骨科手术环境中的执业护士：文献综述
Nurse Practitioners in Orthopaedic Surgical Settings: A Review of the Literature.
作者信息
Spence Brittany G, Ricci Joanne, McCuaig Fairleth
机构信息
Brittany G. Spence, BScN, MN, AANP, NP (F), Nurse Practitioner in Orthopaedic Surgery at Burnaby Hospital, British Columbia, Canada. Joanne Ricci, MSN, Senior Lecturer, University of British Columbia, British Columbia, Canada. Fairleth McCuaig, MSN, NP (F), ARNP, FNP-BC, CPHI, Senior Lecturer and NP Program Coordinator, University of British Columbia, British Columbia, Canada.
出版信息
Orthop Nurs. 2019 Jan/Feb;38(1):17-24. doi: 10.1097/NOR.0000000000000514.
PURPOSE
The purpose of this article was to conduct an extensive literature review of nurse practitioners (NPs) in orthopaedic surgical settings to delineate whether a need exists for NPs in these settings.
BACKGROUND
Due to physician shortages and changes in healthcare, patients are experiencing difficulty accessing orthopaedic surgeons. To meet this need, NPs are becoming an essential part of the multidisciplinary orthopaedic team in Level 1 trauma hospitals.
RESULTS
Nurse practitioners are qualified and competent to work in a variety of orthopaedic settings including preoperative clinics, primary care orthopaedic clinics, and pre-/postoperative care within the hospital. The benefits of NPs in orthopaedic surgical settings includes increased access to care, improved team communication, decreased length of stay, improved quality of care, and improved patient satisfaction. Moreover, NPs meet patient needs while surgeons are operating, and have a positive impact on resident surgeon education.
CONCLUSION
A need exists for NPs in orthopaedic surgical settings to both improve access to healthcare for patients and reduce the burden on orthopaedic surgeons.
目的
本文旨在对骨科手术环境中的执业护士（NP）进行广泛的文献综述，以确定这些环境中是否需要执业护士。
背景
由于医生短缺和医疗保健的变化，患者在看骨科医生时遇到困难。为满足这一需求，执业护士正成为一级创伤医院多学科骨科团队的重要组成部分。
结果
执业护士有资格且有能力在各种骨科环境中工作，包括术前诊所、初级保健骨科诊所以及医院内的术前/术后护理。执业护士在骨科手术环境中的益处包括增加获得护理的机会、改善团队沟通、缩短住院时间、提高护理质量以及提高患者满意度。此外，在外科医生进行手术时，执业护士能满足患者需求，并对住院外科医生的教育产生积极影响。
结论
骨科手术环境中需要执业护士，以改善患者获得医疗保健的机会并减轻骨科医生的负担。
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