Ben Natan Merav, Revach May, Sade Or, Yonay Yaniv, Berkovich Yaron
Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Center, P.O.B. 169, Hadera, 38100, Israel.
Tel Aviv University, Tel Aviv, Israel.
BMC Nurs. 2024 Jun 5;23(1):383. doi: 10.1186/s12912-024-02014-8.
The inclusion of nurse practitioners (NPs) specializing in orthopedics shows potential for improving the quality of care for orthopedic patients. A critical aspect of assessing the feasibility and acceptance of introducing NPs into orthopedic settings involves understanding patients' perspectives on this role. This study aims to explore the receptiveness of orthopedic patients to treatment by orthopedic Nurse Practitioners (NPs). Additionally, it investigates potential associations between patients' willingness to engage with NPs, their familiarity with the NPs role, perceptions of nursing, and satisfaction with orthopedic nursing care.
This cross-sectional study involved patients admitted to an orthopedic department in a central Israeli hospital between January and February 2023. Data was collected using a questionnaire consisting of five sections, validated by content experts. Statistical analyses, performed using SPSS, included descriptive statistics, independent samples t-tests, Pearson correlations, and linear regression.
Orthopedic patient participants demonstrated a moderate willingness to undergo treatment by orthopedic NPs, with over two-thirds expressing strong openness. Patients displayed a high willingness for NPs to engage in various clinical tasks, albeit showing lesser enthusiasm for medication management and preoperative evaluation. Positive attitudes towards nurses and familiarity with the NP's role emerged as significant predictors of patient receptiveness to NPs' treatment.
Patient acceptance of orthopedic NPs varies across different aspects of care. While there is overall willingness to receive care from NPs, these nuanced preferences should be considered when implementing NPs in orthopedic settings. Awareness and positive perceptions play crucial roles in shaping patients' willingness to receive care from these NPs.
The research doesn't report the results of a health care intervention.
纳入专门从事骨科的执业护士显示出改善骨科患者护理质量的潜力。评估将执业护士引入骨科环境的可行性和可接受性的一个关键方面是了解患者对这一角色的看法。本研究旨在探讨骨科患者对骨科执业护士治疗的接受程度。此外，它还调查了患者与执业护士接触的意愿、对执业护士角色的熟悉程度、对护理的看法以及对骨科护理的满意度之间的潜在关联。
这项横断面研究涉及2023年1月至2月间入住以色列中部一家医院骨科的患者。使用由五部分组成的问卷收集数据，该问卷经内容专家验证。使用SPSS进行的统计分析包括描述性统计、独立样本t检验、Pearson相关性分析和线性回归。
骨科患者参与者对接受骨科执业护士的治疗表现出中等程度的意愿，超过三分之二的患者表示非常愿意。患者对执业护士参与各种临床任务表现出很高的意愿，尽管对药物管理和术前评估的热情较低。对护士的积极态度和对执业护士角色的熟悉程度是患者接受执业护士治疗的重要预测因素。
患者对骨科执业护士的接受程度在护理的不同方面存在差异。虽然总体上愿意接受执业护士的护理，但在骨科环境中实施执业护士时应考虑这些细微的偏好。意识和积极的看法在塑造患者接受这些执业护士护理的意愿方面起着关键作用。
该研究未报告医疗保健干预的结果。
