Mitchell A, Van Berkel C, Adam V, Ciliska D, Sheppard K, Baumann A, Underwood J, Walter S, Gafni A, Edwards N
Hamilton-Wentworth Department of Public Health Services, Teaching Health Unit, McMaster University, Hamilton, Ontario, Canada.
Nurs Res. 1993 Jul-Aug;42(4):245-9.
The purpose of this study was to compare hospital staff nurses to public health liaison nurses in the accuracy and cost of postpartum referrals for public health nursing follow-up in the community. In the before phase of the study, public health liaison nurses assessed 304 mothers to determine the need for a follow-up visit by the public health nurse. In the after phase, staff nurses assessed 326 mothers. Public health nurses, unaware of the identity of the referring nurse and the referral decision, judged whether their visit had been required. Staff nurses correctly identified a higher proportion of referrals requiring public health nurse follow-up than liaison nurses. Although they referred more clients who did not require a public health nurse visit, costs of referrals by staff nurses remained lower.
本研究的目的是比较医院普通护士与公共卫生联络护士在社区产后转介至公共卫生护理随访的准确性和成本方面的差异。在研究的前期阶段，公共卫生联络护士对304名母亲进行了评估，以确定是否需要公共卫生护士进行随访。在后期阶段，普通护士对326名母亲进行了评估。公共卫生护士在不知道转介护士身份和转介决定的情况下，判断是否需要进行家访。普通护士正确识别出需要公共卫生护士随访的转介病例比例高于联络护士。尽管他们转介了更多不需要公共卫生护士家访的客户，但普通护士的转介成本仍然较低。
