团队的新成员？扩大护士在英国初级医疗保健中的作用。

A new member of the team? Extending the role of the nurse in British primary care.

作者信息

Miller D S, Backett E M

出版信息

Lancet. 1980 Aug 16;2(8190):358-61. doi: 10.1016/s0140-6736(80)90350-5.

Abstract

533 (77.3%) of a random sample of 690 general practitioner (GP) principals in Britain replied to a postal questionnaire about the appropriateness of nurses undertaking, after suitable training and under the supervision of a doctor, but on their own, certain clinical tasks (history taking, examination, diagnosis, and advice on treatment) in general practice. Those who replied were representative of British GPs. Two-thirds were in favour of the extended role and were prepared to delegate clinical tasks to a nurse. Their opinion was unaffected by whether or not they had worked with or observed the work of medical auxiliaries. 65% of those in favour would prefer to work with a woman. The characteristics most significantly associated with acceptance of this new role for the nurse were: doctors aged less than 50 years and practices in which regular formal meetings took place between doctors, nurses, and other practice staff.

摘要

在英国，从690名全科医生负责人中随机抽取的样本里，有533人（占77.3%）回复了一份关于护士在接受适当培训并在医生监督下独自承担某些一般诊疗中的临床任务（病史采集、检查、诊断和治疗建议）是否合适的邮政调查问卷。回复者代表了英国的全科医生。三分之二的人赞成扩大护士的职责范围，并准备将临床任务委托给护士。他们的意见不受是否曾与医疗辅助人员共事或观察过其工作的影响。65%赞成的人更愿意与女性共事。与接受护士这一新角色最显著相关的特征是：年龄小于50岁的医生，以及医生、护士和其他诊疗工作人员之间定期举行正式会议的诊疗机构。