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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.

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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