调整程序理论以指导在家医院中先进实践护士提供的干预措施的实施和评估:实施和评估的程序框架
Rachid Akrour1, Philip Larkin1, Henk Verloo2,3
1Lausanne University Hospital and University of Lausanne, Institute of Higher Education and Research in Healthcare, Lausanne, Switzerland.
International journal of nursing studies advances
|November 17, 2025
概括
本研究介绍了一个程序理论框架,以指导在医院在家护理中实施和评估先进实践护士干预. 它旨在改善患者的治疗结果和医疗保健系统的效率.
科学领域:
- 医疗保健管理的管理
- 护理科学 护理科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人口老龄化和多重疾病增加了医疗保健需求.
- 家庭医院 (HaH) 模式正在扩大以满足这些需求.
- 高级实践护士 (APN) 在HaH的整合至关重要,但发展不足.
研究的目的:
- 介绍一个适应的程序理论框架,用于APN主导的干预在HH.
- 概念化和评估在高水平环境中APN护理的提供.
- 指导高海地APN干预措施的运行和评估.
主要方法:
- 程序组织,服务利用和影响理论的整合.
- 定义用于高海地APN集成的结构和功能要求.
- 确定护理获取,接受和适当性的决定因素.
- 从APN干预到患者和系统结果的因果路径的映射.
主要成果:
- 该框架概述了APN自主性,协作和资源分配的要求.
- 它涉及患者转诊,资格和护理升级机制.
- 它将APN干预与减少入院,改善功能状态和患者满意度等结果联系起来.
结论:
- 调整后的程序理论框架提供了一个结构化的方法,用于将APN集成到HighH.
- 它有助于衡量跨护理过程,个体体验和卫生系统影响的结果.
- 这种以理论为导向的方法支持未来实施和研究APN主导的高质量服务.
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