护士从业者在长期护理院中应对与 COVID-19 大流行相关的指令、政策和建议的后果。
Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes.
机构信息
KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
出版信息
J Appl Gerontol. 2022 Nov;41(11):2296-2306. doi: 10.1177/07334648221110210. Epub 2022 Jun 25.
OBJECTIVES
New models for the workforce are required in long-term care (LTC) homes, as was made evident during the Coronavirus Disease 2019 (COVID-19) pandemic. Nurse Practitioner (NP)-led models of care represent an effective solution. This study explored NPs' roles in supporting LTC homes as changes in directives, policies, and recommendations related to COVID-19 were introduced.
DESIGN
Qualitative exploratory study.
CONTEXT
Thirteen NPs working in LTC homes in Ontario, Canada.
METHODS
Semi-structured interviews were conducted in March/April 2021. A five-step inductive thematic analysis was applied.
FINDINGS
Analysis generated four themes: leading the COVID-19 vaccine rollout; promoting staff wellbeing related to COVID-19 fatigue; addressing complexities of new admissions; and negotiating evolving collaborative relationships.
CONCLUSIONS
Nurse practitioners were instrumental in supporting LTC homes through COVID-19 regulatory changes producing unintended consequences. The NPs' leadership in transforming care is equally essential in LTC homes as in other established healthcare settings, such as primary and acute care.
目的
在长期护理（LTC）院，需要新的劳动力模式，这在 2019 年冠状病毒病（COVID-19）大流行期间已经很明显。护士从业者（NP）主导的护理模式是一种有效的解决方案。本研究探讨了在引入与 COVID-19 相关的指令、政策和建议变化时，NP 在支持 LTC 院中的作用。
设计
定性探索性研究。
背景
加拿大安大略省 13 名在 LTC 院工作的 NP。
方法
2021 年 3 月/4 月进行了半结构化访谈。应用了五步归纳主题分析。
结果
分析产生了四个主题：领导 COVID-19 疫苗推广；促进与 COVID-19 疲劳相关的员工健康；解决新入院的复杂性；以及协商不断发展的合作关系。
结论
护士从业者在支持 LTC 院方面发挥了重要作用，应对 COVID-19 监管变化带来了意料之外的后果。NP 在改变护理方面的领导力在 LTC 院与其他既定医疗保健环境（如初级保健和急性护理）同样重要。
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