家庭执业护士在酒精和物质使用方面的临床能力

Family nurse practitioner clinical competencies in alcohol and substance use.

作者信息

Talashek M L, Gerace L M, Miller A G, Lindsey M

出版信息

J Am Acad Nurse Pract. 1995 Feb;7(2):57-63. doi: 10.1111/j.1745-7599.1995.tb00994.x.

DOI:10.1111/j.1745-7599.1995.tb00994.x

Abstract

The prevalence of substance use among patients presenting to primary health care settings mandates clinical competency in the area for nurse practitioners (NPs). An educational intervention with an evaluation component is described. The effect of incorporating substance use content into a Family Nurse Practitioner (FNP) curriculum was tested with a convenience sample of 16 FNP students and 8 practicing NPs. Students' knowledge increased significantly; however, differences in students' and practicing NPs' knowledge did not reach significance. Students' clinical competency increased significantly, as demonstrated by standardized patient clinical evaluations, and was significantly better than the practicing NPs in the skill domains of evaluation and record keeping. Educational intervention can improve NP identification of substance-abusing patients in primary health care settings.

摘要

在初级卫生保健机构就诊的患者中，物质使用的普遍性要求执业护士（NPs）具备该领域的临床能力。本文描述了一项带有评估成分的教育干预措施。通过对16名家庭执业护士（FNP）学生和8名在职NPs的便利样本进行测试，检验了将物质使用内容纳入家庭执业护士（FNP）课程的效果。学生的知识水平显著提高；然而，学生和在职NPs在知识方面的差异并不显著。通过标准化患者临床评估表明，学生的临床能力显著提高，并且在评估和记录保存的技能领域明显优于在职NPs。教育干预可以提高初级卫生保健机构中NPs对物质滥用患者的识别能力。