一所大型学术医院以护士为主导的骨科护理模式的员工视角:一项混合方法研究

IF 1.5 Q3 NURSING
Abby Ayoub , Ines Zombré , Chantal Backman , Chabot Chantal , Daniel Bédard , John Joanisse
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引用次数: 0

摘要

背景研究表明,骨科中涉及老年护理的护理模式可以减少住院人数、死亡率、住院时间和术后并发症。本文介绍了安大略省一家大型学术医院由执业护士主导的正字法护理模式的一个例子。总体目标是探索员工对执业护士主导的正字法护理模式的看法。方法我们采用混合方法,包括在线问卷、半结构化访谈和工作人员焦点小组。结果员工问卷调查显示,在模型范围内,员工对NP功能的整体支持。对医疗保健提供者、领导层以及整形外科医生的一个焦点小组的采访表明,尽管对NP领导的正字法护理模式缺乏正式认识,但工作人员认为该模式为老年髋部骨折人群提供了更好的护理。结论在目前老年医生缺乏为老年患者提供术后护理的情况下,工作人员表示,通过NP可以很好地完成髋部骨折患者的老年护理。需要进一步改进,以提高护理团队对NP主导的正字法模式的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Staff perspectives of a nurse practitioner-led orthogeriatric model of care in a large academic hospital: A mixed methods study

Background

Research has shown that models of care involving geriatric care in orthopedics decrease hospitalizations, mortality, length of stay and post-operative complications. This article presents an example of a nurse practitioner-led orthogeriatric model of care in a large academic hospital in Ontario. The overall goal was to explore staff perspectives regarding the nurse practitioner-led orthogeriatric model of care.

Methods

We conducted a mixed methods approach consisting of an online questionnaire, semi-structured interviews, and a focus group with staff.

Results

Questionnaire of staff showed overall support for functions of the NP within the model. Interviews with healthcare providers, and leadership as well as one focus group with orthopedic surgeons showed that despite the lack of formal awareness of the NP-led orthogeriatric model of care, staff felt that the model provided better care for the geriatric hip fracture population.

Conclusion

In the current context of geriatricians’ shortages to provide post-surgical care to geriatric patients, the staff described that geriatric care of hip fracture patients can be well accomplished by a NP. Further improvement efforts to create better awareness of the NP-led orthogeriatric model among the care team is needed.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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