Friedemann M L
Inselspital, Bern.
Pflege. 1997 Jun;10(3):132-7.
The second part of this report contains the most important knowledge and the results gained through the study carried out at the Inselspital Berne, Switzerland, concerning the influence a clinical nurse practitioner has on work environment and patient satisfaction. Nurses who had the support of a clinical nurse practitioners had better guidelines at their disposal and got more feedbacks than the others. There were, however, no great differences between the units with a clinical nurse practitioner and those without one regarding communication, motivation for further education and support in difficult patient situations. The motivation for higher education was remarkably high on all units. However, the nurses on the units with a clinical nurse practitioner showed more interest in psychological and social matters and they had according literature at their disposal. The patients were generally satisfied, although there were differences regarding trust of the patients in nurses. Patients of units with a clinical nurse practitioner addressed nurses more frequently and easily with their problems and questions than patients from other units. This case study showed that clinical nurse practitioners play an active and important role concerning teamwork, particularly by giving feedbacks and helping to create an atmosphere of support regarding personal continuing education, using all available resources, discussing patient situations, evaluating them and finding solutions.
本报告的第二部分包含了最重要的知识以及在瑞士伯尔尼大学医院开展的一项研究所得出的结果，该研究关注临床护理专家对工作环境和患者满意度的影响。获得临床护理专家支持的护士比其他护士能更好地运用指导方针，且得到更多反馈。然而，在有临床护理专家的科室和没有临床护理专家的科室之间，在沟通、继续教育的积极性以及在处理棘手患者情况时获得的支持方面，并没有很大差异。所有科室对高等教育的积极性都非常高。然而，有临床护理专家的科室的护士对心理和社会问题表现出更大兴趣，并且他们能获取相关文献。患者总体上感到满意，尽管患者对护士的信任存在差异。有临床护理专家的科室的患者比其他科室的患者更频繁、更容易地向护士提出他们的问题。该案例研究表明，临床护理专家在团队合作中发挥着积极且重要的作用，特别是通过提供反馈以及帮助营造一种支持个人继续教育的氛围，利用所有可用资源，讨论患者情况，对其进行评估并找到解决方案。
