菲律宾护士在合作高级实践模式中的经验:一项重大事件研究

None Sarla F. Duller, None Lourdes Marie S. Tejero, Dan Louie Renz Tating
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引用次数: 0

摘要

高级实践护理的作用已被发现是一个潜在的解决方案,在低收入和中等收入国家,获得初级保健医生是有限的。在菲律宾,这种先进的作用尚未颁布,阻碍了护士作为初级保健提供者的全部潜力。因此,本研究旨在深入分析菲律宾高血压护理合作先进实践模式下的护士经验。本定性研究采用了关键事件技术的改进版本。三名参与研究的护士被要求自我报告积极或消极影响其临床经历的行为、互动和情绪。数据中的相似性被反复标记和分类,直到出现主要主题。研究结果表明,在合作的高级实践模式下,护士经历的首要主题是他们经历的重要角色转换。在经历这种转变的过程中,关键事件的三个不同的子主题出现了:1)获得和保持能力,2)建立和加强合作,以及3)获得和保持信任或尊重。低收入和中等收入国家在建立其高级护理实践框架时,应采用这些关于初级保健环境中高级护理实践成功角色转变的见解。此外,准备高级执业护士的培训项目也应该根据相关能力量身定制课程和策略,包括与患者和其他医疗保健提供者建立信任的协作技能。
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Filipino Nurses’ Experiences in a Collaborative Advanced Practice Model: A Critical Incidents Study
The advanced practice nursing role has been found to be a potential solution in low and middle-income countries where access to primary care physicians is limited. In the Philippines, this advanced role has yet to be enacted, hindering the full potential of nurses as primary care providers. Hence, this study aimed to provide an in-depth analysis of nurses’ experiences within a collaborative advanced practice model for hypertension care in the Philippines. This qualitative study utilized a modified version of the Critical Incident Technique. Three participating nurses were asked to self-report the behaviors, interactions, and emotions that positively or negatively impacted their clinic experiences. Similarities in the data were iteratively labeled and classified until major themes emerged. Findings indicate that the overarching theme underpinning the nurses’ experiences in a collaborative advanced practice model was the significant role transition they underwent. While undergoing this transition, three distinct sub-themes of critical incidents emerged: 1) acquiring and maintaining competence, 2) establishing and strengthening collaboration, and 3) gaining and maintaining trust or respect. These insights on the successful role transition of advanced practice nurses in a primary care setting should be used by low- and middle-income countries when establishing their advanced practice nursing frameworks. Furthermore, training programs that prepare advanced practice nurses should also tailor their curricula and strategies on the relevant competencies to include collaboration skills towards building trust with patients and other healthcare providers.
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来源期刊
CiteScore
1.40
自引率
14.30%
发文量
3
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