Poitras Marie-Eve, Chouinard Maud-Christine, Gallagher Frances, Fortin Martin
Marie-Eve Poitras, RN, PhD, is Assistant Professor, and Maud-Christine Chouinard, RN, PhD, is Full Professor, Université du Québec à Chicoutimi, Canada. Frances Gallagher, RN, PhD, is Associate Professor, and Martin Fortin, MD, MSc, is Full Professor, Université de Sherbrooke, Canada.
Nurs Res. 2018 Jan/Feb;67(1):35-42. doi: 10.1097/NNR.0000000000000253.
Nurses in primary care organizations play a central role for patients with chronic disease. Lack of clarity in role description may be associated with underutilization of nurse competencies that could benefit the growing population of patients with chronic disease.
The purpose of the research was to describe nursing activities in primary care settings with patients with chronic disease.
A Web-based survey was sent to nurses practicing in Family Medicine Groups in the Canadian Province of Québec. Participants rated the frequency with which they carried out nursing activities in five domains: (a) global assessment, (b) care and case management, (c) health promotion, (d) nurse-physician collaboration, and (e) planning services for patients with chronic disease. Findings were summarized with descriptive statistics (means, standard deviations, and ranges).
The survey was completed by 266 of the 322 nurses who received the survey (82.6%). Activities in the health promotion and global assessment of the patient domains were carried out most frequently. Planning services for patients with chronic disease were least frequently performed.
This study provides a broad description of nursing activities with patients with chronic disease in primary care. The findings provide a baseline for clinicians and researchers to document and improve nursing activities for optimal practice for patients with chronic disease.
基层医疗组织中的护士在慢性病患者护理中发挥着核心作用。角色描述不清晰可能导致护士能力未得到充分利用，而这些能力本可使日益增多的慢性病患者受益。
本研究旨在描述基层医疗环境中针对慢性病患者开展的护理活动。
向加拿大魁北克省家庭医疗组执业护士发送了一项基于网络的调查。参与者对他们在五个领域开展护理活动的频率进行评分：（a）全面评估，（b）护理与病例管理，（c）健康促进，（d）护士与医生协作，以及（e）为慢性病患者规划服务。研究结果用描述性统计（均值、标准差和范围）进行总结。
322名收到调查的护士中有266名（82.6%）完成了调查。在患者健康促进和全面评估领域开展的活动最为频繁。为慢性病患者规划服务的活动开展得最少。
本研究对基层医疗中针对慢性病患者的护理活动进行了广泛描述。研究结果为临床医生和研究人员记录和改进护理活动提供了基线，以实现慢性病患者的最佳护理实践。
