内外科住院部和重症监护室护士的执业范围。

IF 1.1 Q4 NURSING Enfermeria Clinica Pub Date : 2025-01-01 Epub Date: 2024-07-09 DOI:10.1016/j.enfcli.2024.06.004
Amaia Saralegui-Gainza , Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Leticia San Martín-Rodríguez
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引用次数: 0

摘要

目的分析西班牙背景下内科外科和重症监护病房的护理实践范围及其与护士个人特征和工作环境的关系。方法在纳瓦拉公共网络的29个内科外科住院单位和5个成人重症监护单位进行横断面观察研究。主要变量是护士的执业范围,使用西班牙版的D ' amour问卷进行测量。采用描述统计和推理统计对数据进行分析,显著性水平为0.05。结果共有310名护士参与本研究,结果均达到护理执业范围可接受水平。年龄和在重症监护室工作是确定护士实践活动范围差异的重要因素。相关分析显示,年龄与在“以患者和家庭为中心的护理”维度中表达较低得分的可能性之间存在统计学上显著的关联。相比之下,年轻护士在“护理质量和患者安全”维度上的得分明显较低。结论要解决卫生系统护士短缺问题,必须了解护理实践的范围。我们面临的挑战不仅是增加护士的人数,而且还要确保她们在其专业角色的全部范围内工作。
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Alcance de práctica de las enfermeras de hospitalización médico-quirúrgica y unidades de cuidados intensivos

Aim

To analyze the scope of nursing practice in medical-surgical and intensive care units in the Spanish context and its relationship with individual characteristics of nurses and their work environment.

Methods

A cross-sectional observational study was carried out in 29 medical-surgical hospitalisation units and 5 intensive care units for adults in the public network of Navarre. The main variable, nurses’ scope of practice, was measured using the Spanish version of the D’Amour questionnaire. Descriptive and inferential statistics were used to analyse the data, with a significance level of 0.05.

Results

A total of 310 nurses participated in the study, and the results showed acceptable levels of nursing scope of practice. Age and working in intensive care units were significant factors in identifying differences in nurses’ scope of practice activities. The correlation analysis revealed a statistically significant association between age and the likelihood of expressing lower scores in the dimension «Patient- and family-centered care.» In contrast, younger nurses exhibited significantly lower scores in the «Quality of care and patient safety» dimension.

Conclusions

To address the shortage of nurses in health systems, it is essential to understand the scope of nursing practice. The challenge is not only to increase the number of nurses but also to ensure that they are working in the full range of their professional roles.
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
74
期刊介绍: Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.
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