雇用护理本科生专门护理认知障碍患者:试点研究

IF 1.6 4区 医学 Q2 NURSING Collegian Pub Date : 2024-01-22 DOI:10.1016/j.colegn.2023.12.002
Lisa Beccaria , Heather Hoey , Helen Towler , Sharon Rees , Rebecca Brazier , Karen Gordon , Christine Neville , Bob Knight
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引用次数: 0

摘要

背景医疗服务机构需要考虑如何在急诊入院期间为有认知障碍(如痴呆和/或谵妄)的患者提供最佳护理和资源。提高护理专业本科生(USiNs)的能力是一种选择。本研究旨在评估一种注册前就业模式,即由注册护士(RNs)和委托护士(RNs)为有认知障碍和复杂行为的患者提供以人为本的专业护理,以及他们对注册护士的工作场所准备情况的看法。方法对 15 名注册护士和 11 名委托护士(RNs)进行了半结构式访谈。图表审计检查了 USiN 提供的护理类型,以了解这些类型是否符合当前的循证实践。研究结果USiNs针对认知、行为和其他与痴呆和谵妄相关的临床症状的变化提供了身体护理、监控和管理护理。讨论该试点模式提供了有效的指导,并提高了美国护士在委托监督下的执业范围内的技能和知识。结论卫生服务机构与大学合作开发的创新模式有助于改善对人们的护理,提供就业机会,并支持未来注册护理人员队伍的发展,以适应弱势群体的需求。
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Employment of undergraduate nursing students for specialling of people with cognitive impairment: A pilot study

Background

Health services need to consider how best to care for and resource people with cognitive impairment, such as dementia and/or delirium, during an acute care hospital admission. Upskilling undergraduate students in nursing (USiNs) is one option. This paper describes a pilot model to prepare employed USiNs under the delegation of registered nurses (RNs).

Aim

The aim of this study was to evaluate a pre-registration employment model of USiNs and delegating RNs providing specialised person-centred care to people with cognitive impairment and complex behaviours and their perception of workplace preparation of the USiN.

Methods

Semi-structured interviews were held with 15 USiNs and 11 delegating RNs. A chart audit examined the types of care provided by the USiNs to see if these were aligned with current evidence-based practice. An online survey was administered post employment about perceptions of orientation and involvement in the pre-registration employment model.

Findings

USiNs provided physical care, monitored, and managed care in relation to changes in cognition, behaviour, and other clinical symptoms associated with dementia and delirium. All participants in the study articulated that the model benefited them as stakeholders.

Discussion

The pilot model provided effective orientation and enhanced the skills and knowledge of USiNs within their scope of practice under delegated supervision.

Conclusion

Innovative models developed in partnership between health services and universities can help to improve the care of people, provide employment opportunities, and support the development of a future registered nursing workforce attuned to the needs of vulnerable people population.

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来源期刊
Collegian
Collegian NURSING-
CiteScore
2.70
自引率
6.70%
发文量
127
审稿时长
72 days
期刊介绍: Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.
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