Exploring the nurse navigator role: A thematic analysis
Exploring the nurse navigator role: A thematic analysis
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DOI：
10.1111/jonm.12997
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发表时间：
2020-04-16
影响因子：
5.5
通讯作者：
Ferguson, Bridget
中科院分区：
文献类型：
--
作者：
Byrne, Amy-Louise;Hegney, Desley;Ferguson, Bridget
背景复杂的慢性病患者的经验碎片化的护理，不必要的住院治疗和降低生活质量，与不良的健康outcomes.Aims（S）的发病率增加本文的目的是探讨如何护士导航管理客户端的护理。这是通过检查护士导航员提供的叙述，评估其practice.Methods范围（S）雇用的所有护士导航员昆士兰州健康被邀请参加一项研究，评估服务的有效性。84个自我报告的小插曲进行了主题分析，以了解从护士的perspectives.Results工作出现两个主题的小插曲。主题1，复杂性的层次，由三个子主题组成：复杂的病人，复杂的系统和病人的结果。主题2，专业属性，有两个子主题：以人为本的护理和临床excellence.Conclusion导航创新地整合服务，并解决卫生系统的分散性。他们运用专业的临床和社会技能，通过一致和强大的沟通，以满足那些有多种慢性病的需要。对护理管理的影响结果提供了深入了解新的角色，照亮他们实现的工作，尽管系统的复杂性。
Background Patients with complex chronic conditions experience fragmentation of care, unnecessary hospitalization and reduced quality of life, with an increased incidence of poor health outcomes.Aim(s) The aim of this paper was to explore how nurse navigators manage client care. This was achieved through an examination of narratives provided by the nurse navigator that evaluated their scope of practice.Method(s) All nurse navigators employed by Queensland Health were invited to participate in a study evaluating the effectiveness of the service. Eighty-four self-reported vignettes were thematically analysed to understand the work from the nurses' perspectives.Results Two themes emerged from the vignettes. Theme 1, the layers of complexity, is comprised of three sub-themes: the complex patient, the complex system and patient outcomes. Theme 2, professional attributes, has two sub-themes: person-centred care and clinical excellence.Conclusion Navigators innovatively integrate services and address the fragmented nature of the health system. They apply expert clinical and social skills, through consistent and robust communication, to meet the needs of those with multiple chronic conditions.Implications for nursing management Results provide insight into the new role, illuminating the work they achieve, despite system complexities.