根据当前需求推进重症护理工作

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
R. Guerrero-Menéndez RN, PhD , G. Fontán-Vinagre RN, PhD(c) , J.L. Cobos-Serrano RN, PhD , D. Ayuso-Murillo RN, PhD
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引用次数: 0

摘要

目前对医疗服务的需求要求护士发挥关键作用,根据不同领域和复杂程度调整自己的能力。危重病人所面临的情况要求护士在特定领域培养专业能力,如病人安全、预防和控制医疗相关感染、执行特定技术和干预措施、自主用药管理或使用技术等。西班牙的专家培训计划在世界范围内都是独一无二的。培训录取通过地区医疗服务机构提供的 "住院实习护士"(EIR,Enfermera Interna Residente)合同进行管理。目前只设立和发展了 6 个专业,且发展不平衡,每年提供的名额也很少。由于危重症护理专业并不存在,护士通常自费接受研究生培训,以增加职业发展机会。发展重症护理专业是当务之急。所提出的模式主张创建护理角色,通过扩展其能力和引入适合高级实践的护理程序来弥补系统差距,这可以通过高级认证文凭来实现。与此同时,分析一下在某些国家,如此充满活力的一门学科是如何以及为什么会陷入西班牙医疗保健系统不合时宜的模式中。这种分析可能有助于在服务获取和护理质量方面推进改进领域的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
El avance de la enfermería de cuidados críticos como respuesta a las demandas actuales

The current demand on health services requires that nurses play a key role, by adapting their competencies to different fields and complexity levels. The approach of situations presented by critically ill patients underpins the need for development of specialised competencies in specific areas such as patient safety, prevention and control of healthcare-associated infections, performance of specific techniques and interventions, autonomous medication management or the use of technology, among others. Spain relies on a specialist training programme that is unique worldwide. Training admission is managed through a contract as a «Resident Nurse Intern» (EIR, Enfermera Interna Residente), provided by regional healthcare services. Only 6 specialities have been established and developed, in an uneven manner and with a short provision of places, annually. Given that the specialization in critical care nursing does not exist, nurses usually self-fund their postgraduate training to enhance their opportunities career development. The development of a speciality for critical care nursing is a priority. The models proposed advocate for creating nursing roles that could cover the systemic gaps through the expansion of their competencies and the introduction of procedures that fit nursing into advanced practice, which could be achieved through Advanced Accreditation Diplomas. Simultaneously, it would be convenient to analyse how and why such a dynamic discipline in some countries became stuck in anachronistic models of the Spanish healthcare system. This analysis might contribute to move forward on the development of areas of improvement in terms of service access and quality of care.

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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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