新取得资格的初级保健护士在实践中做出合理临床判断的准备程度

摘要(中文译文)

南非公共卫生部门为超过4000万人提供医疗服务，其中初级卫生保健（PHC）诊所是大多数患者接触医疗服务的首站；80%的患者由初级保健护士诊治。初级保健护士临床判断能力不足可能导致患者照护质量低下、并发症甚至死亡。然而，南非豪登省新取得资格初级保健（NQPC）护士在实践中做出合理临床判断的准备程度尚未得到评估。旨在确定NQPC护士在实践中做出合理临床判断的准备水平。采用定量、非实验性、描述性设计。目标人群为NQPC护士。采用普查方法选取豪登省三个卫生区公立PHC机构中的所有NQPC护士。样本量包括77名NQPC护士，采用自填式问卷收集数据。研究结果表明，83%的NQPC护士能够注意到患者病情的显著变化，43%能够正确解读所注意到的变化，但仅42%能够正确优先安排患者照护。结果反映，豪登省三个区公立PHC机构中50.2%的NQPC护士在示范水平上发挥作用。贡献：本文突出了NQPC护士在取得资格后一年内做出合理临床判断的准备水平。

Abstract

The public health sector in South Africa provides care to more than 40 million people, with primary health care (PHC) clinics acting as most patients' first contact with healthcare services; 80% of patients are treated by primary care nurses. Primary care nurses' poor clinical judgment can result in poor patient care, complications and death. However, newly qualified primary care (NQPC) nurses' preparedness for making sound clinical judgements in practice has not been evaluated in Gauteng province, South Africa. To determine NQPC nurses' level of preparedness in making sound clinical judgements in practice. A quantitative, non-experimental, descriptive design was used. The target population was NQPC nurses. A census method was used to select all NQPC nurses in public PHC facilities in three health districts of Gauteng. The sample size comprised 77 NQPC nurses, and data were collected using a self-administered questionnaire. The findings indicated that 83% of NQPC nurses were able to notice salient changes in patients' conditions, 43% were able to correctly interpret the changes that were noticed, but only 42% prioritised the correct patient care. The results reflect that 50.2% of the NQPC nurses in public PHC facilities in the three districts in Gauteng were functioning at exemplary levels.Contribution: This article highlighted NQPC nurses' level of preparedness to make sound clinical judgements within a year after qualifying.

如何引用