King's College London, London, UK.
University of Surrey, Guildford, UK.
J Adv Nurs. 2022 Feb;78(2):523-531. doi: 10.1111/jan.15087. Epub 2021 Nov 3.
To compare the satisfaction of patients managed by independent nurse prescribers with that of patients managed by nurses using PGDs with respect to experience of the consultation and information received about the medication.
Survey.
Patients receiving medications from nurses in five urban sexual health services in the United Kingdom completed validated questionnaires immediately after the consultation, September 2015-August 2016. Scores of independent nurse prescribers and nurses using patient group directions were compared about consultation experience (5 items) Satisfaction with Information about Medicines (SIMS 16 items scale).
Of 808 patients receiving medications, 393 (48.6%) received questionnaires and 380 were returned (independent nurse prescribers 180 of 198, 90.9%; patient group directions 173 of 195, 88.7%). Patients in both groups reported high levels of satisfaction. About the consultation experience, patients found nurses friendly/ approachable (>99%), instilling confidence and trust (>99%) and explaining reasons for medications clearly (97%). Satisfaction with medication information: Of 348 (92%) respondents completing SIMS, the overall mean score was 13.4 of maximum 16 (no difference between groups, t-test, p = .63).
Patients were highly satisfied with nurse consultations and information around medications regardless of whether they were managed by independent nurse prescribers or nurses using patient group directions.
Findings provide evidence in support of autonomous provision of medications by nurses in sexual health clinics.
比较独立护士处方与使用 PGD 管理的护士管理的患者在咨询体验和药物信息获取方面的满意度。
调查。
2015 年 9 月至 2016 年 8 月，英国五个城市性健康服务中心的护士为患者提供药物治疗，患者在咨询后立即填写经验证的问卷。比较独立护士处方和使用患者群组指导的护士的咨询体验（5 项）和对药物信息的满意度（SIMS 16 项量表）。
在 808 名接受药物治疗的患者中，有 393 名（48.6%）接受了问卷调查，有 380 名（47.1%）患者返回问卷。独立护士处方组的 180 名（90.9%）和使用患者群组指导的 173 名（88.7%）患者均完成了问卷。两组患者的满意度均较高。在咨询体验方面，患者认为护士友好/可接近（>99%），树立信心和信任（>99%），清楚地解释用药原因（97%）。对药物信息的满意度：在完成 SIMS 的 348 名（92%）受访者中，平均得分为 13.4（满分 16 分；组间无差异，t 检验，p=0.63）。
无论患者是由独立护士处方还是使用患者群组指导的护士管理，他们对护士咨询和药物信息都非常满意。
研究结果为性健康诊所中护士自主提供药物提供了证据支持。
