在初级保健紧急情况中,护士对小问题进行管理:一项非随机对照试验
Jordi Estarlich-Corominas1, Neus Soler-Abril2, Anna Casanellas-Chuecos2
1Institut Català de la Salut, Barcelona, Spain. jordiestarlich_ext@gencat.cat.
护士需求管理计划通过使护士能够自主管理轻微的健康问题来提高初级保健效率. 这导致等待时间缩短,处方减少,但不影响护理质量.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 初级保健创新初级保健的创新
背景情况:
- 初级保健的需求不断增长,需要适应性卫生系统战略.
- 加泰罗尼亚卫生研究院使用护士需求管理程序来自主处理轻微的健康问题.
- 自2009年以来,该计划一直在扩大.
研究的目的:
- 评估护士需求管理计划对护理效率和质量的影响.
- 为了比较护士主导的护理与医生主导的护理在初级保健急诊环境中.
主要方法:
- 一个非随机的受控实验研究设计.
- 实验组 (护士) 与对照组 (医生) 的比较.
- 包括312名患有轻微健康问题的患者.
主要成果:
- 实验组的等待时间:15.1分钟与对照组的等待时间:33.25分钟.
- 在感知护理质量或咨询总数方面没有显著差异.
- 护士处方的药物较少 (1.79对每位参与者2.26).
结论:
- 护士需求管理计划提高了急诊中心的效率.
- 护士在管理微小问题的自主性,以算法为指导,提供优质的护理.
- 该计划导致减少处方和高患者满意度.
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