执业护士专业执业权威对儿科护理经验的影响:国家二级数据分析
Joyce J Fitzpatrick1, Maxwell Mehlman2, Alicia Plemmons3
1Joyce J. Fitzpatrick, Director, Marian K. Shaughnessy Nurse Leadership Academy; Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
概括
护士执业人员的全职执业权限 (FPA) 改善了儿科护理体验,特别是在提供者时间和父母尊重方面. 然而,农村地区的好处不那么明显,这表明需要有针对性的农村支持.
科学领域:
- 医疗保健政策 医疗保健政策
- 儿科护理 儿科护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于儿科医生短缺,儿童初级保健的准入受到限制,特别是在农村和服务不足的地区.
- 执业护士 (NP),特别是儿科NP,对于满足儿科护理需求至关重要.
- 对于NP的全职实践权限 (FPA) 对儿科护理经验的影响仍然未得到充分研究.
研究的目的:
- 调查护士执业人员的全职执业权力 (FPA) 如何影响儿科护理经验.
- 分析FPA对家长和提供者报告的儿科护理措施的影响.
主要方法:
- 使用限制访问的医疗支出小组调查数据从2010-2019年.
- 在差异框架内使用顺序逻辑回归来评估政策影响.
- 控制FPA状态,政策后的年份,农村和州/年变化.
主要成果:
- FPA的实施与在访问期间感知到的提供者时间和家长尊重的显著改善有关.
- 在农村环境中,FPA对儿科护理结果的积极影响不那么明显.
- 分析反映了政策变化和各州和各年的变化.
结论:
- 完全实践权威 (FPA) 显示出增强儿科护理经验的潜力,特别是在非农村地区.
- 需要进一步的研究和有针对性的投资,以优化FPA在农村儿科护理中的影响.
- 实践范围改革需要针对儿科患者群体进行具体的评估.
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