Melillo K D
J Am Acad Nurse Pract. 1993 Jan-Feb;5(1):19-26. doi: 10.1111/j.1745-7599.1993.tb00836.x.
This study evaluates the nursing contribution to the process of care utilizing nurse practitioners (NPs) to provide health care for nursing home patients in Massachusetts. Using magnetic tapes of data collected through retrospective chart reviews of 2,651 patient records in 110 Massachusetts nursing homes, comparisons were made of the process of care variables of NP/physician team and physician-only models of care. Results from discriminant function analysis revealed process of care variables did discriminate between the two models. The conclusion that NPs provide not only a substitutive role to that of medical care but also a complementary one should be instrumental in enabling policy decisions that encourage the full utilization of NPs.
本研究评估了护士从业者（NP）为马萨诸塞州疗养院患者提供医疗保健服务时，护理工作对护理过程的贡献。通过对马萨诸塞州110家疗养院的2651份患者记录进行回顾性病历审查收集数据磁带，对NP/医生团队护理模式和仅由医生提供护理的模式的护理过程变量进行了比较。判别函数分析结果显示，护理过程变量确实能够区分这两种模式。NP不仅能替代医疗护理，还能起到补充作用，这一结论应有助于做出鼓励充分利用NP的政策决策。
