"漂浮在中间"护士导航器和获得护理的接口
Clare Hannan-Jones1, Lisa Fitzgerald1, Geoffrey Mitchell1
1Faculty of Health, Medicine, and Behavioural Sciences, School of Public Health, The University of Queensland, Herston, QLD 4006, Australia.
International journal of environmental research and public health
|November 27, 2025
概括
护士导航员通过建立关系和解决系统障碍,改善患有复杂慢性疾病的个人的医疗保健服务. 这种关系式的方法增强了对所有利益相关者的关怀.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 公共卫生政策 公共卫生政策
背景情况:
- 澳大利亚医疗保健系统面临着满足多种复杂慢性疾病患者需求的挑战.
- 澳大利亚人的健康状况较差与获得医疗保健服务的减少有关.
- 获得医疗服务的不平等源于医疗保健系统与患者的临床和社会需求之间的不协调.
研究的目的:
- 检查护士导航员为有复杂护理需求的个人提供医疗服务的机制.
- 探索护士导航模型在弥合系统和服务差距方面的实际应用.
主要方法:
- 定性研究采用与关键利益相关者进行深入的半结构面试:护士导航员,患者和护理专业人员.
- 分析涉及反射主题分析和数据三角化.
- 医疗保健准入的概念框架指导了护士导航员角色的探索.
主要成果:
- 护士导航员在访问界面上建立关系,挑战护理规范,并赋予患者和专业人员权力.
- 他们充当中介,通过系统知识和解决多维护需求和系统挑战来谈判访问.
- 护士导航员支持患者和护理专业人员在复杂的护理途径上进行导航.
结论:
- 护士导航模型对于改善患有复杂慢性疾病的个人获得医疗保健至关重要.
- 整体和关系式的方法对于克服医疗保健中的接入障碍至关重要.
- 有效的护士导航需要了解患者的需求和系统挑战,以促进公平的护理.
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