New tool for patient evaluation of nurse practitioner in primary care settings

“…, Klemenc‐Ketis et al . ). In some countries, NPs work is regulated by minimal education standards established for them (Morgan , Royal College of Clinical Nursing ).…”

Section: Introductionmentioning

confidence: 97%

Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study

Klemenc–Ketiš

Terbovc

Gomišček

et al. 2015

Journal of Clinical Nursing

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“…m. s. za različna področja vpliva na kakovost postopkov obravnave in izide zdravljenja bolnikov (Dickson & Hajjar, 2007;DaSilva, et al, 2010;Rabbia, et al, 2013) ter na zadovoljstvo bolnikov z delom dipl. m. s. (Klemenc Ketiš, et al, 2014). Ugotoviti bi bilo potrebno, ali so tudi drugi moduli, ki se izvajajo na področju izobraževanja za dipl.…”

Section: Uporaba Rezultatov V Praksiunclassified

Pomen izobraževanja diplomiranih medicinskih sester v referenčnih ambulantah: primer arterijske hipertenzije

Šter¹,

Šter²

2015

Obzor Zdrav Neg

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Uvod: Diplomirane medicinske sestre se za delo v referenčnih ambulantah dodatno izobražujejo. Namen raziskave je bil preveriti potrebo in oceniti uspešnost izobraževanja za diplomirane medicinske sestre v referenčnih ambulantah za področje arterijske hipertenzije. Metode: Vključene so bile diplomirane medicinske sestre (n = 143), ki so obiskovale petintrideseturno urno izobraževanje o arterijski hipertenziji v času od januarja 2012 do marca 2013. Ugotavljali smo spremembo v znanju o vodenju bolnika z arterijsko hipertenzijo, zadovoljstvo udeležencev s celotnim modulom in posameznimi vsebinami modulov ter izbranimi učnimi metodami. Uporabili smo kvantitativno (deskriptivna statistika, parni t-test, enovzorčni t-test) in kvalitativno analizo podatkov. Rezultati: Z vstopnim testom so bile prepoznane velike razlike v znanju udeležencev (zbrali so med 15,0 % in 100,0 % točk). Z izobraževanjem se je njihovo znanje pomembno izboljšalo (vstopni test 56,6 % vs. končni test 89,1 %, p < 0,001). Zadovoljstvo s celotnim modulom in posameznimi deli modula je bilo visoko: povprečna vrednost za celoten modul na lestvici od 5 do 10 je znašala 8,6 (s = 1,3). Metode poučevanja so bile ocenjene kot ustrezne: povprečna vrednost na lestvici od 1 do 5 je bila 4,6 (s = 0,6). Udeleženci so najbolj pohvalili uporabnost in kakovost predavanj, dostopnost predavateljev in povezovanje teorije s prakso preko prikazov praktičnih primerov. Diskusija in zaključek: Ugotovitve naše raziskave podpirajo potrebo po dodatnem izobraževanju diplomiranih medicinskih sester v referenčnih ambulantah s področja arterijske hipertenzije.

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“…Coordinated lifestyle promotion in primary care could entail screening for patients with risky behaviours, delivering brief advice and referral to in-house specialized staff [ 33 ]. Approaches to coordinated care have typically involved multidisciplinary teams, care management and disease management [ 32 , 34 ]. Coordinated care has been shown to improve service continuity and collaboration, increase the quality of services and reduce costs in mental health and chronic care [ 32 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study

2014

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BackgroundIntegration of lifestyle promotion in routine primary care has been suboptimal. Coordinated care models (e.g. screening, brief advice and referral to in-house specialized staff) could facilitate lifestyle promotion practice; they have been shown to increase the quality of services and reduce costs in other areas of care. This study evaluates the long-term impact of a coordinated lifestyle promotion intervention with a multidisciplinary team approach in a primary care setting.MethodsA quasi-experimental, cross-sectional design was used to compare three intervention centres using a coordinated care model and three control centres using a traditional model of lifestyle promotion care. Outcomes were inspired by using the RE-AIM framework: reach, the proportion of patients receiving lifestyle promotion; effectiveness, self-reported attitudes and competency among staff; adoption, proportion of staff reporting daily practice of lifestyle promotion and referral; and implementation, of the coordinated care model. The impact was investigated after 3 and 5 years. Data collection involved a patient questionnaire (intervention, n = 433–497; control, n = 455–497), a staff questionnaire (intervention, n = 77–76; control, n = 43–56) and structured interviews with managers (n = 8). The χ2 test or Fisher exact test with adjustment for clustering by centre was used for the analysis. Problem-driven content analysis was used to analyse the interview data.ResultsThe findings were consistent over time. Intervention centres did not show higher rates for reach of patients or adoption among staff at the 3- or 5-year follow-up. Some conceptual differences between intervention and control staff remained over time in that the intervention staff were more positive on two of eight effectiveness outcomes (one attitude and one competency item) compared with control staff. The Lifestyle team protocol, which included structural opportunities for coordinated care, was implemented at all intervention centres. Lifestyle teams were perceived to have an important role at the centres in driving the lifestyle promotion work forward and being a forum for knowledge exchange. However, resources to refer patients to specialized staff were used inconsistently.ConclusionsThe Lifestyle teams may have offered opportunities for lifestyle promotion practice and contributed to enabling conditions at centre level but had limited impact on lifestyle promotion practices.

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New tool for patient evaluation of nurse practitioner in primary care settings

Abstract: This newly developed tool can be used to monitor quality performance of nurse practitioners and to plan quality improvement actions in nurse practitioners' performance in primary care settings.

Cited by 15 publications

References 23 publications

Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study

Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study

Pomen izobraževanja diplomiranih medicinskih sester v referenčnih ambulantah: primer arterijske hipertenzije

Long-term impact of a real-world coordinated lifestyle promotion initiative in primary care: a quasi-experimental cross-sectional study

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