了解澳大利亚肾内科护士执业模式。

IF 1.5 4区 医学 Q3 NURSING
Ann Bonner RN, PhD, MACN, Bettina Douglas RN, NP, MN, Leanne Brown RN, NP, PhD, Barbara Harvie RN, NP, MN(NursPrac), Anthony Lucas RN, NP, MNurs(NursPrac), Melinda Tomlins RN, NP, MN(NursPrac), Kerri Gillespie BSc(Hons)
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引用次数: 1

摘要

背景:执业护士(NP)的执业范围超出了注册护士的执业范围。在肾脏护理中,肾病学NP可以管理慢性肾脏疾病(CKD)发展过程中不同阶段的患者。目的:了解澳大利亚肾脏病NP的特点、服务模式和实践领域。设计:横断面在线安全调查。参与者:肾脏病学NP (NP学生),他们是澳大利亚肾脏学会的成员,在澳大利亚工作(n = 73)。测量:收集的数据是人口统计学和实践特征,以及实践领域(使用改进的高级实践Strong模型)。该调查还寻求定性视角的推动者和障碍的可持续发展护士执业保健服务提供。结果:肾病学NP (n = 45)主要在成人服务中工作,管理那些接受血液透析、腹膜透析或早期CKD患者。提供直接的全面护理是高级实践的主要领域,尽管行政活动每周占用相当多的时间。护士领导和医务同事的支持被认为是这些服务可持续性的关键推动因素,而继任规划和工作量是主要障碍。结论:本研究发现了一个高素质、经验丰富但年龄较大的肾脏病护理从业人员队伍,他们提供了一种额外的健康服务模式,可以满足日益增长的CKD负担。在国际上,这一水平的护士提供了一个机会,使护士保持直接的临床角色,并扩大肾脏病护理队伍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the practice patterns of nephrology nurse practitioners in Australia
BACKGROUND Nurse practitioners (NP) have an expanded scope of practice beyond that of a registered nurse. In kidney care, nephrology NP can manage patients at various points along the chronic kidney disease (CKD) trajectory. OBJECTIVES To profile the characteristics, service patterns, and domains of practice of nephrology NP in Australia. DESIGN A cross-sectional online secure survey. PARTICIPANTS Nephrology NP (NP students) who were members of the Renal Society of Australasia and working in Australia (n = 73). MEASUREMENTS Data collected were demographic and practice characteristics, and domains of practice (using the modified Strong Model of Advanced Practice). The survey also sought qualitative perspectives of the enablers and barriers to sustainability nurse practitioner healthcare delivery services. RESULTS Nephrology NP (n = 45) primarily worked in adult services, managing those receiving haemodialysis, peritoneal dialysis, or patients with earlier grades of CKD. Providing direct comprehensive care was the dominant domain of advanced practice although administrative activities took up considerable time each week. Support from nurse leaders and medical colleagues was identified as key enablers for sustainability of these services whereas succession planning, and workload were the main barriers. CONCLUSIONS This study found a highly qualified, experienced but older nephrology nurse practitioner workforce who provide an additional model of health service delivery which can meet the growing CKD burden. Internationally, this level of nurse provides an opportunity for a career pathway to maintain nurses in direct clinical roles and to expand the nephrology nursing workforce.
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来源期刊
Journal of renal care
Journal of renal care Nursing-Advanced and Specialized Nursing
CiteScore
3.50
自引率
5.30%
发文量
36
期刊介绍: The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.
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