高级实践注册护士在养老院中的领导角色：引领高质量和安全护理的努力。
The Advanced Practice Registered Nurse Leadership Role in Nursing Homes: Leading Efforts Toward High Quality and Safe Care.
机构信息
Betty Irene Moore School of Nursing at UC Davis, 2570 48th Street, Sacramento, CA 95817, USA.
出版信息
Nurs Clin North Am. 2022 Jun;57(2):245-258. doi: 10.1016/j.cnur.2022.02.011. Epub 2022 May 4.
Abstract
This article highlights the critical role of advanced practice registered nurses in the care of older adults living in nursing homes. This population is one of the frailest, marginalized, and often neglected in the United States. The COVID-19 pandemic impact on nursing homes resulted in a stunning number of infections and subsequent resident deaths. This is a shameful reminder of the many challenges and gaps in the nursing home industry including inadequate staffing, high staff turnover, improper isolation technique, and lack of fundamental knowledge of how to adequately implement infection prevention and control processes. Strong advanced practice registered nurse leadership may have mitigated some of these factors.
摘要
本文强调了高级实践注册护士在护理养老院中老年人方面的关键作用。这一人群在美国是最脆弱、最边缘化且经常被忽视的人群之一。COVID-19 大流行对养老院的影响导致了大量的感染和随后的居民死亡。这是对养老院行业面临的许多挑战和差距的一个可耻提醒，包括人手不足、高员工流动率、隔离技术不当以及缺乏充分了解如何充分实施感染预防和控制流程的基本知识。强有力的高级实践注册护士领导可能已经减轻了其中的一些因素。
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2
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Health Aff (Millwood). 2021 Mar;40(3):384-391. doi: 10.1377/hlthaff.2020.00957.
3
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J Am Med Dir Assoc. 2021 Feb;22(2):225-227. doi: 10.1016/j.jamda.2020.12.023. Epub 2020 Dec 27.
4
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J Nutr Health Aging. 2021;25(1):5-12. doi: 10.1007/s12603-020-1552-8.
5
Racial and Ethnic Disparities in COVID-19 Infections and Deaths Across U.S. Nursing Homes.美国养老院中 COVID-19 感染和死亡的种族和族裔差异。
J Am Geriatr Soc. 2020 Nov;68(11):2454-2461. doi: 10.1111/jgs.16847. Epub 2020 Sep 28.
6
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7
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