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家庭保健护士:概念分析。

The Home Healthcare Nurse: A Concept Analysis.

机构信息

Susan A. Riekert, MSN, RN , is an Assistant Professor of Nursing, Department of Nursing, Queensborough Community College, Bayside, New York.

出版信息

Home Healthc Now. 2021;39(4):194-202. doi: 10.1097/NHH.0000000000000961.

Abstract

The home healthcare nurse is a concept that has grown rapidly in the past two centuries, however, the role and meaning remain ambiguous. Continuous changes in the healthcare system have sparked confusion with patients and healthcare providers as to the essence of the home healthcare nurse. With the popularity and demand for home healthcare-based care on the rise, it is necessary to differentiate the concept of the home healthcare nurse from other related terms through a concept analysis. Using Walker and Avant's methodology, a literature search using Cumulative Index to Nursing and Allied Health Literature (CINAHL) along with dictionaries, encyclopedias, and professional organizations was performed to identify all the uses, attributes, and characteristics of the concept. Five defining attributes emerged during the analysis: autonomy, adaptability, person-centered holistic care, care coordination, and self-efficacy. Antecedents, consequences and empirical referents were identified. As a first step, this concept analysis brings clarity to the meaning and role of the home healthcare nurse from which arose an operational definition and proposed conceptual model. With the number of patients admitted to home healthcare accelerating, healthcare organizations and clinicians must distinctly understand the concept of the home healthcare nurse. Future research should include testing theoretical relationships between the home healthcare nurse and patient outcome variables to enhance nursing science and promote population health.

摘要

家庭保健护士是一个在过去两个世纪迅速发展的概念,但角色和意义仍然模糊不清。医疗保健系统的持续变化,让患者和医疗保健提供者对家庭保健护士的本质感到困惑。随着基于家庭保健的护理的普及和需求的增加,有必要通过概念分析将家庭保健护士的概念与其他相关术语区分开来。使用沃克和阿凡特的方法,通过累积索引护理和相关健康文献(CINAHL)以及词典、百科全书和专业组织进行文献检索,以确定该概念的所有用途、属性和特征。在分析过程中出现了五个定义属性:自主性、适应性、以患者为中心的整体护理、护理协调和自我效能。确定了前因、后果和经验参照。作为第一步,这种概念分析使家庭保健护士的含义和角色更加清晰,从而产生了操作性定义和拟议的概念模型。随着接受家庭保健护理的患者数量的增加,医疗保健组织和临床医生必须清楚地了解家庭保健护士的概念。未来的研究应包括测试家庭保健护士与患者结果变量之间的理论关系,以加强护理科学并促进人口健康。

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