Currie Jane, Chiarella Mary, Buckley Thomas
Sydney Nursing School, University of Sydney, Sydney Nursing School, Sydney, New South Wales, Australia.
Nurs Health Sci. 2018 Mar;20(1):16-23. doi: 10.1111/nhs.12367. Epub 2017 Aug 4.
To facilitate expansion of privately-practicing nurse practitioners in community and primary care settings, a legislative amendment in 2010 made privately-practicing nurse practitioners eligible to provide services subsidised through the Medicare Benefits Schedule and the Pharmaceutical Benefits Scheme. To evaluate their practice activities, a national survey of privately-practicing nurse practitioners in Australia was conducted, and data analysed using descriptive statistics and thematic analysis (n = 73). As part of their role, 96% (n = 70) participants reported undertaking direct patient care, 95% (n = 69) patient education and health promotion, 95% (n = 69) prescribed medications, 92% (n = 67) referred patients for diagnostic investigations, and 88% (n = 64) reported making a diagnosis. Over 50% of participants saw up to 15 patients daily, and 80% (n = 58) treated the same patients on a regular basis. Of the participants, 59% (n = 43) perceived that they worked to their full scope of practice. The mainstay of privately-practicing nurse practitioner services is provision of direct patient care in community and primary healthcare settings, suggesting they have emerging potential in addressing the ever-increasing demand for healthcare in Australia.
为促进社区和初级保健机构中私人执业护士从业者的数量增加，2010年的一项立法修正案使私人执业护士从业者有资格提供通过医疗保险福利计划和药品福利计划获得补贴的服务。为评估他们的执业活动，对澳大利亚的私人执业护士从业者进行了一项全国性调查，并使用描述性统计和主题分析对数据进行了分析（n = 73）。作为其职责的一部分，96%（n = 70）的参与者报告从事直接的患者护理工作，95%（n = 69）的参与者进行患者教育和健康促进工作，95%（n = 69）的参与者开具药物处方，92%（n = 67）的参与者将患者转诊进行诊断检查，88%（n = 64）的参与者报告进行诊断。超过50%的参与者每天接待多达15名患者，80%（n = 58）的参与者定期治疗相同的患者。在参与者中，59%（n = 43）认为他们充分发挥了自己的执业范围。私人执业护士从业者服务的主要内容是在社区和初级医疗保健机构中提供直接的患者护理，这表明他们在满足澳大利亚对医疗保健日益增长的需求方面具有新的潜力。
