一项旨在识别和描述英格兰各地泌尿生殖医学服务中由护士主导的诊所的邮政调查。

A postal survey to identify and describe nurse led clinics in genitourinary medicine services across England.

作者信息

Miles K, Penny N, Mercey D, Power R

机构信息

Department of Sexually Transmitted Diseases, Royal Free and University College Medical School, Mortimer Market Centre, London, UK.

出版信息

Sex Transm Infect. 2002 Apr;78(2):98-100. doi: 10.1136/sti.78.2.98.

DOI:10.1136/sti.78.2.98

PMID:12081193

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1744443/

Abstract

BACKGROUND

Nurses in genitourinary medicine (GUM) services are progressively extending their roles to conduct "comprehensive care" nurse led clinics. In such roles the nurse coordinates the first line, comprehensive care of patients presenting with sexual health conditions and issues.

OBJECTIVES

To identify and describe comprehensive care nurse led clinics in GUM services across England.

METHODS

A postal questionnaire consisting of 17 closed response questions was sent to 209 GUM services across England. A second questionnaire was sent to non-responders to increase the response rate. Data were single entered and analysed using SPSS.

RESULTS

Of the 190 GUM clinic respondents (91% response rate), 44 (23%) reported providing some form of comprehensive care nurse led clinic, 90% of which were initiated since 1995. Key results show staff development featured as the main reason for initiating such services and there was general consistency in the aspects of care undertaken by these nurses. There was evidence of guideline development specific to nurse led care and some patient group direction use for supplying medication. The level of support from medical staff while nurse led clinics were being conducted varied between services. Few services have conducted any audit or research to monitor/evaluate nurse led care. There was little consistency in the clinical experience and educational prerequisites to undertake comprehensive care nurse led clinics. Continuing professional development opportunities also varied between services.

CONCLUSIONS

The steady growth of comprehensive care nurse led clinics indicates that the skills of GUM nurses are being recognised. Nurses working in advanced practice roles now require courses and study days reflecting these changes in practice. Locally agreed practice guidelines can define nursing practice boundaries and ensure accountability, as will the development of patient group directions to supply medication. Monitoring and evaluation of nurse led clinics also require attention.

摘要

背景

泌尿生殖医学（GUM）服务中的护士正逐步拓展其角色，以开展由护士主导的“综合护理”诊所。在这类角色中，护士负责协调对出现性健康状况和问题的患者进行一线综合护理。

目的

识别并描述英格兰各地GUM服务中由护士主导的综合护理诊所。

方法

向英格兰各地的209个GUM服务机构发送了一份包含17个封闭式问题的邮政调查问卷。向未回复者发送了第二份问卷以提高回复率。数据单录入并使用SPSS进行分析。

结果

在190个回复的GUM诊所中（回复率为91%），44个（23%）报告提供了某种形式的由护士主导的综合护理诊所，其中90%自1995年以来启动。主要结果显示，员工发展是启动此类服务的主要原因，这些护士所提供护理的各个方面总体上具有一致性。有证据表明制定了针对护士主导护理的指南，并且在提供药物方面使用了一些针对特定患者群体的指导。在开展护士主导诊所期间，不同服务机构获得的医务人员支持程度各不相同。很少有服务机构进行任何审核或研究来监测/评估护士主导的护理。在开展由护士主导的综合护理诊所方面，临床经验和教育先决条件几乎没有一致性。不同服务机构的持续专业发展机会也各不相同。