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首页> 外文期刊>Clinical Nursing Studies >Advanced roles for nurses working in general practice: A study of barriers and enablers for nurses in rural Australia
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Advanced roles for nurses working in general practice: A study of barriers and enablers for nurses in rural Australia

机译：普通护士工作的高级角色：澳大利亚农村地区护士的障碍和推动因素研究

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Rural Australians have poorer access to health services than Australians living in metropolitan areas primarily because of shortages in the health professional workforce. Nurses taking on advanced skills could help this situation by relieving doctors but our understanding of the factors that enhance or inhibit uptake is poorly understood in rural areas of Australia. The aim of this study is to identify the barriers and enablers associated with the implementation of advanced nursing roles in rural general practice specifically although an urban general practice was included to ensure that the diversity of practices were represented. The selection of general practices was based on (1). a standardised classification system that uses geographic location and population base as the key criterion and (2). ease of access for the research team. The general practices were all located within 3 hours drive of the researchers’ home base. Using case study design four rural and one metropolitan located general practices were included. The researchers compared recorded nursing activities with job descriptions, educational opportunities and advanced competency standards. Interviews with practice principals, practice managers and nurses were undertaken. Findings are categorised as: personal which includes motivation, knowledge and time; workplace which includes status, guidelines and practice conventions and routines; and policy which includes national payment systems, and scope of practice. The potential for nurses to advance their practice and meet the needs of patients, particularly in the specialist areas of chronic care and health promotion, is still under developed in the rural practices. The findings have led to the development of a framework for the introduction of advancing practice roles for nurses that will meet the needs of a currently, under-served community.
机译：与居住在大城市地区的澳大利亚人相比，澳大利亚农村人获得医疗服务的机会较差，这主要是由于卫生专业人员的短缺。掌握高级技能的护士可以通过减轻医生的负担来帮助解决这种情况，但是在澳大利亚农村地区，我们对增加或抑制摄取的因素的了解却很少。这项研究的目的是找出与农村高级实践中高级护理角色的实施相关的障碍和促成因素，尽管包括了城市常规实践以确保代表了实践的多样性。一般做法的选择基于（1）。以地理位置和人口基础为主要标准的标准化分类系统;（2）。便于研究团队使用。一般做法都位于研究人员总部所在地3小时内。使用案例研究设计，包括四个农村地区和一个位于大都市的一般做法。研究人员将记录的护理活动与工作描述，教育机会和高级能力标准进行了比较。与执业负责人，执业经理和护士进行了访谈。调查结果归类为：个人，包括动机，知识和时间;工作场所，包括地位，指导方针和惯例，惯例;包括国家支付系统在内的政策和实践范围。农村实践仍未充分发挥护士促进实践和满足患者需求的潜力，特别是在长期护理和促进健康的专业领域。这些发现导致开发了一个框架，用于引入护士的高级实践角色，以满足当前服务不足的社区的需求。

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