Pohl Joanne M, Barkauskas Violet H, Benkert Ramona, Breer Lynn, Bostrom Andrea
School of Nursing, University of Michigan, Ann Arbor, Michigan 48109-0482, USA.
J Am Acad Nurse Pract. 2007 May;19(5):268-75. doi: 10.1111/j.1745-7599.2007.00224.x.
This paper presents findings from six community focus groups that addressed the impact of academic nurse-managed centers (ANMCs) on the overall community being served as well as the quality of care provided in the centers.
Experts in focus group methodology from a public health institute conducted the six focus groups at ANMCs from four universities in the Midwest. Discussions were guided by nine questions presented to each group. All groups were tape-recorded and transcribed. A total of 37 participants were recruited from the ANMCs and included patients and families, advisory board members, and local community organizations.
Four themes were identified across the six focus groups: valuing patient-centered care, which included two subthemes-continuous specific provider and specific aspects of care; quality of care; increasing access to care/addressing the safety net; and evidence of outreach.
Findings from these focus groups verify that community members do "get it" in terms of the unique aspects of ANMCs. Participants were able to articulate the differences between nurse-managed care and other types of ambulatory primary care. The unique strengths of nurse practitioners were repeatedly articulated as well as the centers' outreach into the community.
本文介绍了六个社区焦点小组的研究结果，这些焦点小组探讨了学术护士管理中心（ANMCs）对所服务的整个社区的影响以及中心所提供护理的质量。
来自一家公共卫生机构的焦点小组方法专家在中西部四所大学的ANMCs开展了六个焦点小组。讨论由向每个小组提出的九个问题引导。所有小组都进行了录音和转录。总共从ANMCs招募了37名参与者，包括患者及其家属、咨询委员会成员和当地社区组织。
在六个焦点小组中确定了四个主题：重视以患者为中心的护理，其中包括两个子主题——持续的特定提供者和护理的特定方面；护理质量；增加护理可及性/解决安全网问题；以及外展服务的证据。
这些焦点小组的研究结果证实，社区成员确实理解ANMCs的独特之处。参与者能够阐明护士管理的护理与其他类型的门诊初级护理之间的差异。护士从业者的独特优势以及中心对社区的外展服务也被反复提及。
