Department of Cardiology, Children's Hospital Boston, Massachusetts, USA.
J Adv Nurs. 2012 Oct;68(10):2165-74. doi: 10.1111/j.1365-2648.2011.05901.x. Epub 2012 Jan 4.
This article summarizes a comparative study of patient/family satisfaction and appointment wait times in physician managed vs. paediatric nurse practitioner managed cardiology clinics.
Appointment wait times exceeded 40 days in the outpatient cardiology department at a children's hospital. To address the gap in available appointments, paediatric nurse practitioner managed cardiology clinics were implemented.
A sample of 128 patients who presented concurrently in physician or paediatric nurse practitioner managed cardiology clinics from December 2009 through February 2010 was recruited for participation. The hospital's ambulatory patient satisfaction survey was utilized to measure level of patient satisfaction with care. Survey responses were evaluated using Fisher's exact test. Appointment wait times were compared pre and post implementation of paediatric nurse practitioner managed clinics.
Sixty-five physician families and 63 paediatric nurse practitioner families completed the satisfaction survey. There was no statistically significant difference in patient satisfaction between clinic types. Appointment wait time decreased from 46 to 43 days, which was not statistically significant. Paediatric nurse practitioner clinics included a statistically higher percentage total of urgent appointments compared to that in physician clinics.
Paediatric nurse practitioner managed cardiology clinics are a strategic solution for improving patient access and facilitating high quality patient care while earning high levels of patient satisfaction. This healthcare delivery model illustrates the potential for expanded utilization of advanced practice nurses.
本文总结了患者/家庭满意度和预约等待时间在医生管理与儿科护士从业者管理心脏病学诊所的比较研究。
一家儿童医院的门诊心脏病科的预约等待时间超过 40 天。为了解决预约空档问题，实施了儿科护士从业者管理的心脏病学诊所。
从 2009 年 12 月至 2010 年 2 月，同时在医生或儿科护士从业者管理的心脏病学诊所就诊的 128 名患者被招募参与研究。利用医院的门诊患者满意度调查来衡量患者对护理的满意度。使用 Fisher 精确检验评估调查响应。在实施儿科护士从业者管理诊所前后比较预约等待时间。
65 名医生家庭和 63 名儿科护士从业者家庭完成了满意度调查。诊所类型之间的患者满意度没有统计学上的显著差异。预约等待时间从 46 天减少到 43 天，但没有统计学意义。儿科护士从业者诊所包括的紧急预约总数比医生诊所的比例高。
儿科护士从业者管理的心脏病学诊所是改善患者就诊机会和促进高质量患者护理的战略解决方案，同时获得高水平的患者满意度。这种医疗保健提供模式说明了扩大使用高级实践护士的潜力。
