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基层医疗中的执业护士四. 跨学科团队对农村人口态度的影响

Nurse practitioners in primary care iv. Impact of an interdisciplinary team on attitudes of a rural population.

作者信息

Batchelor G M, Spitzer W O, Comley A E, Anderson G D

出版信息

Can Med Assoc J. 1975 Jun 21;112(12):1415-20.

PMID:1139486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1956250/
Abstract

Attitudes toward the expanded role of nurse practitioners in primary care (family practice nurses) have been determined for persons from a semirural area who chose as their principal souce of care an interdisciplinary family medical centre (FMC) incorporating two nurse practitioners, and those for whom the FMC was not the usual source of care. Data were obtaine using"before-and-after" structured interviews of a random sample of persons living in a southern Ontario township. Slowly evolving, nonsignificant trends of greater acceptance were observed among patiens who had dealth with family practice nurses. The greatest change observed was an increased acceptance of the nnurse by FMC users as the person who would be contacted as a second choice if theirfirst choice, usually a physician, could not be reached in specific worrry-inducing situations. FMC users depended more on nurses to provide information. A conclusion of increased general acceptance of the family practive nurse by FMC users is supported by a 34 per cent higher use of nurses by FMC patients compared to other persons of comparable characteristics living in the same community.

摘要

对于来自半农村地区的人群,研究确定了他们对执业护士在初级保健(家庭执业护士)中扩大角色的态度。这些人选择了一家跨学科家庭医疗中心(FMC)作为主要医疗服务来源,该中心有两名执业护士;同时也研究了那些不将FMC作为常规医疗服务来源的人群的态度。数据是通过对安大略省南部一个乡镇的随机抽样人群进行“前后”结构化访谈获得的。在与家庭执业护士打过交道的患者中,观察到了缓慢演变的、不太显著的更大接受度趋势。观察到的最大变化是,FMC的使用者越来越接受护士作为在特定引发担忧的情况下,如果他们通常首选的医生无法联系到时的第二选择联系人。FMC的使用者更多地依赖护士提供信息。与居住在同一社区的具有可比特征的其他人相比,FMC患者对护士的使用率高出34%,这支持了FMC使用者对家庭执业护士总体接受度增加的结论。

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引用本文的文献

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A systematic review of the cost-effectiveness of nurse practitioners and clinical nurse specialists: what is the quality of the evidence?执业护士和临床护理专家成本效益的系统评价:证据质量如何?
Nurs Res Pract. 2014;2014:896587. doi: 10.1155/2014/896587. Epub 2014 Sep 1.
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Illness prevention and health promotion services provided by nurse practitioners: predicting potential consumers.执业护士提供的疾病预防和健康促进服务:预测潜在消费者。
Am J Public Health. 1980 Aug;70(8):798-803. doi: 10.2105/ajph.70.8.798.
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The development and application of indices of health: general methods and a summary of results.健康指数的发展与应用:一般方法及结果总结。
Am J Public Health. 1977 May;67(5):423-8. doi: 10.2105/ajph.67.5.423.
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Nurse practitioners in primary care. VII. A cohort study of 99 nurses and 79 associated physicians.基层医疗中的执业护士。VII. 一项针对99名护士和79名相关医生的队列研究。
Can Med Assoc J. 1977 Apr 23;116(8):856-62.
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The family practice nurse.家庭执业护士。
Can Med Assoc J. 1977 Apr 23;116(8):829-30.
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Nurse practitioners in primary care. VI. Assessment of their deployment with the Utilization and Financial Index.初级保健中的执业护士。六、利用利用与财务指数评估其配置情况
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Can Med Assoc J. 1976 Jun 19;114(12):1099-102.
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Public Health Rep. 1979 Jan-Feb;94(1):60-6.

本文引用的文献

1
Nurse clinics and progressive ambulatory patient care.护士诊所与渐进性门诊患者护理。
N Engl J Med. 1967 Dec 7;277(23):1236-41. doi: 10.1056/NEJM196712072772305.
2
The importance of coding presenting symptoms.对当前症状进行编码的重要性。
Can Med Assoc J. 1967 Oct 14;97(16):953-9.
3
The Burlington randomized trial of the nurse practitioner.执业护士的伯灵顿随机试验。
N Engl J Med. 1974 Jan 31;290(5):251-6. doi: 10.1056/NEJM197401312900506.
4
Nurse practitioners in primary care. I. The McMaster University educational program.初级保健中的执业护士。一、麦克马斯特大学教育项目。
Can Med Assoc J. 1973 Apr 21;108(8):991-5.
5
Patient attitudes to the expanded role of the nurse in family practice.患者对护士在家庭医疗中角色扩展的态度。
Can Med Assoc J. 1971 Dec 4;105(11):1164-6 passim.