麻醉提供者类型是否会影响退伍军人对护理的满意度?
Kevin N Griffith1,2, Julia Harris3,4, Jeffrey Darna5
1Veterans' Wellbeing through Innovation, Systems Science and Experience in Learning Health Systems (VETWISE-LHS), VA Tennessee Valley Healthcare System.
Medical care
|November 20, 2025
概括
患者对麻醉护理的满意度在不同的护理模式和提供者类型中始终很高. 经过认证的注册护士麻醉师 (CRNA) 在患者提供者沟通方面显示出微妙的好处.
科学领域:
- 麻醉学 麻醉学
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 麻醉护理提供模式各不相同,包括独立的注册护士麻醉师 (CRNA),医生麻醉师,以及在CRNA监督下以团队为基础的方法.
- 这些不同的麻醉护理模式和CRNA监督对患者满意度的影响尚未得到充分证实.
研究的目的:
- 调查麻醉护理团队组成,CRNA监督和患者满意度之间的关联.
- 评估与护理准入,提供者评级和整体体验相关的满意度.
主要方法:
- 将患者满意度调查数据与退伍军人卫生管理局 (VHA) 的行政数据联系起来.
- 分析了2016年至2023年间45757名退伍军人接受侵入性外科手术的数据.
- 使用多个调查项目评估满意度,涵盖整体经验,提供者互动和医疗保健系统评级.
主要成果:
- 在麻醉护理模型/监督比率和退伍军人的整体满意度,提供者/医院评级或VHA推概率之间没有发现显著的关联.
- 经过认证的注册护士麻醉师 (CRNA) 的参与表明,对被认为的提供者注意力和尊重产生了小的积极影响.
- 在所有类型的麻醉提供者中观察到高水平的患者满意度,在排除COVID-19数据和不那么复杂的病例后,研究结果一致.
结论:
- 退伍军人对麻醉护理的满意度均高,无论护理模式或提供者凭证如何.
- 认证注册护士麻醉师 (CRNAs) 可能有助于增强患者提供者沟通,在患者互动中显示微妙的好处.
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