超越能力与保留:为农村初级护理执业护士实习计划制定综合评估框架。

IF 1.2 4区 医学
JoAnna L Hillman, Janelle C Gowgiel, Paula S Price, Bethany Robertson
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引用次数: 0

摘要

摘要:随着执业护士(NP)住院医师项目的增加,评估主要集中在住院医师的保留率和能力完成情况。有必要扩大评估范围,以确保 NP 实习项目的可持续性,确保及时调整以解决住院医师的满意度问题,并巩固为农村实践做好充分准备的 NP 的长期发展道路。我们创建了一个家庭护士住院医师(FNP)实习项目,并制定了一个全面的评估框架,以帮助住院医师为在农村地区执业做好准备。评估框架由外部评估团队、项目领导和临床基地代表共同参与制定。全科护士住院医师培训项目的评估框架结合了住院医师评估和整体项目评估,采用了快速持续质量改进(QI)方法。评估考虑了三个不同的视角:住院医师、同行导师和临床基地。快速持续质量改进方法使项目领导层能够迅速应对项目挑战,根据住院医师报告的经验改进住院医师项目,并在评估住院医师的学习和表现的同时,强调项目的可持续性,以持续发挥项目的影响。该项目以数据为导向的评估方法证明,它成功地实现了卫生资源与服务管理局的资助目标,增加了农村地区初级医疗服务提供者的数量。该计划的扩展和持续成功进一步验证了这一评估框架在评估、改进和确保全科护士住院实习计划的可持续性方面的有效性。本文呼吁在未来的住院医师培训项目中采用类似的评估策略,以促进其在农村医疗环境中的长期成功和影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Beyond competence and retention: Developing a comprehensive evaluation framework for a rural primary care nurse practitioner residency program.

Abstract: With the rise in nurse practitioner (NP) residency programs, evaluations have largely focused on retention and competency completion for residents. There is a need for expanded evaluation to ensure the sustainability of NP residency programs, to ensure timely adaptations to address resident satisfaction, and to solidify a long-term pathway of NPs well prepared for rural practice. We created a family nurse practitioner (FNP) residency program with a comprehensive evaluation framework to prepare residents for practice in rural settings. The evaluation framework was developed through collaborative engagement of an external evaluation team, program leadership, and clinical site representatives. The evaluation framework of the FNP residency program combined resident assessment and holistic program evaluation, using a rapid continuous quality improvement (QI) approach. The evaluation considered three distinct perspectives: the resident, the peer coach, and the clinical site. The rapid continuous QI approach allowed program leadership to respond swiftly to programmatic challenges, improve the residency program in response to residents' reported experiences, and emphasize sustainability for continued program impact, while assessing residents' learning and performance. The program's data-driven evaluation approach has demonstrated its success in meeting the goals of the Health Resources and Services Administration funding by increasing the number of primary care providers in rural settings. The program's expansion and continued success have further validated the efficacy of this evaluation framework in assessing, improving, and ensuring the sustainability of APRN residency programs. This article calls for the adoption of similar evaluation strategies in future residency programs to promote their long-term success and impact in rural health care settings.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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