患者对执业护士护理的看法,执业护士的实践范围,以及这如何影响提供者选择
Naomi Hemp1, Lisa Walker-Vischer1, Jordan Rose2
1The Valley Foundation School of Nursing, San José State University, San José, California.
Journal of the American Association of Nurse Practitioners
|September 26, 2025
概括
患者比医生更好地看待执业护士 (NP),但公众对NP实践范围的理解有限. 需要采取教育举措,以改善NP在初级保健中的整合.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 护理实践 护理实践
- 公共卫生政策 公共卫生政策
背景情况:
- 加利福尼亚面临着初级保健提供者的短缺,影响了获得和增加急诊室的使用.
- 立法旨在授予执业护士 (NP) 完全的执业权力,但公众的误解可能会阻碍他们的整合.
- 了解患者的看法对于有效的NP员工整合至关重要.
研究的目的:
- 评估患者对NP提供的护理与医生的看法.
- 评估患者对NP实践范围的理解.
- 确定观念如何影响医疗保健提供者的选择,以告知政策.
主要方法:
- 使用定量数据进行横截面研究设计.
- 匿名在线调查 (Qualtrics) 用于数据收集.
- 配对样本 t 试验和回归分析用于数据解释.
主要成果:
- 与医生 (M = 4.42) 相比,NP对护理的看法明显更为有利 (M = 4.76).
- 没有发现有意义的人口统计学感知预测因素.
- 发现公众对NP实践范围和相关立法知识存在重大差距.
结论:
- 与医生相比,NP被认为是有利的,但公众对其范围的认识缺乏.
- 有针对性的教育举措是必要的,以解决知识差距.
- 需要对更大,更多样化的样本进行进一步的研究,以支持基于证据的NP自主性和初级保健优化政策.
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