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促进初级卫生保健诊所中对患者进行有效护理的策略。

Strategies to facilitate effective caring for patients in primary health care clinics.

机构信息

Department of Nursing, Faculty of Health Sciences, Nelson Mandela University, Gqeberha, South Africa; and, Department of Nursing, Faculty of Health Sciences, University of Johannesburg, Johannesburg.

出版信息

Curationis. 2021 Nov 30;44(1):e1-e8. doi: 10.4102/curationis.v44i1.2201.

Abstract

BACKGROUND

Caring is described as the innermost core of nursing which occurs in a relationship between the patient and the care provider. Although caring in nursing is associated with maintaining and strengthening of the patient's sense of dignity and being a person, there seems to be a gap between caring theories in nursing, healthcare policies and caring for patients by professional nurses in primary health care clinics. Developing strategies that will facilitate effective caring for patients by professional nurses in primary health care clinics within an ethical and mindful manner became an area of focus in this study.

OBJECTIVES

To develop strategies to facilitate effective caring for patients by professional nurses in primary health care clinics in South Africa.

METHOD

Strategies were developed based on the conceptual framework developed in Phase 2, which was derived from synthesis of the results of Phase 1 of the previously conducted study and supported by literature. The conceptual framework reflects the survey list of Dickoff, James and Wiedenbach's practice theory.

RESULTS

Three strategies were developed: 1) facilitating maintaining of the empowering experiences; 2) facilitating addressing the disempowering experiences by professional nurses, and 3) facilitating addressing of the disempowering primary health care clinic systems.

CONCLUSION

The developed strategies, being the proposed actions, procedures and behaviours, could facilitate effective caring for patients by professional nurses in primary health care clinics.

摘要

背景

关怀被描述为护理的核心,发生在患者和护理提供者之间的关系中。尽管护理中的关怀与维护和加强患者的尊严感和作为人的感觉有关,但护理理论、医疗保健政策与专业护士在初级保健诊所中对患者的关怀之间似乎存在差距。因此,本研究的重点是制定策略,以促进专业护士在南非初级保健诊所中对患者进行有效的关怀。

目的

制定策略,以促进南非初级保健诊所的专业护士对患者的有效关怀。

方法

策略是基于第二阶段开发的概念框架制定的,该框架源自先前进行的研究第一阶段的结果综合,并得到文献的支持。该概念框架反映了 Dickoff、James 和 Wiedenbach 的实践理论的调查清单。

结果

制定了三项策略:1)促进维持赋权经验;2)促进专业护士解决去权经验;3)促进解决去权初级保健诊所系统。

结论

所制定的策略作为拟议的行动、程序和行为,可以促进专业护士在初级保健诊所中对患者进行有效的关怀。

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Can caring be taught?关爱能够被传授吗?
Nurs N Z. 2017 Apr;23(3):23-25, 46.
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How to practice person-centred care: A conceptual framework.如何实践以患者为中心的护理:概念框架。
Health Expect. 2018 Apr;21(2):429-440. doi: 10.1111/hex.12640. Epub 2017 Nov 19.

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