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探索澳大利亚全科护理的发展:我们来自何处,又将走向何方?

Exploring the development of Australian general practice nursing: where we have come from and where to from here?

作者信息

Halcomb Elizabeth J, Davidson Patricia M, Patterson Elizabeth

机构信息

South Western Sydney Centre for Applied Nursing Research, Sydney South West Area Health Service & School of Nursing, University of Western Sydney, Sydney, NSW, Australia.

出版信息

Contemp Nurse. 2007 Aug;26(1):145-53. doi: 10.5555/conu.2007.26.1.145.

DOI:10.5555/conu.2007.26.1.145
PMID:18041995
Abstract

Significant development has occurred in the role and scope of Australian general practice nursing in the last decade. Although there has been a nursing presence in Australian general practice for many years (Linn 1977), current workforce shortages and the growing need for chronic and complex disease management and provision of preventive health care in the community have fuelled role development (Halcomb, Patterson & Davidson 2006). In an effort to explore and document the evolution of scholarship and professional development in Australian general practice nursing a content analysis of the proceedings of the four Australian practice nursing conferences was undertaken. This framework allows the mapping of the trajectory related to professional development issues, policy, research and scholarship. Content analysis revealed that the papers presented at each of the four conferences could be broadly divided into six major themes, namely: (1) role of the practice nurse, (2) education and training, (3) research, (4) legal, ethical and risk issues, (5) innovation in clinical practice, and (6) operational and management issues in general practice. Documenting the evolution of this emerging specialty is important in planning initiatives to maximise practice nurses' important contribution to primary health care.

摘要

在过去十年中,澳大利亚全科护理的角色和范围有了显著发展。尽管多年来澳大利亚全科医疗中一直有护士存在(林恩,1977年),但当前的劳动力短缺以及社区对慢性病和复杂疾病管理及预防性医疗保健需求的不断增长,推动了该角色的发展(哈尔科姆、帕特森和戴维森,2006年)。为了探索和记录澳大利亚全科护理领域学术研究和专业发展的演变,对四届澳大利亚全科护理会议的会议记录进行了内容分析。该框架有助于梳理与专业发展问题、政策、研究和学术研究相关的轨迹。内容分析表明,在这四届会议上发表的论文大致可分为六个主要主题,即:(1)全科护士的角色,(2)教育与培训,(3)研究,(4)法律、伦理和风险问题,(5)临床实践创新,以及(6)全科医疗中的运营与管理问题。记录这一新兴专业的发展历程对于规划相关举措以最大化全科护士对初级卫生保健的重要贡献至关重要。

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