■2017年在英格兰引入护理助理,作为专业的“桥梁”角色,旨在缓解长期的人员配备短缺,使医疗助理的职业发展和释放注册护士提供更复杂的护理。关于英国独立监管机构描述的护理助理角色的身份和目的之间的一致性的证据有限,护理和助产委员会,和期望,义务,以及在实践中遇到的团队动态。
■通过角色持有人的观点和经验调查护理助理角色的看法,注册护士,医疗助理。
■伦敦的两个英国国家卫生服务(NHS)医院信托基金,英格兰(英国)。
■对于此注册服务评估,数据是通过亲自收集的,半结构化面试。逐字对照转录物被诱导编码。一种自适应的框架分析方法,适合与Excel一起使用,用于支持确定交叉主题。我们使用报告定性研究清单的标准报告本研究。
■11名注册护士,五个护理助理,五名医疗助理参加了会议。他们的经验很少反映在实践中护理助理角色的政策愿景。几位参与者将护理助理角色比作“皇帝的新衣”的寓言,其中期望和现实分歧。有了这个首要的主题,确定了四个子主题:(1)准备组织基础设施以支持这一角色;(2)在实践中角色的可信度;(3)对角色的模糊性的组织“盲目性”;(4)增加任务导向和护理服务的细分。
■在政策议程中想象的护理助理角色的身份与实践中的现实之间存在差异。需要更多的保护和明确的培训,明确的角色边界,以及护理助理可获得的职业发展途径。此外,必须继续在组织和政策层面进行诚实的对话,从而正确实现护理助理角色的挑战和机遇。
■皇帝的新衣服!NHS(英国)急性医院新护理助理角色的经验和观点@CarolynSpring3。
UNASSIGNED: The introduction of nursing associates in England in 2017 as a professional \'bridging\' role aimed to mitigate chronic staffing shortages, enable career progression of healthcare assistants and release registered nurses to provide more complex care. Limited evidence exists about the alignment between the identity and purpose of nursing associate roles described by the UK independent regulator, the Nursing & Midwifery Council, and the expectations, obligations, and team dynamics encountered in practice.
UNASSIGNED: Investigate the perceptions of nursing associate roles through the views and experiences of role holders, registered nurses, and healthcare assistants.
UNASSIGNED: Two British National Health Service (NHS) Hospital Trusts in London, England (UK).
UNASSIGNED: For this registered service evaluation, data were collected via in-person, semi-structured interviews. Verbatim transcripts were coded inductively. An adapted framework analysis method, suitable for use with Excel, was applied to support the identification of cross cutting themes. We used the Standards for Reporting Qualitative Research checklist for reporting this
study.
UNASSIGNED: Eleven registered nurses, five nursing associates, and five healthcare assistants participated. Their experiences seldom reflected the policy vision of the nursing associate role in practice. Several participants likened the nursing associate role to the fable of the \'Emperor\'s New Clothes\' in which expectations and reality diverge. With this over-arching theme, four sub-themes were identified: (1) preparedness of organisational infrastructure to support this role; (2) credibility of the role in practice; (3) perceived organisational \"blindness\" to the ambiguities of the role and (4) increasing task orientation and segmentation in care delivery.
UNASSIGNED: There is a discrepancy between the identity of the nursing associate role as imagined in the policy agenda and its reality in practice. There is a need for more protected and well-defined training, clear role boundaries, and accessible career progression pathways for nursing associates. Moreover, honest dialogue at an organisational and policy level must continue, so that the challenges and opportunities of the nursing associate role are properly realised.
UNASSIGNED: Emperor\'s new clothes! Experiences and views of new nursing associate roles in NHS (UK) acute hospitals @CarolynSpring3.