Moody N B, Smith P L, Glenn L L
Department of Professional Roles/Mental Health Nursing, College of Nursing, East Tennessee State University, Johnson City, USA.
Nurse Pract. 1999 Mar;24(3):94-6, 99-100, 102-3.
This study's purpose was to describe the practice patterns of nurse practitioners (NPs) in Tennessee--specifically, the demographic characteristics and health problems of their clients and the therapeutic services they provide. A random sample of NPs practicing 20 or more hours per week in primary care in Tennessee provided data on a total of 680 clients seen during one selected day of care. An instrument adapted from the National Ambulatory Medical Care Survey (NAMCS) allowed comparison of the NP findings with a national survey of office-based physicians in five areas: client demographics, client health status, diagnostic tests ordered, therapeutic interventions provided, and client disposition. Although many similarities were seen, differences included the tendency of NPs to care for more younger and female clients, to perform fewer office surgical procedures, and to provide more health teaching/counseling interventions.
本研究的目的是描述田纳西州执业护士(NP)的执业模式——具体而言,是其客户的人口统计学特征和健康问题以及他们提供的治疗服务。从田纳西州每周在初级保健机构工作20小时或以上的执业护士中随机抽取样本,这些样本提供了在选定的一天内总共680名就诊客户的数据。一份改编自国家门诊医疗护理调查(NAMCS)的工具使得能够在以下五个方面将执业护士的调查结果与全国范围内针对门诊医生的调查结果进行比较:客户人口统计学特征、客户健康状况、所开诊断测试、所提供的治疗干预措施以及客户处置情况。虽然发现了许多相似之处,但差异包括执业护士倾向于照顾更多的年轻客户和女性客户,进行较少的门诊外科手术,并提供更多的健康教学/咨询干预措施。