1990年全科医生合同引入前后执业护士的工作量
Practice nurse workload before and after the introduction of the 1990 contract for general practitioners.
作者信息
Hibble A
机构信息
East Anglia Faculty, Royal College of General Practitioners, Stamford, Lincolnshire.
出版信息
Br J Gen Pract. 1995 Jan;45(390):35-7.
BACKGROUND
A study of practice nurse workload in 1989 by the East Anglian reporting system revealed that nurses were undertaking a wide range of activities, with 12% of nursing time being spent on administration. The 1990 contract for general practitioners emphasized the role of general practice in health promotion.
AIM
The 1989 study was repeated by the East Anglian reporting system in 1992 to investigate changes in practice nurse workload.
METHOD
Nurses in 22 practices recorded all the procedures they performed and their duration, over a two week period.
RESULTS
The number of practice nurses in each practice had increased from 0.7 full time equivalents in 1989 to 1.2 in 1992. The proportion of time spent on administration had increased to 19%. The number of different procedures performed by practice nurses had risen from 36 in 1989 to 54 in 1992, with most new activity in well person and new patient clinics.
CONCLUSION
Changes have taken place in the volume and range of work undertaken by practice nurses. There is potential for practice nurses to use the results both for negotiation and for education.
背景
1989年东安格利亚报告系统对执业护士工作量的一项研究表明，护士从事的活动范围广泛，其中12%的护理时间用于行政管理。1990年的全科医生合同强调了全科医疗在健康促进方面的作用。
目的
东安格利亚报告系统于1992年重复了1989年的研究，以调查执业护士工作量的变化。
方法
22家诊所的护士记录了她们在两周内执行的所有程序及其持续时间。
结果
每家诊所的执业护士数量从1989年的0.7个全职等效人员增加到了1992年的1.2个。用于行政管理的时间比例增加到了19%。执业护士执行的不同程序数量从1989年的36项增加到了1992年的54项，大多数新活动出现在健康人群和新患者诊所。
结论
执业护士承担的工作量和工作范围发生了变化。执业护士有可能将这些结果用于谈判和教育。
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