出现一个新的后专业联合卫生人力,以解决农村患者复杂的医疗保健需求:一项定性探索性研究

IF 1.9 4区 医学 Q2 NURSING
Anna Moran, Olivia King, Catherine Cosgrave, Christina Malatzky, Rosalie Boyce
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引用次数: 0

摘要

目的探讨新兴的专职医疗后职业角色的性质和关键功能,并确定在农村公共医疗机构中继续塑造其发展和运作的背景因素。设计一个定性的探索性研究设计利用里奇和斯宾塞的团队为基础的五阶段框架和南卡罗的六个原则,以提高劳动力的灵活性。以澳大利亚维多利亚州和新南威尔士州为背景。参与者与来自多个区域和农村地区的四个团队的从事后职业的专职保健专业人员及其经理/主任进行了半结构化的个人和小组访谈。结果确定了四个关键主题,其中两个主题与专职医疗后职业角色的性质有关:(1)专职医疗后职业满足客户的需求;(2)隐藏的医疗英雄。另外两个主题描述了在农村卫生环境中形成专职医疗后职业角色的因素:(3)专职医疗后职业人员扩展和发展他们的技能;(4)专职医疗后职业角色的社会建构。专业后劳动力体现了“灵活劳动力”的六项原则,并可能在解决许多系统挑战方面发挥关键作用,这些挑战使农村环境中难以实现以客户为中心的护理。然而,这种劳动力的持续发展和进步受到宏观和中观约束的限制。因此,至关重要的是,通过宏观一级的政策杠杆以及在组织和个人专业一级从结构上支持专业后角色的价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Emergence of a New Post-Professional Allied Health Workforce to Address Complex Healthcare Needs of Rural Patients: A Qualitative Exploratory Study

Objective

To explore the nature and key functions of emerging allied health post-professional roles and to identify the contextual factors that continue to shape their development and operationalisation in rural public healthcare settings.

Design

A qualitative exploratory study design utilising Ritchie and Spencer's team-based five-stage framework and Nancarrow's six principles to enhance workforce flexibility.

Setting

Victoria and New South Wales, Australia.

Participants

Semi-structured individual and group interviews were undertaken with allied health professionals working in post-professional roles and their managers/directors from four teams across multiple regional and rural areas.

Results

Four key themes were identified, two of which related to the nature of the allied health post-professional role: (1) Allied health post-professionals meet clients ‘where they are at’ and (2) Hidden healthcare heroes. Two further themes described the factors that shape allied health post-professional roles in rural health settings: (3) Allied health post-professionals stretch and grow their skillset and the (4) Social construction of allied health post-professional roles.

Conclusion

The post-professional workforce exemplifies the six principles of a ‘flexible workforce’ and may play a key role in addressing many system challenges that make client-centred care in rural settings difficult to achieve. However, the ongoing evolution and advancement of this workforce is limited by macro and meso-level constraints. It is thus critical that the value of post-professional roles is structurally supported through macro-level policy levers as well as at an organisational and individual profession level.

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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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