Garrard J, Kane R L, Radosevich D M, Skay C L, Arnold S, Kepferle L, McDermott S, Buchanan J L
Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis 55455.
Med Care. 1990 Mar;28(3):271-83. doi: 10.1097/00005650-199003000-00007.
This study evaluated the impact of geriatric nurse practitioners (GNP) employed by nursing homes on quality of patient care and residents' outcomes during a 12-month study period. Quality of care was assessed in standardized interviews of 525 residents in five nursing homes with GNPs and 323 residents in five other nursing homes without GNPs. Each resident was interviewed up to four times during the study period (at baseline, and 3, 6, and 12 months later) to determine functional status, satisfaction with care, and physical condition at each of these points. The only significant difference between groups was that fewer newly admitted residents were hospitalized from GNP homes than from those without a GNP. The results of this interview study showed that the GNP as a nursing home employee had little impact on residents' functional status, physical condition, or satisfaction.
本研究评估了养老院雇佣的老年护理从业者（GNP）在12个月的研究期间对患者护理质量和居民结局的影响。通过对五家配备GNP的养老院中的525名居民以及另外五家没有GNP的养老院中的323名居民进行标准化访谈来评估护理质量。在研究期间，每位居民接受了多达四次访谈（基线时以及3、6和12个月后），以确定这些时间点的功能状态、护理满意度和身体状况。两组之间唯一显著的差异是，与没有GNP的养老院相比，配备GNP的养老院中新入院居民的住院率较低。这项访谈研究的结果表明，作为养老院员工的GNP对居民的功能状态、身体状况或满意度影响很小。
