探索试点酒精和其他药物(AOD)执业护士指导计划:混合方法实证研究:试点执业护士指导计划。

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-08-01 DOI:10.1002/nop2.2250
Adam Searby, Dianna Burr, Colleen Blums, Jason Harrison, Darren Smyth
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引用次数: 0

摘要

目的:探讨针对酒精和其他药物(AOD)执业护士(全球也称为成瘾执业护士)的试点指导计划的有效性和可接受性:设计:混合方法评估:方法:两阶段评估,包括调查(人口统计学、计划前后的能力和信心感知),15 名参与者完成前期调查,10 名参与者完成后期调查,计划结束后对 10 名参与者进行定性访谈:定量结果表明,在治疗过程中,某些领域的能力感知和信心感知有了统计意义上的显著提高。定性结果表明,参与者非常重视来自经验丰富的执业护士的同伴支持和指导。在没有正式的执业护士实习或实习计划的地方,非正式的指导计划可以解决执业护士转型过程中固有的问题,这些问题可能会影响执业护士的留任。我们建议进一步探索样本量更大的指导计划,以确定自我报告的临床改善是否显著:执业护师是医疗保健系统的重要组成部分;他们的先进技能和知识使其处于一个理想的位置,可以解决处方医生短缺的问题,并为医疗保健服务不足的人群提供医疗服务。然而,文献资料表明,他们往往未得到充分利用,向自主执业过渡仍是一项挑战。我们对执业护士试点指导计划的探索表明,执业护士的知识水平和认知技能都很高,但在从高级执业注册护士过渡到自主执业护士的过程中,同行的帮助很有价值。我们建议进一步试验和评估执业护士指导计划,以增加执业护士的供应,并为服务不足的人群提供更多获得优质医疗服务的机会:该研究解决了什么问题?执业护士能够提供诊断和药物管理等高级实践干预,这为解决医疗资源短缺问题提供了潜在的解决方案。然而,目前的文献表明,过渡到执业护士角色的高级护士会受到过渡冲击,导致倦怠和留任率低。主要发现是什么?尽管这项试点指导计划在信心和能力方面的调查反馈显示出显著改善,但定性数据显示,新手执业护士非常重视来自更有经验的执业护士的同行支持和指导。参与者表示,他们与导师和被指导者都保持着持续的联系,这有助于向自主执业护士角色的过渡。研究将对哪些地方和哪些人产生影响?这项试点指导计划的结果表明,这些计划对许多专科的新执业护士都有益处。本文指出,针对执业护士的指导计划可以提供一个实践社区,并可能对过渡冲击产生积极影响:患者或公众贡献:无患者或公众贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring a pilot alcohol and other drug (AOD) nurse practitioner mentoring program: Empirical research mixed methods: A pilot nurse practitioner mentoring program.

Aim: To explore the effectiveness and acceptability of a pilot mentoring program for alcohol and other drug (AOD) nurse practitioners (also known globally as addiction nurse practitioners).

Design: Mixed method evaluation.

Methods: Two-phase evaluation comprising survey (demographics, pre- and post-program perceived competency and confidence) with 15 participants completing the pre survey and 10 participants completing the post survey, and qualitative interviews after the program with 10 participants.

Results: The quantitative results indicate statistically significant increases in some domains of perceived competence and confidence in treatment. Qualitative findings indicate that participants valued peer support and mentoring from experienced nurse practitioners. Where formal residency or internship programs for nurse practitioners do not exist, informal mentoring programs may address issues inherent in nurse practitioner transition that may impact retention. We recommend further exploration of mentoring programs with larger sample sizes to determine if self-reported clinical improvements are noted.

Implications for profession and/or patient care: Nurse practitioners are a vital part of the healthcare system; their advanced skills and knowledge place them in an ideal position to address prescriber shortages and access to care for populations underserved by healthcare. However, literature indicates that they are often underutilised, and transition to autonomous practice remains a challenge. Our exploration of a pilot mentoring program for nurse practitioners shows that their knowledge and perceived skills are high, yet peer assistance is valued in transitioning from advanced practice registered nurse to autonomous nurse practitioner. We recommend further trialling and evaluation of nurse practitioner mentoring programs to both increase supply of nurse practitioners and provide greater access to quality healthcare for underserved populations.

Impact: What problem did the study address? The ability of nurse practitioners to offer advanced practice interventions such as diagnosis and medication management potentially provides a solution to healthcare resource shortages. However, current literature indicates that advanced nurses transitioning to nurse practitioner roles suffer transition shock, leading to burnout and poor retention. What were the main findings? Although this pilot mentoring program shows significant improvements in survey responses on confidence and capability, qualitative data shows that neophyte nurse practitioners value peer support and mentoring from more experienced practitioners. Participants described maintaining ongoing connections with both mentors and fellow mentees, which aided transition to the role of autonomous nurse practitioner. Where and on whom will the research have an impact? The results of this pilot mentoring program indicate that there is benefit to these programs for neophyte nurse practitioners in many specialties. This paper indicates that mentoring programs for nurse practitioners may provide a community of practice and may have a positive impact on transition shock.

Reporting method: Good Reporting of a Mixed Methods Study (GRAMMS) checklist.

Patient or public contribution: No patient or public contribution.

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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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