Powers M J, Jalowiec A, Reichelt P A
Nurse Pract. 1984 Feb;9(2):39, 42, 44-5 passim.
This experimental field study compared knowledge, satisfaction and compliance in 62 nonurgent emergency room (ER) patients based on whether they were cared for by a nurse practitioner (experimental group) or a physician (control). Data were collected via structured interviews in the ER, two weeks later by phone and three months later by phone, mail and chart review. No significant differences were found between groups in overall short- and long-term compliance scores, appointment-keeping scores for the three-month study period, number of health recommendations recalled, resolution of health problem or satisfaction ratings of ER care. It was also found that: referrals were the recommendation least complied with; 60 percent of appointments were kept; frequent reasons for noncompliance were inconvenience and lack of perceived need; experimental subjects showed greater comprehension of diagnostic recommendations and therapeutic applications, while controls had better knowledge of medications; 77 percent of experimentals were completely satisfied with NP care, as compared to only 48 percent of the controls with MD care; and reasons for satisfaction centered on the quality of care, while reasons for dissatisfaction focused on unresolved problems and slow care.
这项实验性实地研究对62名非急诊室患者的知识、满意度和依从性进行了比较，这些患者分别由执业护士（实验组）或医生（对照组）护理。数据通过在急诊室进行的结构化访谈收集，两周后通过电话收集，三个月后通过电话、邮件和病历审查收集。在总体短期和长期依从性评分、三个月研究期的预约遵守评分、回忆起的健康建议数量、健康问题的解决情况或急诊护理满意度评分方面，两组之间未发现显著差异。研究还发现：转诊是最不被遵守的建议；60%的预约得到遵守；不遵守的常见原因是不便和缺乏感知到的需求；实验组受试者对诊断建议和治疗应用的理解更强，而对照组对药物的了解更好；77%的实验组患者对执业护士护理完全满意，相比之下，只有48%的对照组患者对医生护理满意；满意度的原因集中在护理质量上，而不满的原因则集中在未解决的问题和护理缓慢上。
