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萨斯喀彻温省长期护理设施中执业护士提供以患者为中心的护理:一项混合方法研究的定性结果。

Provision of Resident-Centered Care by Nurse Practitioners in Saskatchewan Long-Term Care Facilities: Qualitative Findings From a Mixed Methods Study.

出版信息

Res Gerontol Nurs. 2020 Mar 1;13(2):73-81. doi: 10.3928/19404921-20191022-02. Epub 2019 Nov 11.

Abstract

With their education and skill set, nurse practitioners (NPs) are ideally situated to provide primary care to long-term care (LTC) residents, and this is a timely development as physician presence in LTC has been decreasing. A sequential follow-up explanatory mixed methods design was used for the current study, which focused on the interviews that followed the initial survey. The sample included seven NPs who work with LTC residents in urban and rural settings in a western Canadian province. The interviews provided an opportunity for in-depth discussion regarding survey results. Interpretive description guided the data analysis. NPs provide timely access to primary care, address medication reconciliation, decrease transfers to hospitals, and take part in collaborative practice. NPs promote the health care goals of LTC residents. Departments of health would benefit from the inclusion of a wider range of health providers, including NPs, to provide timely access to quality care in LTC facilities. [Research in Gerontological Nursing, 13(2), 73-81.].

摘要

执业护士(NPs)具备教育背景和专业技能,非常适合为长期护理(LTC)居民提供初级护理,这是一个及时的发展,因为医生在 LTC 中的存在一直在减少。本研究采用了顺序随访解释性混合方法设计,重点是在初始调查后的访谈。样本包括在加拿大西部一个省的城市和农村地区与 LTC 居民合作的 7 名 NPs。访谈为深入讨论调查结果提供了机会。解释性描述指导了数据分析。NPs 提供了及时的初级保健服务,解决药物调整问题,减少向医院的转介,并参与合作实践。NPs 促进了 LTC 居民的医疗保健目标。卫生部门将受益于更广泛的医疗服务提供者的纳入,包括 NPs,以在 LTC 设施中提供及时的优质护理。[老年护理学研究,13(2),73-81.]。

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