Department of Epidemiology of Health Care and Community Health, Ernst-Moritz-Arndt-University of Greifswald, Germany.
J Adv Nurs. 2010 Mar;66(3):635-44. doi: 10.1111/j.1365-2648.2009.05167.x.
This paper is a report of a study conducted to develop a qualification for nurses in primary care based on the delegation of medical tasks in order to relieve general practitioners and to supply the population in rural regions today and in the future.
Age-demographic changes will cause medical care supply problems, especially for older people, motivating a re-evaluation of the nursing role in ambulatory medical care.
An intervention study was conducted in Germany between 1 January 2006 and 31 December 2007, comprising a theoretical and practical phase evaluated by participants, general practitioners and patients through questionnaires, reflection rounds and structured interviews during and after the practice phase.
Participants and general practitioners rated the curriculum as relevant and useful. Nurses were motivated by the ability to be self-employed and the expansion of their scope of professional work general practitioners regarded medical duty delegation as workload relief. Patients positively evaluated nurse visits, comparing medical competence and conduct to that of a general practitioner's.
The qualification is a promising approach to compensate for the imminent under-supply of primary care and allows maintenance a high standard of healthcare quality for rural areas of Germany and countries with similar structures. It supports doctors through task delegation, and offers an option for an advanced training for nurses.
本文报告了一项旨在为初级保健护士制定资格认证的研究，该认证基于医疗任务的委托，以减轻全科医生的负担，并为今天和未来农村地区的人口提供服务。
人口老龄化将导致医疗保健供应问题，特别是对老年人而言，这促使人们重新评估护理在门诊医疗中的作用。
2006 年 1 月 1 日至 2007 年 12 月 31 日，在德国进行了一项干预研究，包括理论和实践两个阶段，参与者、全科医生和患者通过问卷、反思会议以及在实践阶段期间和之后的结构化访谈，对其进行了评估。
参与者和全科医生认为课程具有相关性和实用性。护士对能够自主执业和扩大专业工作范围感到兴奋，而全科医生则认为医疗职责委托可以减轻工作负担。患者对护士的就诊给予了积极评价，他们将护士的医疗能力和行为与全科医生进行了比较。
该资格认证是一种有前途的方法，可以弥补初级保健服务即将出现的短缺，并为德国农村地区和具有类似结构的国家维持高标准的医疗质量。它通过任务委托为医生提供支持，并为护士提供了一种高级培训的选择。
