从初级保健医生转移到护士的任务转移的影响:系统审查的概述
Muna Paier-Abuzahra1, Nicole Posch2, Klaus Jeitler1,3
1Institute of General Practice and Evidence-Based Health Services Research, Medical University of Graz, Neue Stiftingtalstraße 6, 8010, Graz, Austria.
Human resources for health
|November 11, 2024
概括
与医生主导的护理相比,护士主导的护理显示出类似或改善的患者结果,减少死亡率和住院病例. 需要进一步研究护理人员培训的影响.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级保健医生 (PCP) 短缺需要将任务转移到护士身上.
- 将PCP活动委托给护士的目的是满足患者在初级保健中的需求.
研究的目的:
- 评估护士委托或替代PCP活动对患者,临床,专业和医疗服务成果的影响.
- 提供护士主导的初级保健系统审查的概述.
主要方法:
- 在多个数据库 (Medline,Embase,Pubmed,Cochrane,CINAHL) 进行系统的文献搜索.
- 包括随机对照试验和受控前性试验的系统审查和元分析.
- 来自六个包括系统性审查的数据的叙述综合.
主要成果:
- 与医生主导的护理相比,护士主导的护理显示了较低的死亡率和住院率,特别是由高素质的护士执业人员进行的护理.
- 注册护士的患者满意度高于执业护士.
- 医生和护士领导的护理之间在身体功能,生活质量或疼痛方面没有显著差异.
结论:
- 护士主导的初级保健可能与医生主导的护理一样安全或更安全,关于死亡率和住院情况.
- 护理人员培训对结果的影响需要进一步调查.
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