运用混合方法研究对一种既定的透析护理从业者护理模式进行评估。
Assessment of an established dialysis nurse practitioner model of care using mixed methods research.
作者信息
Stanley Melissa, Worrall-Carter Linda, Rahman Muhammad Aziz, McEvedy Samantha, Langham Robyn
机构信息
a St. Vincent's Hospital , Melbourne , VIC , Australia.
b St. Vincent's Centre for Nursing Research (SVCNR), Faculty of Health Sciences , Australian Catholic University , Melbourne , VIC , Australia.
出版信息
Contemp Nurse. 2015 Oct-Dec;51(2-3):148-62. doi: 10.1080/10376178.2016.1157029. Epub 2016 Mar 17.
AIMS AND OBJECTIVES
To assess a dialysis nurse practitioner (NP) model of care by examining satisfaction, quality of life (QOL) and clinical outcomes of haemodialysis patients and explore experiences of dialysis nurses.
DESIGN
Mixed methods.
METHODS
Database analyses of dialysis indices amongst a sample (n = 45) of haemodialysis patients; a survey (n = 27) examining patient experience, satisfaction and QOL; and in-depth interviews with a sample (n = 10) of nurses.
RESULTS
Nurses commended the NP role, with five themes emerging: "managing and co-ordinating", "streamlining and alleviating", "developing capability", "supporting innovation and quality" and "connecting rurally". Patients' average age was 66 years and 71% were male. Patients' satisfaction with the care they received was rated 3.5/4 or higher across seven parameters and the average QOL score was 7.9/10.
CONCLUSION
The NP model of care is effective in enhancing patient care within a collaborative framework. The challenge is to sustain, and enhance the model, through mentorship programs for potential candidates.
目的与目标
通过检查血液透析患者的满意度、生活质量（QOL）和临床结果来评估透析护士从业者（NP）护理模式，并探索透析护士的经验。
设计
混合方法。
方法
对一组血液透析患者样本（n = 45）的透析指标进行数据库分析；进行一项调查（n = 27）以检查患者体验、满意度和生活质量；并对一组护士样本（n = 10）进行深入访谈。
结果
护士对NP的角色给予了称赞，出现了五个主题：“管理与协调”、“简化与减轻负担”、“培养能力”、“支持创新与质量”以及“连接农村地区”。患者的平均年龄为66岁，71%为男性。患者对所接受护理的满意度在七个参数上的评分均为3.5/4或更高，平均生活质量得分为7.9/10。
结论
NP护理模式在协作框架内有效提升了患者护理水平。挑战在于通过为潜在候选人提供指导计划来维持和改进该模式。
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