对高级执业护士在香港护士主导的非工作时间护理角色的益处和挑战的看法：一项问卷调查研究。
Perceptions of the benefits and challenges of the role of advanced practice nurses in nurse-led out-of-hours care in Hong Kong: a questionnaire study.
机构信息
Edge Hill University, Ormskirk, Lancashire, UK.
出版信息
J Clin Nurs. 2013 Apr;22(7-8):1173-81. doi: 10.1111/j.1365-2702.2012.04139.x. Epub 2012 Aug 2.
AIMS AND OBJECTIVES
The aim of the study was to identify the factors that nurses perceive may facilitate or hinder the development of advanced practice nurse roles in Hong Kong.
BACKGROUND
Advanced practice nurses are increasingly prominent in nurse-led out-of-hours care in Hong Kong in response to changes to junior doctors' hours of work.
SETTING
Three five-day workshops for Hong Kong-based advanced practice nurses were offered in partnership with UK clinicians. The aim of the workshops was to share UK experiences of implementation of the 'Hospital at Night' model of care delivery. The questionnaire study undertaken was not part of the workshop programme. However, the workshops gave the authors a unique opportunity to access relatively large numbers of Hong Kong-based advanced practice nurses.
PARTICIPANTS
The workshops were attended by experienced nurses who had been or were about to be appointed as advanced practice nurses. All nurses who attended one of the three workshops (n=120) agreed to participate in the study.
METHODS
Responses to two open questions posed in the questionnaire were the subject of a content analysis.
RESULTS
A prominent finding of the study was that respondents viewed the benefits of introducing advanced practice nurse roles in Hong Kong as outweighing any challenges. One of the main features of the perceived benefits relates to improving the quality and safety of patient care. The greatest challenges associated with the role related to acceptance of the role by other healthcare professionals, and difficulties associated with the general public's traditional attitudes to healthcare provision in Hong Kong.
CONCLUSIONS
Education of the public concerning the implementation of such roles is of crucial importance.
RELEVANCE TO CLINICAL PRACTICE
Findings from this study enhance understanding of the factors that hinder or facilitate advanced practice roles in out-of-hours care in Hong Kong.
目的和目标
本研究旨在确定护士认为可能促进或阻碍香港高级实践护士角色发展的因素。
背景
为应对初级医生工作时间的变化，香港的高级执业护士在护士主导的非工作时间护理中越来越突出。
地点
与英国临床医生合作，为香港的高级执业护士提供了三个为期五天的研讨会。研讨会的目的是分享英国实施“夜间医院”护理模式的经验。正在进行的问卷调查研究不是研讨会计划的一部分。然而，研讨会为作者提供了一个独特的机会，可以接触到相对较多的香港高级执业护士。
参与者
参加研讨会的是有经验的护士，他们已经或即将被任命为高级执业护士。参加三个研讨会之一的所有护士（n=120）都同意参与研究。
方法
对问卷中提出的两个开放式问题的回答进行了内容分析。
结果
该研究的一个突出发现是，受访者认为在香港引入高级实践护士角色的好处超过了任何挑战。被认为的好处的一个主要特征与提高患者护理的质量和安全性有关。与该角色相关的最大挑战与其他医疗保健专业人员对该角色的接受程度以及与香港公众对医疗保健提供的传统态度相关的困难有关。
结论
对公众进行有关实施此类角色的教育至关重要。
临床相关性
本研究的结果增强了对在香港非工作时间护理中阻碍或促进高级实践角色的因素的理解。
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