Success indicators and barriers to acute nurse practitioner role implementation in four Ontario hospitals.
Success indicators and barriers to acute nurse practitioner role implementation in four Ontario hospitals.
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安大略省四家医院实施急性护士执业角色的成功指标和障碍。
DOI：
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
V. Micevski
中科院分区：
文献类型：
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作者：
M. van Soeren;V. Micevski
医疗环境因素的变化导致安大略引入急症护理执业护士（ACNP）角色。本研究的目的是确定角色实施的成功指标、障碍和建议，以帮助医疗保健提供者制定将ACNPs融入团队的策略。来自四家三级医院的急症护理护士从业人员（n = 14）、医生（n = 14）、管理人员（n = 12）和护士工作人员（n = 48）完成了一份由研究人员自行编制的问卷，问卷中有固定问题和开放式问题。专业实践领域（心脏/重症监护，老年病学和肾脏病学）在四个站点内匹配。急症护理执业护士（n = 14）、内科医生（n = 12）、行政管理人员（n = 8）和护理人员（n = 34）参与了调查。所有小组成功执行角色的主要指标是准备水平。障碍包括缺乏指导和对角色的了解，以及缺乏来自行政部门和医生的支持。反映对病人护理影响的主题是改善沟通和对病人护理问题的关注。答复者接受了这一角色，并得出结论，结果是增强了护理的连续性。在实施之前和实施过程中明确角色将有助于团队成员理解角色的目的和价值，从而简化ACNP与医疗保健团队的整合。
Changes in healthcare environmental factors resulted in the introduction of the acute care nurse practitioner (ACNP) role in Ontario. The purpose of the study was to identify success indicators, barriers, and recommendations for role implementation to assist healthcare providers to develop strategies for integrating ACNPs into teams. Acute care nurse practitioners (n = 14), physicians (n = 14), administrators (n = 12), and staff nurses (n = 48) from four tertiary care hospitals completed a researcher-developed, self-administered questionnaire with fixed and open-ended questions. Specialty practice areas (cardiac/critical care, geriatrics, and nephrology) were matched within the four sites. Acute care nurse practitioners (n = 14), physicians (n = 12), administrators (n = 8), and staff nurses (n = 34) responded. The major indicator by all groups for successful role implementation was level of preparation. Barriers included lack of mentorship and knowledge of the role, and perceived lack of support from administration and physicians. Themes reflecting impact on patient care were improved communication and attention to patient care issues. Respondents accepted the role, concluding that enhanced continuity of care was a result. Role clarity before and during implementation would assist team members in understanding the purpose and value of the role, thus easing the integration of the ACNP into the healthcare team.