初级保健护士应用护士主导管理急性小病患者的经验。

IF 1.9 4区 医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2023-11-14 DOI:10.1111/ijn.13216
María Ángeles Vara-Ortiz PhD, RN, Susana Marcos-Alonso PhD, RN, Núria Fabrellas-Padrés PhD, RN
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引用次数: 0

摘要

目的:本研究的目的是确定初级卫生保健护士在急性小病患者中应用护士主导管理的经验。背景:急性小病护理领导是西班牙护士面临的新挑战。设计:采用定性、解释性、解释性现象学方法。采用了报告定性研究指南的综合标准。方法:20名初级保健护士参与;2019年11月至2020年10月期间进行了三次焦点小组讨论和九次半结构化访谈。所有的焦点小组讨论和访谈都被记录下来,逐字转录,并使用内容分析进行分析。结果:焦点小组讨论和访谈产生了七个主题:概念、对其他参与者的看法、实践、历史和社会背景、能力、培训和合法性。结论:本研究显示护士在急性小病实施护士主导管理时经验的多样性和复杂性。这项工作有助于显示护士所认识到的差距,包括在治疗以往由医生治疗的疾病方面缺乏培训,缺乏法律框架的定义以及护士开处方的限制。它还强调了护理专业在自主、能力和角色扩展方面的力量。
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Experience of primary care nurses applying nurse-led management of patients with acute minor illnesses

Aim

The aim of this study is to determine the experience of primary health care nurses regarding the application of nurse-led management in patients with acute minor illnesses.

Background

Nursing leadership of care for acute minor illnesses is a new challenge faced by nurses in Spain.

Design

Qualitative, hermeneutical, interpretive phenomenological approach is used. The Consolidated criteria for reporting qualitative research guidelines were applied.

Methods

Twenty primary care nurses participated; three focus group discussions and nine semi-structured interviews were conducted between November 2019 and October 2020. All the focus group discussions and interviews were recorded, transcribed verbatim and analysed using content analysis.

Results

Seven main themes emerged from the focus group discussions and interviews: concept, perception of the other actors, practice, history and social context, competencies, training, and legality.

Conclusion

The study shows the diversity and complexity of nurses' experience when applying nurse-led management in acute minor illnesses. This work has helped to show the gaps perceived by nurses, including the lack of training in the treatment of conditions historically attended by physicians, the lack of definition of the legal framework and the limitations on nurse prescribing. It also highlighted the power of the nursing profession in terms of autonomy, competencies and role expansion.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
审稿时长
3 months
期刊介绍: International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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