Bear M, Brunell M L, Covelli M
School of Nursing, University of Central Florida, Orlando 32816-2210, USA.
J Community Health Nurs. 1997;14(4):225-35. doi: 10.1207/s15327655jchn1404_2.
This article describes the organizing framework and evaluation component of a newly initiated nurse-managed Senior Health Clinic that is being collaboratively run by a school of nursing and a senior service agency in Central Florida. Background is provided on choosing a partner agency; negotiations; developing a mission statement, goals, and operation plans; determining the target audience; and marketing strategies. The clinic targets residents who are 55 years old and older and who do not currently have a primary care provider. Cox's (1982) Interactional model for Client Health Behavior provides the framework for care delivery and all process and outcome evaluation activities. As such, the model provides an innovative nursing focus to the delivery of primary care services. Client characteristics are used to form the components of the client data collection tool, which was developed to provide baseline information on seniors who are using the clinic. Three elements of client professional interaction are included in the Health Care Form, which documents the nurse practitioner services that were provided: health information, affective support, and professional technical competencies. The Client Satisfaction Tool measures the client's satisfaction with each of the elements of client-professional interaction that are theorized to influence health outcomes. Information management is facilitated by a computer program that enables staff to enter the information directly into the computer. Data collection is ongoing and will quantify the type and extensiveness of services provided and the quality of care at the Senior Health Clinic.
本文介绍了一所新开办的由护士管理的高级健康诊所的组织框架和评估部分，该诊所由佛罗里达州中部的一所护理学院和一家高级服务机构合作运营。文中介绍了选择合作机构的背景、谈判过程、制定使命声明、目标和运营计划、确定目标受众以及营销策略。该诊所的服务对象是55岁及以上且目前没有初级保健提供者的居民。考克斯（1982年）的客户健康行为互动模型为护理服务以及所有过程和结果评估活动提供了框架。因此，该模型为初级保健服务的提供提供了一种创新的护理重点。客户特征被用于构成客户数据收集工具的组成部分，该工具旨在为使用该诊所的老年人提供基线信息。医疗保健表格包含客户专业互动的三个要素，记录了所提供的执业护士服务：健康信息、情感支持和专业技术能力。客户满意度工具衡量客户对理论上会影响健康结果的客户与专业人员互动的每个要素的满意度。一个计算机程序促进了信息管理，使工作人员能够直接将信息输入计算机。数据收集工作正在进行中，将对高级健康诊所提供的服务类型和范围以及护理质量进行量化。
