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护士主导诊所运作的经验和看法:范围综述。

Nurses' experiences and perceptions of running nurse-led clinics: A scoping review.

机构信息

Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.

出版信息

Int J Nurs Pract. 2024 Dec;30(6):e13285. doi: 10.1111/ijn.13285. Epub 2024 Jul 31.

Abstract

AIM

To explore what is known about nurses' experiences and perceptions of running nurse-led clinics.

BACKGROUND

Nurse-led clinics were established to address health care needs. In collaboration with medical practitioners, advanced practice nurses may take a selected group of patients and manage their ongoing healthcare independently. Their experiences in running nurse-led clinics directly impact patient satisfaction and clinical outcomes.

DESIGN

Scoping review of the peer-reviewed literature.

DATA SOURCE

Systematic search through CINAHL, Medline, PsycINFO and Web of Science databases from January 2010 to September 2023.

REVIEW METHODS

This scoping review is guided by the updated methodological guidance for the conduct of scoping review from Joanna Briggs Institute.

RESULTS

Of 2747 retrieved articles, 15 were included in this review. Synthesis of the findings revealed that nurses believed implementing nurse-led clinics was beneficial to themselves, patients, and healthcare systems. However, they faced challenges in running nurse-led clinics, including insufficient support, teamwork obstacles and lack of role recognition.

CONCLUSION

Nurses need to be proactive in promoting their clinics and overcoming challenges. Healthcare organizations are responsible for creating a positive culture to support nurse-led services. Future research should focus on ways to increase global awareness of nurse-led clinics.

摘要

目的

探讨护士在经营护士主导诊所方面的经验和看法。

背景

设立护士主导的诊所是为了满足医疗保健需求。与医疗从业者合作,高级执业护士可以为选定的一组患者提供服务,并独立管理他们的持续医疗保健。他们在经营护士主导诊所方面的经验直接影响患者满意度和临床结果。

设计

对同行评议文献进行范围审查。

资料来源

通过 CINAHL、Medline、PsycINFO 和 Web of Science 数据库进行系统搜索,时间从 2010 年 1 月至 2023 年 9 月。

审查方法

本范围审查遵循 Joanna Briggs 研究所更新的同行评议综述进行方法指导。

结果

在检索到的 2747 篇文章中,有 15 篇被纳入本综述。研究结果的综合表明,护士认为开展护士主导的诊所对自己、患者和医疗保健系统都有益处。然而,他们在经营护士主导的诊所时面临一些挑战,包括支持不足、团队合作障碍和角色认同缺失。

结论

护士需要积极主动地宣传他们的诊所并克服挑战。医疗保健组织有责任营造积极的文化来支持护士主导的服务。未来的研究应关注如何提高全球对护士主导诊所的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1df/11608926/b6288a397c23/IJN-30-e13285-g001.jpg

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