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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Partnering in primary care in New Zealand: clients' and nurses' experience of the Flinders Program in the management of long-term conditions
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Partnering in primary care in New Zealand: clients' and nurses' experience of the Flinders Program in the management of long-term conditions

机译：新西兰初级保健合作伙伴：客户和护士在长期病情管理方面的弗林德斯计划经验

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Aim and Objectives. To explore clients' and nurses' experience of the Flinders Program? of self-management within a study assessing the feasibility for a trial gauging the effectiveness of the Flinders Program? in New Zealand (NZ).Background. The Flinders Program? has been adopted in NZ as a useful and appropriate approach for improving long-term condition management; approximately 500 health professionals have been trained in its use. Evidence for the effectiveness of self-management is inconclusive and support for introduction of new and complex interventions in primary care inconsistent. Design. The feasibility study used mixed methods with simultaneous qualitative and quantitative components, including a web-based survey. The qualitative component, reported here, used interpretive description.Method. In 2009, two focus groups were conducted with nurses participating in the intervention group of the feasibility study together with interviews of 11 clients with long-term conditions who had completed Flinders assessments and four nurses who partnered with these clients. Free-text responses from survey participants (n = 355) who had completed 'Flinders' training in. NZ since 2005 were included in the interpretative analysis.Findings. Three themes describe the experience of clients and nurses: 'enablers and benefits' with sub-themes of process, relationships and time; 'challenges' with sub-themes of motivation, resistance to change, primary care structure and time. 'A catalyst for change' is the third theme.Conclusion. While implementation of the Flinders Program? in NZ is limited, there are benefits of the approach for clients and nurses in terms of greater understanding of self-management, collaborative care and effective strategies to support client behaviour change. There are, however, challenges in facilitating such programs in primary care.Relevance to clinical practice. Understanding the experience of the Flinders Program in primary care illustrates the val...
机译：目的和目标。探索客户和护士对弗林德斯计划的体验？一项评估评估弗林德斯计划有效性的试验可行性的研究中的自我管理？在新西兰（NZ）。背景。弗林德斯计划？在新西兰已被采用为改善长期病情管理的有用且适当的方法;大约有500名卫生专业人员接受了使用培训。关于自我管理有效性的证据尚无定论，并且对在初级保健中采用新的复杂干预措施的支持也不一致。设计。可行性研究使用了混合方法，同时包含定性和定量成分，包括基于Web的调查。本文报道的定性成分使用解释性描述。 2009年，进行了两个焦点小组的访问，其中护士参加了可行性研究的干预小组，还采访了完成Flinders评估的11位长期病情患者和与这些客户合作的4位护士。自2005年以来在新西兰完成“ Flinders”培训的调查参与者（n = 355）的自由文本回复也包括在解释性分析中。三个主题描述了服务对象和护士的体验：“使人和利益”与流程，关系和时间等子主题相关; “挑战”的主题包括动机，对变革的抵制，初级保健结构和时间。第三个主题是``变革的催化剂''。结论。在实施弗林德斯计划时？在新西兰，这是有限的，因此，对于客户和护士而言，该方法的好处是可以更好地了解自我管理，协作护理以及支持客户行为改变的有效策略。但是，在初级保健中促进此类计划存在挑战。与临床实践相关。了解弗林德斯计划在初级保健中的经验可说明其价值。

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