Bohman Doris M, Mattsson Linda, Borglin Gunilla
1Senior Lecturer,Department of Health,Blekinge Institute of Technology, Faculty of Health Science,Blekinge,Sweden.
2Master of Science in Nursing,Primary Health Care RN,Karlshamns Primary Care Trust,Blekinge,Sweden.
Prim Health Care Res Dev. 2015 May;16(3):270-80. doi: 10.1017/S1463423614000267. Epub 2014 Jul 30.
The aim of this study is to illuminate primary health care (PHC) nurses' experiences of physical activity referrals (PARs).
Despite extensive knowledge about the substantial health effects physical activities can produce, fewer and fewer people in our modern society regularly engage in physical activity. Within health care and, particularly, within the PHC arena, nurses meet people on a daily basis who need help to engage in a healthier lifestyle. The possibility of issuing written prescriptions for physical activities, often referred to as PARs, has been introduced as a tool to support such lifestyles. However, even though PHC nurses can prescribe physical activities, studies investigating their experience in this type of nursing intervention are rare.
For this study, 12 semi-structured interviews were conducted with PHC nurses, and the transcribed texts were analysed using a qualitative content analysis.
Two categories--PARs, an important nursing intervention, and PARs, the necessity of organisational support--reflected the nurses' experiences in using PARs.
Our findings suggest that viewing the PAR as a complex intervention, with all that this entails, might be one approach to increasing the number of PARs being issued. Simpler systems, more time and the potential for testing the effectiveness of follow-ups could be possible ways of achieving this.
本研究旨在阐明初级卫生保健（PHC）护士在进行身体活动转诊（PARs）方面的经验。
尽管人们广泛了解身体活动能产生重大健康影响，但现代社会中定期进行身体活动的人越来越少。在卫生保健领域，尤其是在初级卫生保健领域，护士每天都会接触到需要帮助以养成更健康生活方式的人。开具身体活动书面处方（通常称为PARs）的可能性已被引入，作为支持此类生活方式的一种工具。然而，尽管初级卫生保健护士可以开具身体活动处方，但对他们在这种护理干预方面经验的研究却很少。
本研究对初级卫生保健护士进行了12次半结构化访谈，并使用定性内容分析法对转录文本进行了分析。
两个类别——PARs，一项重要的护理干预措施，以及PARs，组织支持的必要性——反映了护士在使用PARs方面的经验。
我们的研究结果表明，将PAR视为一种复杂的干预措施，并认识到其所有内涵，可能是增加PAR开具数量的一种方法。更简单的系统、更多时间以及测试随访效果的可能性可能是实现这一目标的途径。
