The University of Texas at Austin School of Nursing, United States of America.
Appl Nurs Res. 2021 Feb;57:151350. doi: 10.1016/j.apnr.2020.151350. Epub 2020 Aug 25.
The objective of this descriptive, cross-sectional study was to describe curbside consultation, a bidirectional informal discussion with a colleague "expert" concerning patient care, among nurse practitioners. Curbside consultations are valuable, yet little is known about this process use for nurse practitioners. A national convenience sample was recruited using online social media platforms and email. Data were collected in June 2019 via Qualtrics survey software. Web-based survey included 80 questions concerning use and definition of curbside consultation, and followed STROBE guidelines for reporting. Questions also concerned work environment, personal and interpersonal qualities, communication modality and patient engagement. Descriptive and survey item analyses including frequency, percentage, means and standard deviation, Chi-square and Fisher's Exact Test, Pearson's correlation analysis, and one-way independent t-tests. Participants included nurse practitioners (N = 402) in primary (51.2%, N = 206) and specialty care (46%, N = 185). Nurse practitioners reported positive experiences with curbside consultations (96.8%, N = 384) and that reliable access to colleagues was correlated with multiple variables, including practice culture (r = 0.494, p = .001). Most reported (99%, N = 387) patients receive better care with successful curbside consultation. Curbside consultations provide nurse practitioners information access at point-of-care for implementation of evidence-based practice to promote quality patient care. Addition of curbside consultation education is a compelling consideration of nurse practitioner curriculum.
本描述性、横断面研究的目的是描述在执业护士中进行的路边咨询,即与“专家”同事进行的双向非正式讨论,以解决患者护理问题。路边咨询具有重要价值,但对于执业护士使用这种咨询方式的过程知之甚少。本研究采用在线社交媒体平台和电子邮件对全国便利样本进行招募。数据于 2019 年 6 月通过 Qualtrics 调查软件收集。在线调查包括 80 个问题,涉及路边咨询的使用和定义,以及报告的 STROBE 指南。问题还涉及工作环境、个人和人际关系素质、沟通方式和患者参与度。包括频率、百分比、平均值和标准差、卡方检验和 Fisher 精确检验、Pearson 相关分析以及单向独立 t 检验在内的描述性和调查项目分析。参与者包括初级保健(51.2%,N=206)和专科护理(46%,N=185)的执业护士。执业护士报告了他们在路边咨询中获得了积极的体验(96.8%,N=384),并且可靠地获得同事的支持与多种变量相关,包括实践文化(r=0.494,p=0.001)。大多数执业护士(99%,N=387)报告称,成功的路边咨询使患者得到了更好的护理。路边咨询为执业护士在护理点提供了获取信息的途径,以实施循证实践,促进优质患者护理。在执业护士课程中增加路边咨询教育是一个引人注目的考虑因素。