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波兰的护士处方权:初级保健医生、护士和患者的意见

Nurse prescribing in Poland: Opinions expressed by primary care doctors, nurses, and patients.

作者信息

Binkowska-Bury Monika, Więch Paweł, Bazaliński Dariusz, Marć Małgorzata, Bartosiewicz Anna, Januszewicz Paweł

机构信息

Department of Nursing and Health Sciences, Faculty of Medicine, University of Rzeszów, Rzeszów, Poland.

出版信息

Medicine (Baltimore). 2016 Aug;95(33):e4506. doi: 10.1097/MD.0000000000004506.

Abstract

The aim of this study was to identify and examine the differences in opinions held by health care professionals and the general public concerning the right to administer and prescribe medication which has been awarded to nurses and midwives in Poland.The study was conducted from December 1, 2014 to July 1, 2015, in randomly selected primary health care clinics, among 2227 individuals, including 849 subjects representing medical personnel of primary health care and 1378 patients receiving primary care services. The study used 2 versions of a questionnaire. The relationships were examined with χ test for independence and Kruskal-Wallis test.Health professionals do not believe the new rights awarded to nurses and midwives will reduce the waiting time for medical consultations (P < 0.001). Nurses' qualifications for the new tasks were most highly rated by patients, whereas the least favorable opinion was expressed by doctors (P < 0.001).To introduce nurse prescribing it is necessary to develop a suitable strategy enabling implementation of the government's initiative and facilitating the process of taking up the new task by nurses.

摘要

本研究旨在识别并探讨医护专业人员和普通公众对于波兰授予护士和助产士的用药管理及处方权所持观点的差异。该研究于2014年12月1日至2015年7月1日在随机选取的初级卫生保健诊所开展,涉及2227人,其中包括849名初级卫生保健医务人员和1378名接受初级保健服务的患者。研究使用了两个版本的问卷。通过独立性χ检验和Kruskal-Wallis检验来研究两者之间的关系。医护专业人员认为授予护士和助产士的新权利不会减少医疗咨询的等待时间(P<0.001)。患者对护士承担新任务的资质评价最高,而医生的评价最不乐观(P<0.001)。要引入护士处方,有必要制定一项合适的策略,以推动政府倡议的实施,并促进护士承担新任务的进程。

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