一个倡议的概念模型和设计,以建立护士的弹性和伦理实践
Cynda Hylton Rushton1, Sandra M Swoboda2, Nancy Reller3
1Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, United States of America; Johns Hopkins Berman Institute of Bioethics,1809 Ashland Avenue, Baltimore, MD 21205, United States of America; Johns Hopkins University School of Medicine, 600 N. Wolfe Street Osler 603, Baltimore, MD 21287, United States of America.
概括
更新,弹性和保留 (R3) 倡议将护理教育和实践联系起来,以建立弹性和减少倦怠. 这种学术实践合作为更强大的护理工作人员提供了一个可扩展的框架.
科学领域:
- 护理教育 护理教育
- 劳动力弹性 劳动力弹性
- 学术与实践的合作
背景情况:
- 解决关键的护理危机,其特点是高流动和燃烧.
- 强调需要创新的教育策略来连接学术界和实践.
- 确定教师短缺是护理教育的一个重大挑战.
研究的目的:
- 介绍了全州范围的学术实践合作的概念模型和设计.
- 专注于建立护士的性和伦理实践在整个教育到实践的连续.
- 引入更新,弹性和保留 (R3) 倡议.
主要方法:
- 适应正念伦理实践和弹性学院 (MEPRA) 和社会生态框架.
- 纳入来自护理学校和医院的利益相关者的意见.
- 通过跨机构的方法发展R3倡议.
主要成果:
- 建立一个可扩展的概念模型与四个基础构造.
- 创建了42个以证据为基础的教育资源和教师发展研讨会.
- 实施多层次的学习社区,以整合课程.
结论:
- R3倡议提供了一个可复制的框架,以提高护理劳动力的弹性.
- 协调的教育与实践伙伴关系是解决倦怠问题的关键.
- 基于证据的干预措施可以减轻导致护士脱离参与的因素.
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