James M R, Pyrgos N
Department of Accident and Emergency Medicine, Lincoln County Hospital, Lincoln, England.
Arch Emerg Med. 1989 Dec;6(4):241-6. doi: 10.1136/emj.6.4.241.
The theoretical management of walking wounded patients by experienced nurses was compared with that of middle-grade doctors. Out of 400 patients seen, 332 were assessed by the nurses. The theoretical management by the nurses of 298 of these patients was satisfactory. The nurses mismanaged 12 of the patients according to local practice. They also requested X-rays in 22 more patients than the doctors, none of whom returned with a fracture. Out of the patients suitable to be seen by the nurses 94% said that they would use a nurse practitioner system if introduced. The theoretical waiting-time saving for the patients during the trial was 11 min. The authors recommend that if nurse practitioners are introduced in this country there should be an adequate training programme along nationally debated guidelines.
将经验丰富的护士对行走伤员患者的理论管理与中级医生的管理进行了比较。在看过的400名患者中，332名由护士进行了评估。其中298名患者的护士理论管理令人满意。根据当地实践，护士对12名患者管理不当。她们还比医生多要求为另外22名患者进行X光检查，这些患者中没有一人被诊断为骨折。在适合由护士诊治的患者中，94%表示如果引入执业护士制度，他们会使用该制度。试验期间理论上为患者节省的等待时间为11分钟。作者建议，如果在该国引入执业护士，应按照全国讨论的指导方针制定适当的培训计划。
