成为家庭和社区护士:在一个分散的系统中导航角色身份. 一个现象学研究研究
Isabella Santomauro1, Erika Bassi1, Erica Busca1
1University of Piemonte Orientale, Novara, Italy.
Global qualitative nursing research
|October 29, 2025
概括
意大利的家庭和社区护士 (FCN) 管理复杂的老年人护理需求,作为关键的医疗保健网络节点. 他们的积极主动方法和角色差异化对于塑造专业身份和加强社区护理至关重要.
科学领域:
- 护理 护理 护理
- 医疗保健政策 医疗保健政策
- 社区健康 社区健康
背景情况:
- 意大利的家庭和社区护士 (FCN) 角色,由立法法令34/2020和部长法令77/2022建立,面临着不一致的国家实施.
- 分碎的经验和整合挑战凸显了了解FCN生活现实的必要性.
研究的目的:
- 探索生活经验和意大利家庭和社区护士 (FCN) 的意义.
- 了解FCN如何在意大利医疗保健系统中导航他们的专业身份和角色.
主要方法:
- 现象学研究利用科恩的解释学方法.
- 与意大利四个地区的37个FCN进行了半结构化采访 (2023年12月 - 2024年6月).
- 采访数据的深入转录和分析.
主要成果:
- 出现了四个主要主题:应对老年护理的复杂性,教育作为核心功能,作为医疗保健网络节点的功能,并通过角色差异化建立FCN身份.
- 医疗联络员管理复杂的患者需求,确保护理的连续性,并与初级保健提供者合作.
- 通过积极主动的方法,加强自主权和积极的专业身份形成,FCN与以任务为导向的护士有所区别.
结论:
- 该FCN的作用包括管理复杂的需求,确保护理的连续性,和有效的合作.
- FCN正在积极塑造他们的专业身份,通过自主和积极的立场来区分自己.
- 在这个整合阶段,卫生政策应该支持FCN,以最大限度地为社区护理贡献.
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