Vascular Medicine Department, Georges-Pompidou European Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Université Paris Cité, INSERM U970 PARCC, Paris, France.
Front Public Health. 2023 Mar 30;11:1070403. doi: 10.3389/fpubh.2023.1070403. eCollection 2023.
To assess the perception of Advanced Nurse Practitioners (ANP) by physicians and nurses in vascular medicine. As the status of ANP in France was recently enacted by law in 2018, we aimed to investigate physicians and nurses working with patients suffering from Peripheral Artery Disease (PAD) to gather their opinions and draw the cooperation outlines these practitioners could have with an ANP.
A qualitative study based on in-depth interviews was conducted among healthcare practitioners taking care of patients with PAD: 10 physicians working either in a private practice settings or hospital settings or both, and eight nurses working within a hospital inpatients vascular unit. Verbatim responses were extracted and coded according to a continuous thematization method.
Three main features emerged from participants' responses. Vascular medicine has a specific organization with a significant lack of time and staff to fulfill the mission regarding patients' severity of illness. Second, the ANP is wanted to fill part of this gap. The expected benefits include a smoother care pathway and increased capacity for cardiovascular education and prevention, especially during consultations. Lastly, some clarification is required to integrate such new practitioners within vascular teams already in place.
Advanced nurse practitioners could be the missing link in a "Vascular team" by creating a continuum in the care of patients with PAD, ensuring clinical assessment, nursing supervision, adverse event screening, and renewing drug prescriptions with the required adaptations while ensuring essential part of therapeutic education adapted to each patient.
评估血管医学中医生和护士对高级执业护师（ANP）的看法。由于 2018 年法国最近颁布了有关 ANP 的法律地位，我们旨在调查与外周动脉疾病（PAD）患者合作的医生和护士，以收集他们的意见，并制定这些从业者与 ANP 合作的轮廓。
对照顾 PAD 患者的医疗保健从业者（10 名医生，他们要么在私人诊所工作，要么在医院工作，或者两者兼而有之，以及 8 名在医院住院血管病房工作的护士）进行了基于深入访谈的定性研究。根据连续主题化方法提取并对逐字回复进行编码。
参与者的回答中出现了三个主要特征。血管医学具有特定的组织形式，但时间和人员严重短缺，无法完成患者病情严重程度的任务。其次，需要 ANP 来填补这一空白。预期的好处包括更顺畅的护理途径和增加心血管教育和预防的能力，特别是在咨询期间。最后，需要对整合现有的血管团队中的这些新从业者进行一些澄清。
高级执业护师可以通过在 PAD 患者的护理中建立一个连续体来成为“血管团队”中的缺失环节，确保临床评估、护理监督、不良事件筛查以及根据需要调整药物处方，同时确保为每位患者提供适应其需求的重要治疗教育。
