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基于共识的高级实践护理成果指标:法国德尔菲研究的结果
Jean Toniolo1, Elom Iroukora2, Yann Colven3
1Inserm U1094, IRD UMR270, Univ. Limoges, CHU Limoges, EpiMaCT - Epidemiology of Chronic Diseases in Tropical Zone, Institute of Epidemiology and Global Health - Michel Dumas, OmegaHealth, Limoges, France; University Department of Nursing Science, Faculty of Medicine, Univ. Limoges, Limoges, France; University Hospital of Limoges, Limoges, France.
法国利益相关者就40个指标达成共识,以评估先进实践护理 (APN) 的贡献,重点是专业知识和整合,而不是医生替代.
科学领域:
- 医疗保健政策 医疗保健政策
- 护理实践的护理实践
- 医疗服务研究 医疗服务研究
背景情况:
- 高级实践护理 (APN) 角色在法国相对较新,尽管其医疗保健系统先进.
- 证明有意义的结果对于全球APN角色的可持续性至关重要.
研究的目的:
- 建立法国医疗保健利益相关者之间的共识,以评估患者和系统层面的APN贡献的指标.
- 制定一个框架来评估APN在法国医疗保健环境中的影响.
主要方法:
- 一个为期两轮的德尔菲进程,其次是名义上的小组讨论.
- 涉及各种各样的利益相关者:APN,护士经理,医生和学者.
- 用Hamric的框架对指标进行分类,并通过利克特级别评级进行验证,达成≥75%的同意.
主要成果:
- 在七个领域中确定并保留了40个指标.
- 经过验证的指标涵盖了关键成果领域,包括患者获取,护理连续性,护理质量,专业间合作和领导力.
- 结果突出了法国对APN实践的观点,强调专业知识,协调和整合.
结论:
- 共识指标为评估法国APN贡献提供了一个基本框架.
- 该框架支持APN的整合,并为医疗保健政策决策提供信息.
- 这些发现与全球APN能力一致,但与其他地方看到的医生替代模型有所不同.
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