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护士管理患有多种慢性病的成年人的经验:一项定性研究。

Nurses' experience of managing adults living with multimorbidity: A qualitative study.

机构信息

Centre for Nursing, Midwifery & Health Services Research, School of Nursing & Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.

Australian College of Nursing, Parramatta, New South Wales, Australia.

出版信息

J Adv Nurs. 2023 Jul;79(7):2514-2524. doi: 10.1111/jan.15600. Epub 2023 Mar 2.

Abstract

BACKGROUND

The number of adults living with two or more chronic conditions is increasing worldwide. Adults living with multimorbidity have complex physical, psychosocial and self-management care needs.

AIM

This study aimed to describe Australian nurses' experience of care provision for adults living with multimorbidity, their perceived education needs and future opportunities for nurses in the management of multimorbidity.

DESIGN

Qualitative exploratory.

METHODS

Nurses providing care to adults living with multimorbidity in any setting were invited to take part in a semi-structured interview in August 2020. Twenty-four registered nurses took part in a semi-structured telephone interview.

RESULTS

Three main themes were developed: (1) The care of adults living with multimorbidity requires skilled collaborative and holistic care; (2) nurses' practice in multimorbidity care is evolving; and (3) nurses value education and training in multimorbidity care.

CONCLUSION

Nurses recognize the challenge and the need for change in the system to support them to respond to the increasing demands they face.

IMPACT

The complexity and prevalence of multimorbidity creates challenges for a healthcare system configured to treat individual disease. Nurses are key in providing care for this population, but little is known about nurses' experiences and perceptions of their role. Nurses believe a person-centred approach is important to address the complex needs of adults living with multimorbidity. Nurses described their role as evolving in response to the growing demand for quality care and believed inter-professional approaches achieve the best outcomes for adults living with multimorbidity. The research has relevance for all healthcare providers seeking to provide effective care for adults living with multimorbidity. Understanding how best to equip and support the workforce to meet the issues and demands of managing the care of adults living with multimorbidity has the potential to improve patient outcomes.

PATIENT OR PUBLIC CONTRIBUTION

There was no patient or public contribution. The study only concerned the providers of the service.

摘要

背景

全球范围内,患有两种或多种慢性疾病的成年人数量正在增加。患有多种慢性疾病的成年人有复杂的身体、心理社会和自我管理护理需求。

目的

本研究旨在描述澳大利亚护士为患有多种慢性疾病的成年人提供护理的经验、他们认为的教育需求以及护士在管理多种慢性疾病方面的未来机会。

设计

定性探索。

方法

邀请在任何环境中为患有多种慢性疾病的成年人提供护理的护士参加 2020 年 8 月的半结构化访谈。24 名注册护士参加了电话半结构化访谈。

结果

提出了三个主题:(1)患有多种慢性疾病的成年人的护理需要熟练的协作和整体护理;(2)护士在多种慢性疾病护理方面的实践正在发展;(3)护士重视多种慢性疾病护理的教育和培训。

结论

护士认识到系统需要改变以支持他们应对所面临的日益增长的需求,这是一个挑战。

影响

多种慢性疾病的复杂性和普遍性给旨在治疗单一疾病的医疗保健系统带来了挑战。护士是为这一人群提供护理的关键,但对护士的经验和对其角色的看法知之甚少。护士认为以患者为中心的方法对于满足患有多种慢性疾病的成年人的复杂需求很重要。护士描述了他们的角色随着对高质量护理需求的增长而不断发展,并认为跨专业方法为患有多种慢性疾病的成年人取得最佳结果。这项研究对所有寻求为患有多种慢性疾病的成年人提供有效护理的医疗保健提供者都具有相关性。了解如何最好地装备和支持劳动力,以解决管理患有多种慢性疾病的成年人护理的问题和需求,有可能改善患者的预后。

患者或公众贡献

没有患者或公众的贡献。这项研究只涉及服务提供者。

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