Jenkins Melinda L, White Thomas, Lin Susan, Choi Jeungok, Du Evelyn
School of Nursing, Columbia University, New York, NY, USA.
AMIA Annu Symp Proc. 2003;2003:880.
Research consistently has shown that Nurse Practitioners (NPs) provide health care equivalent to that of physicians, and especially excel in patient education and case management, essential interventions to promote self-care in chronically ill ambulatory patients. Yet large-scale national studies have not been done. Nurse-managed centers are not included in the sampling frame of the National Ambulatory Medical Care Survey (NAMCS) and only 2.1% of the 2000 sample was from patient encounters with NPs.1 The aims of this pilot study were to create a web-based format for the NAMCS; to expand it by adding selected nursing diagnoses, interventions, and outcomes; and to pilot-test it with 300 patient encounters in 5 nurse-managed centers.
研究一直表明，执业护士（NPs）提供的医疗服务与医生相当，尤其在患者教育和病例管理方面表现出色，这些都是促进慢性病门诊患者自我护理的重要干预措施。然而，尚未进行大规模的全国性研究。护士管理中心未被纳入国家门诊医疗调查（NAMCS）的抽样框架，2000年样本中只有2.1%来自与执业护士的患者接触。1 这项试点研究的目的是为NAMCS创建一种基于网络的形式；通过添加选定的护理诊断、干预措施和结果来扩展它；并在5个护士管理中心对300次患者接触进行试点测试。
