Kerkstra A, Beemster F
Netherlands Institute of Primary Health Care, Utrecht.
J Adv Nurs. 1994 Jun;19(6):1205-11. doi: 10.1111/j.1365-2648.1994.tb01205.x.
The aim of this study was the measurement of the quality of assessment visits of community nurses in The Netherlands. Process criteria were derived for the quality of the assessment visits from the quality standards of community nursing care established by Appelman et al. Over a period of 8 weeks, a representative sample of 108 community nurses and 49 community nursing auxiliaries at 47 different locations paid a total number of 433 assessment visits. The nursing activities were recorded for each visit. The results suggested that most assessment visits (88%) were paid by community nurses. During the assessment visits, community nurses more often paid attention to questions and expectations of the patient than nursing auxiliaries did. Furthermore, the quality of taking case histories in the actual practice of assessment appeared to be high in general. However, nearly half of the nurses did not enquire whether the patient received care from other health care professionals. The drafting of the care plan was, on average, of a lesser quality. In particular, the re-assessment of patients was not systematically planned.
本研究的目的是衡量荷兰社区护士评估访视的质量。根据阿佩尔曼等人制定的社区护理质量标准，得出了评估访视质量的过程标准。在8周的时间里，来自47个不同地点的108名社区护士和49名社区护理辅助人员的代表性样本共进行了433次评估访视。每次访视的护理活动都有记录。结果表明，大多数评估访视（88%）是由社区护士进行的。在评估访视期间，社区护士比护理辅助人员更常关注患者的问题和期望。此外，在实际评估实践中，病史采集的质量总体上似乎较高。然而，近一半的护士没有询问患者是否接受过其他医护人员的护理。护理计划的制定质量平均较低。特别是，对患者的重新评估没有系统地规划。
