执业护士工作环境和农村对物质使用的初级护理
Eleanor Turi1, Amy L McMenamin2, Suzanne Courtwright2
1University of Pennsylvania Perelman School of Medicine, 423 Guardian Drive, Philadelphia, PA, 19104.
一个积极的执业护士 (NP) 工作环境改善了农村老年人患有物质使用障碍 (SUD) 的初级保健机会. 更好的NP环境意味着更多患有SUD的老年人得到了照顾.
科学领域:
- 获得医疗保健的机会.
- 农村的健康 农村的健康
- 药物使用障碍 药物使用障碍
背景情况:
- 农村有物质使用障碍 (SUD) 的老年人面临着对初级保健的重大障碍.
- 执业护士 (NP) 的工作环境对于医疗保健提供至关重要,但它们对这一群体的影响未得到充分研究.
研究的目的:
- 为了调查NP工作环境和SUD的农村老年人获得初级保健的联系.
- 确定NP工作环境的关键组成部分,以促进护理利用.
主要方法:
- 与医疗保险索赔相关的NP调查数据的横截面分析.
- 使用分数逻辑回归来建模NP工作环境与初级保健利用之间的关系.
主要成果:
- 在NP工作环境得分中增加1个单位与SUD的农村老年人获得初级保健的几率增加20%有关 (aOR=1.20,CI=1.01-1.44,p=0.04).
- 有利的NP工作环境因素包括组织支持,团队关系和角色可见性.
结论:
- 改善NP的工作环境可以提高SUD的农村老年人获得初级保健的机会.
- 组织支持,团队合作和角色可见性是NP工作环境中促进护理利用的关键因素.
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