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初级卫生保健中高级老年护理角色发展的认知与期望:一项探索员工观点的定性研究

Perceptions and Expectations of Advanced Geriatric Nursing Role Development in Primary Health Care: A Qualitative Study Exploring Staff's Perspectives.

作者信息

Li Yulian, Chen Meirong, Lin Rong, Li Hong

机构信息

The School of Nursing, Fujian Medical University, Fuzhou City, Fujian Province, People's Republic of China.

Department of Nursing, Fujian Provincial Hospital, Fuzhou City, Fujian Province, People's Republic of China.

出版信息

J Multidiscip Healthc. 2021 Dec 30;14:3607-3619. doi: 10.2147/JMDH.S343622. eCollection 2021.

Abstract

PURPOSE

This qualitative study aimed to explore multidisciplinary members' perceptions and expectations of advanced geriatric nursing role development in primary health care.

PATIENTS AND METHODS

A multi-center, cross-sectional study based on semi-structured individual interviews was conducted with registered nurses, general physicians, and managers involved in the care of older people in primary health care between September 2020 and January 2021. Recruitment was purposive and the framework method was used to inductively analyze the data. The Consolidated Criteria for Reporting Qualitative research (COREQ) served to structure our manuscript.

RESULTS

In total, 29 registered nurses, 6 general physicians, and 10 managers from 8 health centers were interviewed. The relevant themes interpreted from the interview data were as follows: (1) the current roles of registered nurses in the care of older people; (2) the factors affect the advanced geriatric nursing role development; (3) expectations of the advanced geriatric nursing roles.

CONCLUSION

There is a need for appropriate educational programs, well-established laws, and regulations to support the sustainable development of advanced geriatric nursing roles. To build the expected role model, the nursing education program in the future should integrate gerontological nursing, public health nursing, and nursing management to maximize the role of gerontological nurse practitioners in primary health care.

摘要

目的

本定性研究旨在探讨多学科成员对初级卫生保健中高级老年护理角色发展的认知和期望。

患者与方法

2020年9月至2021年1月期间,对参与初级卫生保健中老年人护理工作的注册护士、全科医生和管理人员进行了一项基于半结构化个人访谈的多中心横断面研究。采用目的抽样法进行招募,并使用框架法对数据进行归纳分析。本研究依据《定性研究报告统一标准》(COREQ)来组织论文结构。

结果

共访谈了来自8个健康中心的29名注册护士、6名全科医生和10名管理人员。从访谈数据中解读出的相关主题如下:(1)注册护士在老年人护理中的当前角色;(2)影响高级老年护理角色发展的因素;(3)对高级老年护理角色的期望。

结论

需要适当的教育项目、完善的法律法规来支持高级老年护理角色的可持续发展。为构建预期的角色模式,未来的护理教育项目应整合老年护理、公共卫生护理和护理管理,以最大限度地发挥老年护理执业者在初级卫生保健中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9839/8722692/f61dc3f9bf1a/JMDH-14-3607-g0001.jpg

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