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市政医疗服务面临的挑战——护士领导者的视角。

Challenges in municipality healthcare services-The nurse leaders' perspective.

作者信息

Søreide Hilde, Kyrkjebø Dagrun, Råholm Maj-Britt

机构信息

Faculty of Health and Social Sciences Western Norway University of Applied Sciences Forde Norway.

出版信息

Nurs Open. 2019 Mar 19;6(3):889-896. doi: 10.1002/nop2.270. eCollection 2019 Jul.

DOI:10.1002/nop2.270
PMID:31367412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6650667/
Abstract

AIM

To examine perceptions of key challenges that nursing leadership face when organizing healthcare services in the municipality.

DESIGN

A qualitative study involving community nurse leaders ( = 9) in two focus group interviews.

METHODS

The material has been processed and interpreted in accordance with the phenomenological-hermeneutical tradition, and this process was inspired by Graneheim and Lundman.

RESULTS

Three themes were identified in this study: (a) Tension between organizing the daily work and future challenges; (b) Challenges with recruiting enough registered nurse (RNs) in municipal healthcare services; and (c) Competence development plan-a strategic tool for nursing leadership. The municipal healthcare services need a better knowledge base with better knowledge of both the content and quality of services, organization, leadership and management, thus improving new forms of work and professional approaches.

摘要

目的

探讨市政当局在组织医疗服务时护理领导所面临的关键挑战的认知情况。

设计

一项定性研究,对9名社区护士领导进行了两次焦点小组访谈。

方法

材料按照现象学-诠释学传统进行处理和解读,这一过程受到格兰内海姆和伦德曼的启发。

结果

本研究确定了三个主题:(a)日常工作组织与未来挑战之间的紧张关系;(b)市政医疗服务中招聘足够注册护士(RN)的挑战;(c)能力发展计划——护理领导的战略工具。市政医疗服务需要更好的知识库,包括对服务内容和质量、组织、领导和管理有更深入的了解,从而改进新的工作形式和专业方法。

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本文引用的文献

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Factors contributing to serious adverse events in nursing homes.导致养老院严重不良事件的因素。
J Clin Nurs. 2018 Jan;27(1-2):e354-e362. doi: 10.1111/jocn.13914. Epub 2017 Dec 4.
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Priorities for the professional development of registered nurses in nursing homes: a Delphi study.养老院注册护士专业发展的优先事项:德尔菲研究。
Age Ageing. 2017 Jan 8;46(1):39-45. doi: 10.1093/ageing/afw160.
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The competencies of Registered Nurses working in care homes: a modified Delphi study.养老院注册护士的能力:一项改良德尔菲研究。
Age Ageing. 2017 Jul 1;46(4):582-588. doi: 10.1093/ageing/afw244.
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The challenges of primary health care nurse leaders in the wake of New Health Care Reform in Norway.挪威新医疗改革后初级医疗保健护士领导者面临的挑战。
BMC Nurs. 2016 Nov 24;15:66. doi: 10.1186/s12912-016-0187-x. eCollection 2016.
5
Sufficient competence in community elderly care? Results from a competence measurement of nursing staff.社区老年护理是否有足够的能力?护理人员能力测量的结果。
BMC Nurs. 2016 Jan 14;15:5. doi: 10.1186/s12912-016-0124-z. eCollection 2016.
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Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review.护士供给与工作量对护士继续职业发展机会的组织影响:一项整合性综述
J Adv Nurs. 2015 Dec;71(12):2715-27. doi: 10.1111/jan.12724. Epub 2015 Jul 6.
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Effective nursing leadership of older persons in the community - a systematic review.
J Nurs Manag. 2014 Mar;22(2):211-24. doi: 10.1111/jonm.12076. Epub 2013 Jun 17.
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The role of leadership in the implementation of person-centred care using Dementia Care Mapping: a study in three nursing homes.领导力在使用痴呆症护理图谱实施以人为本的护理中的作用:一项针对三家养老院的研究。
J Nurs Manag. 2015 Jan;23(1):15-26. doi: 10.1111/jonm.12072. Epub 2013 May 16.
9
Time for change in community nursing? A critique of the implementation of the Review of Nursing in the Community across NHS Scotland.社区护理是否需要变革?对苏格兰国民保健制度中社区护理审查实施情况的批判。
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Effective leadership, teamwork and mentoring--essential elements in promoting generational cohesion in the nursing workforce and retaining nurses.有效的领导、团队合作和指导——促进护理人员队伍代际凝聚力及留住护士的关键要素。
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