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评估针对从事老年人护理工作的护士及专职医疗人员的专科教育项目:对动机与影响的定性分析

Evaluating a specialist education programme for nurses and allied health professionals working in older people care: A qualitative analysis of motivations and impact.

作者信息

Fitzpatrick Joanne M, Hayes Nicky, Naughton Corina, Ezhova Ivanka

机构信息

Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, 57 Waterloo Road, London SE1 8WA, United Kingdom of Great Britain and Northern Ireland.

School of Nursing and Midwifery, University College Cork, Gaol Walk, University College, Cork T12 YN60, Ireland.

出版信息

Nurse Educ Today. 2021 Feb;97:104708. doi: 10.1016/j.nedt.2020.104708. Epub 2020 Dec 10.

DOI:10.1016/j.nedt.2020.104708
PMID:33360313
Abstract

BACKGROUND

Developing clinical leaders is essential for high-quality, safe care for older people. Fundamental to achieving this is specialist continuing professional development for nurses and allied health professionals.

OBJECTIVES

To investigate the motivations of nurses and allied health professionals to undertake a national specialist gerontological programme, the Older Persons Fellowship, and its impacts on their development and on older people care.

DESIGN

A qualitative descriptive design.

METHODS

Participants were nurses and allied health professionals undertaking a national specialist gerontological programme in England. A purposive sample of 63 participants was recruited. Twelve focus groups and four individual interviews were conducted between February 2015 and February 2019. Data were analysed using thematic analysis.

RESULTS

Three themes were identified: credible gerontological experts; challenging ageism and suboptimal services; and legitimising gerontological practice as a speciality.

CONCLUSIONS

Understanding the motivations to undertake a specialist gerontological programme and the impacts on practitioners and older people care and services will help inform the continuing professional development agenda for nurses and allied health professionals working in this field of practice. Policy makers, commissioners, managers, and educators can use the findings to inform continuing professional development priorities and provision for the gerontological workforce.

摘要

背景

培养临床领导者对于为老年人提供高质量、安全的护理至关重要。实现这一目标的基础是护士和专职医疗人员的专科继续职业发展。

目的

调查护士和专职医疗人员参加一项全国性专科老年医学项目“老年人奖学金计划”的动机,以及该计划对他们的职业发展和老年人护理的影响。

设计

定性描述性设计。

方法

参与者为在英格兰参加全国性专科老年医学项目的护士和专职医疗人员。采用目的抽样法招募了63名参与者。在2015年2月至2019年2月期间进行了12次焦点小组讨论和4次个人访谈。采用主题分析法对数据进行分析。

结果

确定了三个主题:可信的老年医学专家;挑战年龄歧视和服务欠佳的情况;使老年医学实践成为一门专业合法化。

结论

了解参加专科老年医学项目的动机以及对从业者和老年人护理及服务的影响,将有助于为从事该实践领域的护士和专职医疗人员的继续职业发展议程提供信息。政策制定者、委托方、管理人员和教育工作者可以利用这些研究结果来确定继续职业发展的优先事项,并为老年医学劳动力提供相应支持。

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