关于痴呆症专科护士如何理解并保持构成其专业领域的技能和能力的探索：一项定性调查。
An exploration of how specialist dementia nurses perceive and maintain the skills and competencies that frame their specialism: A qualitative survey.
作者信息
Brown Pat, Cooper Claudia, Dening Karen Harrison, Hoe Juanita, Burton Alexandra
机构信息
Division of Psychiatry, University College London, London, UK & Dementia UK, London, UK.
Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary University of London, London, UK, And East London NHS Foundation Trust.
出版信息
Heliyon. 2024 Mar 22;10(7):e27856. doi: 10.1016/j.heliyon.2024.e27856. eCollection 2024 Apr 15.
BACKGROUND
UK policy for complex and long-term health conditions including dementia has recommended that specialist nursing intervention is offered across the trajectory of the condition, but there is a lack of agreement regarding the skills and competencies that specialist nurses are expected to possess. Admiral Nurses are the largest UK group of specialist dementia nurses.
OBJECTIVE
To explore how Admiral Nurses met and were supported to meet competencies as defined in the Admiral Nurse Competency Framework, and to develop and maintain skills as dementia specialists.
DESIGN
Cross-sectional, semi-structured survey.
SETTING
Online national survey.
PARTICIPANTS
Admiral (specialist dementia) Nurses.
METHODS
We co-designed our survey with Admiral Nurses; then invited Admiral Nurses to complete it in 2022-23 Data were analysed thematically.
RESULTS
68 (20% of all Admiral Nurses) completed the survey; most were female (85.2%), from a white ethnic group (88.2%); they reported on average 24 years of nursing experience. We identified three themes in responses: support, explored how participants were resourced with time and skills to understand and address family carer client needs by active listening, tailoring person-centred support, and "walking alongside" families. , concerned how they co-designed interventions with family carers, learning from these collaborative partnerships where expertise was shared. , explored how participants took responsibility for using available training, peer learning and self-reflection to develop their practice.
CONCLUSIONS
Admiral Nurse roles enabled respondents to develop as autonomous practitioners and to access resources that supported them to build and sustain their dementia specialist practice. Learning was practice based, through partnerships with family carer clients, peer support and self-directed learning. Specialist nursing models may help address the global health workforce emergency, through enabling creative practice development and valued roles that support retention of experienced nurses.
背景
英国针对包括痴呆症在内的复杂和长期健康状况的政策建议，应在疾病发展的全过程提供专科护理干预，但对于专科护士应具备的技能和能力，目前尚无共识。 Admiral Nurses是英国最大的专科痴呆症护士群体。
目的
探讨Admiral Nurses如何达到并获得支持以达到《Admiral Nurse能力框架》中定义的能力要求，并发展和维持作为痴呆症专家的技能。
设计
横断面、半结构化调查。
地点
在线全国性调查。
参与者
Admiral（专科痴呆症）护士。
方法
我们与Admiral Nurses共同设计了调查问卷；然后邀请Admiral Nurses在2022 - 2023年期间完成调查。对数据进行了主题分析。
结果
68名（占所有Admiral Nurses的20%）完成了调查；大多数为女性（85.2%），来自白人种族群体（88.2%）；他们报告平均有24年的护理经验。我们在回复中确定了三个主题：支持，探讨了参与者如何通过积极倾听、提供以人为本的支持以及与家庭并肩同行，在时间和技能方面获得资源，以理解和满足家庭照顾者客户的需求。协作，关注他们如何与家庭照顾者共同设计干预措施，从这些共享专业知识的合作关系中学习。发展，探讨了参与者如何通过利用现有培训、同伴学习和自我反思来发展自己的实践。
结论
Admiral Nurse的角色使受访者能够成长为自主从业者，并获得资源支持他们建立和维持痴呆症专科实践。学习以实践为基础，通过与家庭照顾者客户的合作、同伴支持和自主学习实现。专科护理模式可能有助于应对全球卫生人力紧急情况，通过促进创造性的实践发展和有价值的角色，以支持留住经验丰富的护士。
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