在瑞士的一般实践中,患者对综合护理的经验:一项混合方法研究
Muriel Schütz Leuthold1, Fatima El Hakmaoui1, Renzo Scuderi1
1Department of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Switzerland.
注册护士 (RN) 整合到一般实践中,改善了患者的护理. 患者体验到更好的可访问性,预防性服务和整体健康结果,突出了护士领导的初级保健病例管理的价值.
科学领域:
- 主要护理是指初级护理.
- 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:
- 在高收入国家,注册护士 (RN) 在初级保健 (PC) 中至关重要,特别是在全科医院.
- 在瑞士的一般实践中,将RN整合到跨专业团队中,旨在增强护理提供和患者体验.
- 这项研究评估了患者在通用诊所环境中的新型护理活动的经验.
研究的目的:
- 评估患者在一般实践中对新护理活动的体验.
- 评估RN整合对患者报告的初级保健结果的影响.
- 了解患者对改善护理可访问性和全面性的看法.
主要方法:
- 一种混合方法方法,将定量和定性数据收集结合起来.
- 患者经验调查管理护理前和护理后的随访 (n=109).
- 调查数据的描述性和双变量分析,补充了10名患者的定性访谈.
主要成果:
- 在患者未满足的医疗保健需求,护理可及性和预防性护理方面报告了显著的改善.
- 患者注意到加强信息提供和积极的生活方式变化归因于预防性护理干预.
- 定性发现强调了护士可访问性,可用性和整体护理方法的价值.
结论:
- 护士主导的病例管理有效地解决了初级保健缺口,特别是在慢性疾病管理方面.
- 将RN整合到一般实践中可以提高预防性护理,患者教育和整体护理的可访问性.
- 该研究表明,扩大护理角色对初级保健中的患者体验和健康结果的积极影响.
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