Barratt Julian, Thomas Nicola
Head of Community Nursing, Institute of Health, University of Wolverhampton, Wolverhampton, UK.
Professor of Kidney Care, School of Health and Social Care, London South Bank University, London, UK.
Prim Health Care Res Dev. 2018 Jul 17;20:e36. doi: 10.1017/S1463423618000415.
Research has not yet fully investigated links to consultation duration, patient expectations, satisfaction, and enablement in nurse practitioner consultations. This study was developed to address some of these research gaps in nurse practitioner consultations, particularly with a focus on expectations, satisfaction, and enablement.
To explore the influence of pre-consultation expectations, and consultation time length durations on patient satisfaction and enablement in nurse practitioner consultations in primary health care.
Survey component of a larger convergent parallel mixed methods case study designed to conjointly investigate the communication processes, social interactions, and measured outcomes of nurse practitioner consultations. The survey element of the case study focusses on investigating patients' pre-consultation expectations and post-consultation patient satisfaction and enablement.
A questionnaire measuring pre-consultation expectations, and post-consultation satisfaction and enablement, completed by a convenience sample of 71 adults consulting with nurse practitioners at a general practice clinic. Initial fieldwork took place in September 2011 to November 2012, with subsequent follow-up fieldwork in October 2016.
Respondents were highly satisfied with their consultations and expressed significantly higher levels of enablement than have been seen in previous studies of enablement with other types of clinicians (P=0.003). A significant, small to moderate, positive correlation of 0.427 (P=0.005) between general satisfaction and enablement was noted. No significant correlation was seen between consultation time lengths and satisfaction or enablement.
Higher levels of patient enablement and satisfaction are not necessarily determined by the time lengths of consultations, and how consultations are conducted may be more important than their time lengths for optimising patient satisfaction and enablement.
研究尚未充分探究执业护士会诊与会诊时长、患者期望、满意度及赋能之间的联系。本研究旨在填补执业护士会诊方面的一些研究空白，尤其聚焦于期望、满意度和赋能。
探讨初诊前期望及会诊时长对初级卫生保健中执业护士会诊患者满意度和赋能的影响。
一项更大规模的收敛平行混合方法案例研究的调查部分，旨在联合调查执业护士会诊的沟通流程、社会互动及测量结果。该案例研究的调查部分着重于调查患者初诊前的期望以及会诊后的患者满意度和赋能情况。
一份测量初诊前期望、会诊后满意度和赋能情况的问卷，由在一家全科诊所咨询执业护士的71名成年人的便利样本填写。初始实地调查于2011年9月至2012年11月进行，后续跟踪实地调查于2016年10月进行。
受访者对其会诊高度满意，且表达出的赋能水平显著高于以往针对其他类型临床医生的赋能研究（P = 0.003）。总体满意度与赋能之间存在显著的、小到中等程度的正相关，相关系数为0.427（P = 0.005）。会诊时长与满意度或赋能之间未发现显著相关性。
患者更高水平的赋能和满意度不一定由会诊时长决定，对于优化患者满意度和赋能而言，会诊的开展方式可能比时长更为重要。
