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加拿大医院和家庭访视护士对过渡期家庭的态度:一项描述性比较研究。

Canadian Hospital and Home Visiting Nurses' Attitudes Toward Families in Transitional Care: A Descriptive Comparative Study.

机构信息

1 University of Manitoba, Winnipeg, Canada.

2 Grace Health Campus, Winnipeg, Manitoba, Canada.

出版信息

J Fam Nurs. 2019 Aug;25(3):370-394. doi: 10.1177/1074840719863499. Epub 2019 Jul 22.

DOI:10.1177/1074840719863499
PMID:31328621
Abstract

Despite the key role that hospital and home care nurses have in supporting family carers in transitional care, there is limited comparative information on their attitudes toward supporting family carers during care transitions. As part of a larger research project, we conducted a descriptive comparative study using a cross-sectional survey. Canadian nurses (105 hospital, 34 home visiting) completed a demographic questionnaire and the Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA) measurement tool. There were no statistically significant differences between hospital and home visiting nurses' attitudes, which were positive about including families in care. Nurses who reported having a workplace philosophy or general approach to the care of family held more positive attitudes toward families than those who did not. This is important because positive attitudes are often linked to better communication with family carers and thus, better patient and carer outcomes. To our knowledge, only one Canadian master's thesis has used this tool. Thus, this research furthers understanding of nurse attitudes within a Canadian context. Furthermore, this article adds to the literature by including suggestions for future research that are based in social psychological theories. Interdisciplinary knowledge can help pre- and postlicensure clinicians in advanced family nursing to better lever barriers and facilitators within family nursing practice.

摘要

尽管医院和家庭护理护士在支持家庭护理员进行过渡护理方面发挥着关键作用,但关于他们在护理过渡期间支持家庭护理员的态度的比较信息有限。作为一个更大研究项目的一部分,我们使用横断面调查进行了描述性比较研究。加拿大护士(105 名医院护士,34 名家庭访视护士)完成了一份人口统计学问卷和《护理中家庭的重要性-护士态度》(FINC-NA)测量工具。医院和家庭访视护士的态度没有统计学上的显著差异,他们都对将家庭纳入护理持积极态度。报告有工作场所理念或一般家庭护理方法的护士比没有这些理念或方法的护士对家庭持有更积极的态度。这很重要,因为积极的态度通常与更好地与家庭护理员沟通有关,从而改善患者和护理员的结果。据我们所知,只有一篇加拿大硕士论文使用了这个工具。因此,这项研究在加拿大背景下进一步了解了护士的态度。此外,本文通过包含基于社会心理理论的未来研究建议,为文献增添了新内容。跨学科知识可以帮助家庭护理实践中预许可和许可后的临床医生更好地利用家庭护理实践中的障碍和促进因素。

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