作,这对成功实施至关重要.
科学领域:
- 医疗保健政策和管理
- 护理实践和教育护理实践和教育
背景情况:
- 医疗保健专业人员的角色在全球范围内不断扩大.
- 护士处方是先进实践护理的关键组成部分.
- 由于国际采用情况各不相同,了解实施因素至关重要.
研究的目的:
- 综合对护士处方实施的定性研究.
- 确定影响护士处方的关键障碍和促进因素.
主要方法:
- 在多个数据库 (PubMed,科学网等) 进行系统的文献搜索. ) 的情况.
- 14项定性研究的主题综合.
- 使用实施研究综合框架 (CFIR) 提取和分类数据.
主要成果:
- 主要障碍:成本,法律约束,社会压力,组织问题,教育不足,护士能力,团队反对和计划不足.
- 关键促进者:处方经验,成本/资源节约,培训,领导力支持,患者需求,专业发展,护士能力和团队支持.
结论:
- 识别障碍物和促进因素对于政策和实践至关重要.
- 调查结果为战略规划提供了指导,以加强护士处方采用.
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