Paxton F, Porter M, Heaney D
Nurs Stand. 1996 Feb 14;10(21):33-8. doi: 10.7748/ns.10.21.33.s48.
In 1990 and 1991, 67 practice nurses with a total of 12,725 consultations took part in a before and after study of health board attached and practice-employed nurse workload. The intervention of the New General Practitioner Contract (DoH 1989) and other primary care changes in April 1990 provided an opportunity to examine the process of care, and identify and changes in workload or differences in working patterns of attached and practice-employed nurses, as a result of these modifications. Practice-employed nurses initiated more of their own appointments following implementation of the New Contract and saw fewer GP referrals. Routing treatment room work had decreased for both groups of nurses in the second year. Both groups of nurses had also increased their level of therapeutic listening in the second year, but practice-employed nurses reported higher levels of therapeutic listening than their attached colleagues during both recording periods.
1990年和1991年，67名执业护士参与了一项关于健康委员会附属护士和诊所雇佣护士工作量的前后对比研究，他们总共进行了12,725次会诊。1990年4月新的全科医生合同（卫生部，1989年）的实施以及其他初级保健方面的变化，为研究护理过程、确定这些调整导致的附属护士和诊所雇佣护士的工作量变化或工作模式差异提供了契机。新合同实施后，诊所雇佣护士发起了更多自己的预约，而接收的全科医生转诊减少。在第二年，两组护士的常规治疗室工作都有所减少。在第二年，两组护士的治疗性倾听水平也都有所提高，但在两个记录期内，诊所雇佣护士报告的治疗性倾听水平均高于其附属同事。
