Carthon J Margo Brooks, Brom Heather, Poghosyan Lusine, Daus Marguerite, Todd Barbara, Aiken Linda
University of Pennsylvania School of Nursing, 418 Curie Blvd., Claire M. Fagin Hall, Philadelphia, PA 19104.
Columbia School of Nursing, 560 West 168th St., New York, NY 10032.
J Nurse Pract. 2020 Apr;16(4):294-298. doi: 10.1016/j.nurpra.2020.01.019. Epub 2020 Mar 11.
A lack of organizational supports in clinical settings may prevent nurse practitioners from providing patient centered care. Using a cross sectional survey design, data were collected from NPs in 1,571 practices across four states to investigate clinical practice environments and the extent to which they are associated with NP integration of patient preferences. Three-quarters of NPs reported frequent integration of patient preferences into clinical care. Overall, 371 practices (23.6%) were classified as good practice environments; the remaining 76.3% were mixed or poor environments. NPs in good environments were significantly more likely to integrate patient preferences (O.R. = 2.3, <.001).
临床环境中缺乏组织支持可能会妨碍执业护士提供以患者为中心的护理。采用横断面调查设计，从四个州1571家医疗机构的执业护士处收集数据，以调查临床实践环境及其与执业护士将患者偏好纳入护理的程度之间的关联。四分之三的执业护士报告称经常将患者偏好纳入临床护理。总体而言，371家医疗机构（23.6%）被归类为良好的实践环境；其余76.3%为混合或较差的环境。处于良好环境中的执业护士将患者偏好纳入护理的可能性显著更高（比值比=2.3，P<0.001）。
