Rodriguez Elizabeth S, Thom Bridgette, Schneider Susan M
Department of Nursing, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
Oncol Nurs Forum. 2011 Jul;38(4):476-82. doi: 10.1188/11.ONF.476-482.
PURPOSE/OBJECTIVES: To compare the perspectives of oncology nurses and physicians regarding online access to laboratory results for patients with cancer pre- and postimplementation, and to evaluate the impact on workload.
Pre- and postimplementation surveys distributed to nurses and physicians. In addition, a nursing workload study was conducted to measure the number of phone calls received from patients regarding laboratory results.
The outpatient department of a comprehensive cancer center in a large, urban setting in the northeastern United States with more than 500,000 patient visits each year.
460 outpatient nurses and 349 attending physicians were surveyed; 10 of those nurses were invited to participate in the nursing workload study, as well.
A survey was sent to nurses and physicians one month prior to implementation and then repeated six months postimplementation. A nursing workload study was conducted for 16 weeks beginning one month prior to implementation and completed three months postimplementation.
Nurse and physician perspectives; nursing workload.
Nurses demonstrated greater support than physicians with regard to patient access, their level of comfort with the patient access, and patients' ability to interpret results. Statistical significance was identified in all three questions (p<0.05). Perspectives on workload did not differ by role; nurses and physicians anticipated an increase in workload prior to implementation, but reported that workload decreased or stayed the same postimplementation (p<0.005). The nursing workload study supported that finding because no change was observed in the average number of phone calls per day during the implementation period.
Oncology nurses and physicians have different perspectives on providing patients with cancer with online access to laboratory results. Concerns about increasing workload were not substantiated in the current study.
Providing patients with online access to their laboratory results is a growing trend. Understanding the perspectives of oncology nurses can inform future directions for increasing health-record transparency for patients with cancer. Future research may explore the impact on the nurse-patient relationship.
目的/目标：比较肿瘤学护士和医生在实施前后对于癌症患者在线获取实验室检查结果的看法，并评估其对工作量的影响。
向护士和医生发放实施前后的调查问卷。此外，开展了一项护理工作量研究，以统计患者就实验室检查结果打来的电话数量。
美国东北部一个大型城市环境中的综合癌症中心门诊部，每年有超过50万名患者就诊。
对460名门诊护士和349名主治医生进行了调查；其中10名护士也受邀参与护理工作量研究。
在实施前一个月向护士和医生发送调查问卷，实施后六个月再次进行调查。从实施前一个月开始进行为期16周的护理工作量研究，在实施后三个月完成。
护士和医生的看法；护理工作量。
在患者获取信息、对患者获取信息的舒适度以及患者解读结果的能力方面，护士比医生表现出更大的支持度。这三个问题均具有统计学意义（p<0.05）。不同角色对工作量的看法没有差异；护士和医生在实施前预计工作量会增加，但报告称实施后工作量减少或保持不变（p<0.005）。护理工作量研究支持了这一发现，因为在实施期间每天接到的电话平均数量没有变化。
肿瘤学护士和医生在为癌症患者提供在线获取实验室检查结果方面存在不同看法。当前研究并未证实对工作量增加的担忧。
为患者提供在线获取其实验室检查结果是一种日益增长的趋势。了解肿瘤学护士的看法可为提高癌症患者健康记录透明度的未来方向提供参考。未来研究可探讨其对护患关系的影响。
