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首页> 外文期刊>Journal of Nursing Education and Practice >Registered nurses’ perception of their professional role regarding medication management in nursing care of the elderly
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Registered nurses’ perception of their professional role regarding medication management in nursing care of the elderly

机译：注册护士对他们在老年人护理中药物管理的专业作用的认识

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Background: The role of the registered nurse (RN) in the municipality regarding medication management in care for the elderly is rarely discussed. Organizational issues related to medication management often contribute more to the management than needs of the patients, nursing skills, and collaboration with the physician in primary care. Objective: The aim of this study was to describe RNs’ perceptions of their professional role, especially regarding medication management in nursing of the elderly. Design: The study is descriptive with a qualitative approach. Interviews with 16 RNs working at nursing homes were analysed by content analysis. Results: The findings can be grouped into seven categories showing the RN in different roles while performing different aspects of her or his work: as controller, executer, messenger, supervisor, initiator, visionary and solitary worker. These themes were identified in the interviews and characterized the nurses’ own judgements and actions taken, especially regarding drug treatment. Overall, the RNs described nursing in elderly care as an undefined profession lacking leadership regarding medication management. Conclusions: The study concludes that medication management ought to be promoted in care for the elderly. To handle the challenge and risks of polypharmacy there must be sufficient and adequate reporting based on the RNs’ nursing and skills to monitor and evaluate the drug treatment in teamwork with the physician. This requires leadership with understanding of the integration of services in care for the elderly, and of the medical processes and nursing skills involved.
机译：背景：很少讨论市镇注册护士（RN）在老年人护理中药物管理的作用。与药物管理有关的组织问题通常比患者的需求，护理技能以及与初级保健医生的合作对管理的贡献更大。目的：本研究的目的是描述RN对其职业角色的看法，尤其是在老年人护理中的药物管理方面。设计：研究采用定性方法进行描述。通过内容分析对与16家在疗养院工作的护士的访谈进行了分析。结果：调查结果可以分为七个类别，显示RN在执行其工作的不同方面时扮演不同的角色：作为控制者，执行者，信使，主管，发起人，有远见和孤独的工人。这些主题是在访谈中确定的，并表征了护士自己的判断和所采取的措施，尤其是在药物治疗方面。总体而言，RN将老年护理中的护理描述为在药物管理方面缺乏领导力的不确定职业。结论：该研究得出结论，应该在老年人护理中促进药物管理。为了应对多元药房的挑战和风险，必须根据注册护士的护理和技能，进行充分和充分的报告，以与医生合作来监测和评估药物治疗。这需要领导者了解老年人护理服务的整合，所涉及的医疗过程和护理技能。

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