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西班牙护士在推广护士处方方面的经验:一项定性研究。

Experiences of Spanish nurses in the rollout of nurse prescribing: a qualitative study.

机构信息

Col·legi Oficial d'Infermeres i Infermers de Barcelona, Barcelona, Spain.

Global Health, Gender and Society Research Group, Facultat de Ciències de la Salut Blanquerna, Universitat Ramon Llull, Barcelona, Spain.

出版信息

Front Public Health. 2023 May 12;11:1163492. doi: 10.3389/fpubh.2023.1163492. eCollection 2023.

Abstract

INTRODUCTION

Nurse prescribing has legal recognition in Spain, after a long regulatory process, with confusing, changing legislation that does not fully coincide with the reality of nurses' practice. There is currently no research available on how nurses have experienced the rollout of nurse prescribing. The objective of this study is to describe the experiences of nurses in the rollout of nurse prescribing in the province of Barcelona, Spain.

METHOD

A descriptive qualitative study with intentional sampling was carried out between March 2021 and July 2022. The data were collected through semi-structured individual interviews and discussion groups. The participants were 24 nurses working in the province of Barcelona who were accredited in nurse prescribing or involved in the rollout of nurse prescribing. The data were analyzed using thematic analysis, following Braun and Clark. The COREQ checklist was used to report findings.

RESULTS

We describe nurses' responses on the following themes: internal and external barriers; strategies to support nurse prescribing in the initial rollout and proposals for improvement; and factors linked to nurses' satisfaction.

DISCUSSION

The regulatory process has provided a safety framework for nurse prescribing. Strategies are needed for its comprehensive development and its acceptance among the public. The findings give visibility to nurse prescribing internationally.

摘要

简介

在经历了漫长的监管过程和混乱多变的立法之后,护士处方在西班牙得到了法律认可,这些立法并没有完全符合护士实践的现实。目前,关于护士在推广护士处方方面的经验,还没有研究。本研究的目的是描述西班牙巴塞罗那省护士在推广护士处方方面的经验。

方法

这是一项描述性的定性研究,采用了目的性抽样,在 2021 年 3 月至 2022 年 7 月期间进行。通过半结构化的个人访谈和小组讨论收集数据。参与者是在巴塞罗那省获得护士处方认证或参与推广护士处方的 24 名护士。采用 Braun 和 Clark 的主题分析法对数据进行分析。使用 COREQ 清单报告研究结果。

结果

我们描述了护士在以下主题上的反应:内部和外部障碍;在初始推广中支持护士处方的策略和改进建议;以及与护士满意度相关的因素。

讨论

监管过程为护士处方提供了安全框架。需要制定策略来全面发展和在公众中接受它。这些发现使国际上对护士处方有了更多的了解。

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