Poitras Marie-Ève, Chouinard Maud-Christine, Fortin Martin, Girard Ariane, Gallagher Frances
Rech Soins Infirm. 2016 Sep(126):24-37.
Introduction : in collaboration with family physician, primary care nurses can play a key role for persons with chronic diseases (CD). However, these activities vary from one practice to another. Context : the absence of evidence hinders our understanding of the issues related to the improvement of nursing practices in primary care organizations. Objective : to describe the primary care nurse’s activities for persons with CD and elements influencing those activities. Design : systematic literature review. Method : MEDLINE, CINHAL and SCOPUS electronic databases were reviewed. Key words : « primary health care », « primary nursing » and « chronic disease ». Results : eighteen studies were included in the review. Nurses activities can be clustered in four domain of activities : 1) Global assessment of the person with CD, 2) Care management, 3) Health Promotion and 4) Nurse-Physician Collaboration. Elements influencing nurses’ activities can be related to the setting of care, to nurse or to the person with CD. Discussion : nurses’ activities in primary care are understudied. Activities such as case management and interprofessional collaboration are lacking. Conclusion : descriptive studies are needed to describe in-depth nurses’ activities in primary settings for persons with CD.
与家庭医生协作，基层医疗护士在慢性病患者护理中可发挥关键作用。然而，这些活动在不同医疗机构之间存在差异。背景：缺乏证据阻碍了我们对基层医疗组织中改善护理实践相关问题的理解。目的：描述基层医疗护士针对慢性病患者开展的活动以及影响这些活动的因素。设计：系统文献综述。方法：检索了MEDLINE、CINHAL和SCOPUS电子数据库。关键词：“初级卫生保健”、“初级护理”和“慢性病”。结果：该综述纳入了18项研究。护士的活动可归为四个活动领域：1）对慢性病患者的全面评估，2）护理管理，3）健康促进，4）护士与医生协作。影响护士活动的因素可能与护理环境、护士或慢性病患者有关。讨论：基层医疗中护士的活动研究不足。缺乏诸如病例管理和跨专业协作等活动。结论：需要开展描述性研究以深入描述基层医疗机构中护士针对慢性病患者开展的活动。
