A care policy and its implementation.
A care policy and its implementation.
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DOI：
10.1046/j.1440-172x.2001.00247.x
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发表时间：
2001-04-01
影响因子：
1.9
通讯作者：
Engstrom, B
中科院分区：
文献类型：
--
作者：
Lovgren, G;Astrom, G;Engstrom, B
我们采访了瑞典西博滕省医院护理和初级卫生保健部门的主任医师、护士长和护士长（n = 50），以探讨他们对采用和实施新护理政策的看法。结果表明，受访者对护理政策的价值观及其对医疗保健系统的适应性达成了一致。与初级卫生保健领域相比，医院护理领域的受访者表示积极看法（分别为 63% 和 55%），并表示参与实施过程（分别为 64% 和 35%）以及计划或正在进行的活动（分别为 63% 和 45%）。然而，67% 的受访者表示，由于沮丧的情况和专业群体之间的障碍，实施过程中遇到了障碍，初级卫生保健领域的受访者比医院护理领域的受访者更多（分别为 75% 和 62%）。在同一部门工作的受访者在医院护理和初级卫生保健方面都存在不同的观点。研究结果表明，如果要从早期阶段开始实施，就需要进一步努力，特别是在初级卫生保健领域。
Chief physicians, nurse managers and head nurses (n = 50) in hospital care and primary health care in Vasterbotten, Sweden, were interviewed to explore their views on adopting and implementing a new care policy. The results indicated agreement among the respondents concerning the values of the care policy and its adaptability to the health-care system. More respondents in hospital care than in primary health care expressed a positive view (63%, respectively 55%), reported involvement in the implementation process (64%, respectively 35%) and planned or ongoing activities (63%, respectively 45%). Obstacles in the implementation process due to a frustrated situation and barriers between professional groups were, however, expressed by 67% of the respondents, more among the respondents in primary health care than among those in hospital care (75%, respectively 62%). Divergent views among respondents working in the same department were seen in both hospital care and primary health care. The findings indicated demands for further efforts if the implementation is to move on from its early stages, especially in primary health care.