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执业护士与医疗实践:对立力量还是互补贡献?

Nurse practitioners and medical practice: opposing forces or complementary contributions?

作者信息

Elsom Stephen, Happell Brenda, Manias Elizabeth

机构信息

Centre for Psychiatric Nursing, University of Melbourne, Carlton, Victoria, Australia.

出版信息

Perspect Psychiatr Care. 2009 Jan;45(1):9-16. doi: 10.1111/j.1744-6163.2009.00195.x.

DOI:10.1111/j.1744-6163.2009.00195.x
PMID:19154248
Abstract

PURPOSE

The medical profession in Australia has expressed concern about the expansion of nursing practice into areas that are traditionally the domain of medicine. Particular apprehension is raised in relation to the prescription of medications. This paper will consider and critique the argument that the standard of care provided by a nurse practitioner would be of lesser quality than that provided by a medical practitioner.

CONCLUSIONS

Despite the medical profession's opposition for nurse practitioner roles, there is little evidence suggesting that the quality of services offered by a nurse practitioner would be inferior.

PRACTICE IMPLICATIONS

Available evidence suggests that care and treatment from nurse practitioners in primary health care is equal to that provided by medical practitioners.

摘要

目的

澳大利亚医学界对护理实践扩展至传统上属于医学领域的范围表示担忧。特别是在药物处方方面引发了担忧。本文将思考并批判这样一种观点,即执业护士提供的护理标准低于执业医师提供的护理标准。

结论

尽管医学界反对执业护士的角色,但几乎没有证据表明执业护士提供的服务质量会更低。

实践意义

现有证据表明,初级卫生保健中执业护士提供的护理和治疗与执业医师提供的相当。

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引用本文的文献

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J Nurs Manag. 2022 May;30(4):1018-1026. doi: 10.1111/jonm.13588. Epub 2022 Mar 21.
2
A study of macro-, meso- and micro-barriers and enablers affecting extended scopes of practice: the case of rural nurse practitioners in Australia.一项关于影响扩大执业范围的宏观、中观和微观障碍及促进因素的研究:以澳大利亚农村执业护士为例。
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Nurse prescribing of medicines in Western European and Anglo-Saxon countries: a systematic review of the literature.
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Final responsibility for treatment choice: the proper role of medical doctors?治疗选择的最终责任:医生的恰当角色?
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