Machen Ina, Dickinson Angela, Williams Julia, Widiatmoko Dono, Kendall Sally
Centre for Research in Primary and Community Care, University of Hertfordshire, College Lane, Hatfield AL10 9AB, United Kingdom.
Accid Emerg Nurs. 2007 Oct;15(4):185-92. doi: 10.1016/j.aaen.2007.09.001. Epub 2007 Nov 13.
To explore patients' and staffs' perceptions of a pilot service which dispatched a nurse and paramedic to low-priority ambulance calls. However,
Patients' opinions of both pilot and standard service groups were obtained through qualitative questionnaire data and individual interviews. Staffs' perceptions were explored via two focus groups. Questionnaires were sent to a convenience sample of 128 patients attended by the pilot service and 128 patients receiving the standard service. Initially 19 questionnaire participants agreed to be interviewed. Focus group participants (n=11) included nurses and paramedics involved in the pilot service.
Sixty-four questionnaires were returned and 11 interviews were conducted. Patients receiving the pilot service were enthusiastic about opportunities for care to be provided in their home. Involvement in the pilot service was a positive experience for staff. They felt confident in managing calls effectively because of their combined knowledge and skills, and believed that the quality of patient care had been improved. They also experienced increased job satisfaction and skills development.
Both patients and staff expressed positive views about the pilot service. Patients appreciated being treated at home and staff believed that working together provided more appropriate care for patients and enhanced interprofessional development.
探讨患者和工作人员对一项试点服务的看法，该服务派遣护士和护理人员去处理低优先级的救护车呼叫。然而，
通过定性问卷调查数据和个人访谈获得患者对试点服务组和标准服务组的意见。通过两个焦点小组探讨工作人员的看法。向由试点服务接诊的128名患者和接受标准服务的128名患者的便利样本发放问卷。最初，19名问卷参与者同意接受访谈。焦点小组参与者（n = 11）包括参与试点服务的护士和护理人员。
共收回64份问卷，并进行了11次访谈。接受试点服务的患者对在家中获得护理的机会充满热情。参与试点服务对工作人员来说是一次积极的经历。由于他们的综合知识和技能，他们对有效处理呼叫充满信心，并认为患者护理质量得到了提高。他们还体验到工作满意度和技能发展的提升。
患者和工作人员对试点服务均表达了积极看法。患者赞赏在家中接受治疗，工作人员认为共同工作为患者提供了更合适的护理，并促进了跨专业发展。
