Intégration des infirmières praticiennes en soins de santé primaires : repenser la négociation de dynamiques complexes.

IF 0.3 Q4 Medicine Recherche en Soins Infirmiers Pub Date : 2021-01-01 DOI:10.3917/rsi.145.0038
Annie Rioux-Dubois, Amélie Perron
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引用次数: 2

Abstract

Background : The integration of nurse practitioners into primary healthcare settings is highly complex, yet it has not been extensively studied with regard to broader socioprofessional changes occurring in health care.Objective : This study sought to examine the integration and negotiation of the role of nurse practitioners in interprofessional primary healthcare settings.Method : A critical ethnography framed by actor-network theory and Foucault's concepts of discourse and power was conducted in three different primary healthcare models in which semi-structured interviews (n=23 nurse practitioners), direct observation, and document analysis were performed.Results : Organizational aims, practice standards, nurse practitioners' right to self-determination, collaborative dynamics with physicians, and patient management were identified as integration factors that produced greater instability, needs for negotiation, and professional, identity, and moral difficulties for nurse practitioners.Discussion : The findings from this study challenge the widespread perception that the role of nurse practitioners lacks clarity and enable a renewed understanding of their integration process in primary healthcare settings.

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初级卫生保健护士的整合:重新思考复杂动态的谈判。
背景:护士从业人员融入初级卫生保健设置是非常复杂的,但它还没有广泛的研究关于更广泛的社会专业变化发生在卫生保健。目的:本研究旨在探讨在跨专业初级卫生保健设置护士从业人员的角色整合和协商。方法:以行动者网络理论和福柯的话语和权力概念为框架,在三种不同的初级卫生保健模式中进行了批判性民族志研究,其中包括半结构化访谈(n=23名护士从业人员)、直接观察和文献分析。结果:组织目标、执业标准、执业护士的自决权、与医生的合作动态以及患者管理被认为是产生更大不稳定性、协商需求以及执业护士的专业、身份和道德困难的整合因素。讨论:本研究的结果挑战了普遍认为护士从业人员的角色缺乏清晰度的看法,并使人们重新了解他们在初级卫生保健环境中的整合过程。
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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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