瑞典利益相关者对在市政医疗保健中引入执业护士角色之前所需准备工作的看法——焦点小组研究。

IF 1.9 4区 医学 Q2 NURSING
Scandinavian Journal of Caring Sciences Pub Date : 2024-06-01 Epub Date: 2023-11-20 DOI:10.1111/scs.13224
Birgitta Ljungbeck, Elisabeth Carlson, Katarina Sjögren Forss
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引用次数: 0

摘要

背景:护士从业者的作用已成为重要的处理日益增长的医疗保健需求的老年人慢性疾病全球。然而,研究表明,引入这一角色是一个复杂的过程,需要更多的研究来准备将其引入不同的医疗保健环境,如市政医疗保健。目的:目的是调查瑞典利益相关者确定的准备工作,然后将护士执业角色引入市政医疗保健。方法:通过在TEAMS数字平台上虚拟进行的四次焦点小组访谈收集数据,每组3 - 6人,共18人。采访记录采用六步专题方法进行分析:熟悉数据、对数据进行编码、产生初步主题、审查主题、确定和命名主题以及编写报告。调查结果:调查结果分为两个主题,每个主题又有两个子主题。首先,在澄清为什么需要护士从业员角色时,与会者强调了引入这一角色的明确意图的重要性。第二,确保有一个国家框架来支持在地方一级的采用,这表明需要国家行动者之间进行合作,以便在采用该角色之前澄清其任务和权力。结论:在市级卫生保健中引入执业护士角色有助于提高护理能力的供给和患者护理的质量,但引入执业护士角色的准备工作还需要做大量的准备工作。护士执业角色的发展需要决策者和领导者对其引入承担主要责任。这项研究可以通过确定最佳做法和缺陷,为处于发展护士执业作用早期阶段的国家提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Swedish stakeholders' views of the preparatory work needed before introducing the nurse practitioner role in municipal healthcare-A focus group study.

Background: The nurse practitioner role has become important globally in handling the growing healthcare needs of older adults with chronic diseases. Nevertheless, research shows that introducing the role is a complex process, and more studies are needed to prepare for its introduction into different healthcare contexts, such as municipal healthcare.

Aim: The aim is to investigate what Swedish stakeholders identify as the preparatory work needed before introducing the nurse practitioner role into municipal healthcare.

Methods: Data were collected through four focus group interviews conducted virtually on the TEAMS digital platform, with three to six participants in each group and 18 participants total. The transcribed interviews were analysed using a six-step thematic approach: familiarisation with the data, coding the data, generating initial themes, reviewing themes, defining and naming the themes and producing the report.

Findings: The findings are divided into two main themes, each with two sub-themes. In the first, clarifying why the nurse practitioner role is needed, participants stressed the importance of having a clear intention for introducing the role. The second, ensure a national framework to bolster the introduction at the local level, demonstrates the need for collaboration among national actors to clarify the role's mandate and authority before its introduction.

Conclusions: Adding the nurse practitioner role to municipal healthcare can help increase the supply of nursing competence and the quality of patient care, but preparation for introducing the role requires extensive work. The development of the nurse practitioner role requires decision-makers and leaders to take primary responsibility for its introduction. This study can support countries in the early phase of developing the nurse practitioner role by identifying both best practices and pitfalls.

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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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