了解家庭和社区护士角色的实施使用实施研究的综合框架:一个案例研究
Erica Busca1, Erika Bassi1,2, Simona Milani3
1Department of Translational Medicine, University of Piemonte Orientale, Novara, Italy, unipmn.it.
Nursing research and practice
|February 23, 2026
概括
实施家庭和社区护士 (FCN) 角色需要与政策保持一致,并适应当地需求. 可持续的整合取决于系统支持,协作和明确的角色定义,以获得有效的社区护理.
科学领域:
- 社区卫生护理
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 家庭和社区护士 (FCN) 的作用对于集成的社区护理至关重要.
- 了解影响FCN角色实施的因素对于优化医疗保健服务至关重要.
研究的目的:
- 探索影响家庭和社区护士 (FCN) 角色实施的因素.
- 识别意大利当地卫生当局中FCN角色整合的促进者和障碍者.
主要方法:
- 定性单个嵌入式案例研究设计.
- 与22名参与者 (18名FCN,4名经理) 进行深度半结构面试和时间表提取.
- 基于实施研究的综合框架进行框架分析.
主要成果:
- 政策调整等外部设置因素支持采用,但公众意识较低.
- 内部设置灵活性有助于适应,但分散的协调和基于任务的工作流阻碍了整合.
- 个人FCN表现出动力,但缺乏对社区/教育任务的信心;反思性的领导和定制策略是有益的.
结论:
- FCN角色的实施是动态的,受到结构条件,专业界限和利益相关方参与的影响.
- 可持续性需要系统层面的支持,跨部门的合作,以及定义的实践范围.
- 调查结果为加强社区护理模式和专业间协调策略提供了信息.
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