RAND Corporation, Pittsburgh, PA.
Department of Acute & Tertiary Care, University of Pittsburgh School of Nursing, Pittsburgh, PA.
Nurs Outlook. 2021 Jul-Aug;69(4):609-616. doi: 10.1016/j.outlook.2021.01.010. Epub 2021 Feb 13.
Primary care practices employing nurse practitioners (NPs) can play an important role in improving access to high quality health care services. However, most studies on the NP role in health care use administrative data, which have many limitations.
In this paper, we report the methods of the largest survey of primary care NPs to date.
To overcome the limitations of administrative data, we fielded a cross-sectional, mixed-mode (mail/online) survey of primary care NPs in six states to collect data directly from NPs on their clinical roles and practice environments.
While we were able to collect data from over 1,200 NPs, we encountered several challenges with our sampling frame, including provider turnover and challenges with identification of NP specialty.
In future surveys, researchers can employ strategies to avoid the issues we encountered with the sampling frame and enhance large scale survey data collection from NPs.
初级保健实践中雇用执业护士（NPs）可以在改善获得高质量医疗服务方面发挥重要作用。然而，大多数关于医疗保健中 NP 角色的研究都使用了行政数据，而行政数据存在许多局限性。
在本文中，我们报告了迄今为止对初级保健护士最大规模调查的方法。
为了克服行政数据的局限性，我们对六个州的初级保健护士进行了横断面、混合模式（邮件/在线）调查，直接从护士那里收集有关其临床角色和实践环境的数据。
虽然我们能够从 1200 多名护士那里收集数据，但我们在抽样框架方面遇到了一些挑战，包括提供者的更替和确定 NP 专业的挑战。
在未来的调查中，研究人员可以采用策略来避免我们在抽样框架中遇到的问题，并增强从护士那里进行大规模调查数据收集的能力。
