患者护理经理角色的决定因素和 COVID-19 临床路径的实施：一项横断面研究。
The determinants of patient care manager role and the implementation of COVID-19 clinical pathway: a cross-sectional study.
机构信息
Nursing, University Muhammadiyah of Surabaya, Surabaya, East Java, Indonesia.
Nursing, Kaohsiung Medical University Hospital, Kaohsiung, Kaohsiung, Taiwan.
出版信息
PeerJ. 2022 Jul 25;10:e13764. doi: 10.7717/peerj.13764. eCollection 2022.
OBJECTIVE
This study aims to determine the factors associated with patient care manager role and the implementation of the clinical pathway among nurses in private hospitals.
METHODS
This study was conducted from January-July 2021 using the cross-sectional approach. The sample consisted of 168 nurses working in a private hospital in Surabaya City, East Java, Indonesia. Meanwhile, the data were collected using the Patient Care Manager Role Scale (PCMRS) and analyzed by multiple logistic regression to find the correlation between the variables.
RESULTS
A higher percentage of nurses namely 64.3% had compliance in COVID-19 clinical pathways with an average PCMRS score of 27.81 ± 2.43. Nurses with a high-level patient care manager role level had a significant compliance risk with odds ratio [OR] 440.137, 95% confidence interval [CI] [51.850-3736.184], and -value = 0.000 compared to those with a low role.
CONCLUSION
The role of patient care manager and compliance with COVID-19 clinical pathways correlated significantly. Based on the results, several actions are needed for the early identification of patient service managers' roles to ensure compliance with COVID-19 clinical pathways and reduce the number of cases in Indonesia.
目的
本研究旨在确定与私立医院护士的患者护理经理角色和临床路径实施相关的因素。
方法
本研究于 2021 年 1 月至 7 月采用横断面方法进行。样本包括来自印度尼西亚东爪哇省泗水市一家私立医院的 168 名护士。同时，使用患者护理经理角色量表（PCMRS）收集数据，并通过多变量逻辑回归分析来发现变量之间的相关性。
结果
较高比例的护士（即 64.3%）遵守 COVID-19 临床路径，平均 PCMRS 得分为 27.81 ± 2.43。具有高水平患者护理经理角色水平的护士具有显著的合规风险，优势比[OR]为 440.137，95%置信区间[CI] [51.850-3736.184]，和 - 值= 0.000 与低角色相比。
结论
患者护理经理的角色与 COVID-19 临床路径的遵守情况显著相关。根据研究结果，需要采取一些措施，尽早确定患者服务经理的角色，以确保遵守 COVID-19 临床路径并减少印度尼西亚的病例数量。
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