洪都拉斯护士对急诊和重症监护成人高级护理能力的看法：一项定性研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-06-24 DOI:10.1016/j.ienj.2025.101640

Merary Enid Pavón Rivera , Oscar Fidel Antunez Martinez , Perla Simons Morales

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引用次数: 0

摘要

在中美洲，APN的实施仍处于早期阶段，监管支持有限，或对重症监护高级护理实践进行结构化培训。这些角色的缺失造成了重症和急诊护理质量方面的巨大差距，进一步加剧了需要深入探讨的健康差距。目的探讨洪都拉斯护士对成人急诊和重症监护高级护理能力的看法。方法采用定性设计，对洪都拉斯北部一家公立医院的15名重症护理和急诊护士进行深度访谈。按照Colaizzi的步骤，通过参与者的叙述来分析数据。三个中心主题和八个副主题出现了。首先，重症和急诊护理中APN的观点表明护士对APN的构成缺乏明确的认识，经常将其与中枢神经系统混淆；其次，重症护理中APN的基本能力，强调有效护理所必需的关键程序和认知技能。最后，在重症监护APN自主和进步的障碍，它强调了培训不足，资源有限，法律支持不足所带来的挑战，阻碍了护士的自主和专业成长。该研究揭示了对APN角色的零散理解，参与者认识到需要高级能力，同时强调缺乏正式认可、认证和机构支持。与会者强调了研究生教育、领导力和程序自主的重要性，但指出他们的临床作用仍然受到体制、教育和监管障碍的限制。这些见解强调了制定明确框架、培训途径和政策支持的紧迫性，以促进APN成为一个可行的、独特的专业角色。

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Honduran nurses’ perceptions of advanced nursing care competencies for adults in emergency and critical care: a qualitative study

Background

In Central America, the implementation of APN is still in its early stages, with limited regulatory support, or structured training for advanced nursing practice in critical care. The absence of these roles leaves significant gaps in critical and emergency care quality, further exacerbating health disparities which need to be explore deeply.

Objective

To explore the Honduran Nurses’ Perspectives on Advanced Nursing Care Competencies for Adults in Emergency and Critical Care.

Method

A qualitative design was employed, using in-depth interviews with 15 Honduran critical care and emergency nurses from a public hospital in northern Honduras. Data were analyzed through participants’ narratives, following Colaizzi’s steps.

Findings

Three central themes, and eight subthemes emerged. Firstly, the perspectives on APN in critical and emergency care indicate a lack of clarity among nurses about what constitutes APN, often confusing it with CNS; Secondly, essential competencies for APN in critical care, which highlight the critical procedural and cognitive skills necessary for effective nursing care. Lastly, the barriers to autonomy and advancement in critical care APN, and it underscore the challenges posed by inadequate training, limited resources, and insufficient legal support, which hinder nurses’ autonomy and professional growth.

Conclusion

The study reveals a fragmented understanding of APN roles, with participants recognizing the need for advanced competencies while highlighting the lack of formal recognition, certification, and institutional support. Participants emphasized the importance of postgraduate education, leadership, and procedural autonomy but noted that their clinical roles remain limited by systemic, educational, and regulatory barriers. These insights underscore the urgency of developing clear frameworks, training pathways, and policy support to promote APN as a viable and distinct professional roles.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.