Barriers to referral for elevated blood pressure in the emergency department and differences between provider type.
Barriers to referral for elevated blood pressure in the emergency department and differences between provider type.
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DOI：
10.1111/jch.12468
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发表时间：
2015-03
期刊：
影响因子：
--
通讯作者：
Kovner C
中科院分区：
文献类型：
--
作者：
Souffront K;Chyun D;Kovner C
对美国各地 ED 提供者的多学科样本 (n = 450) 进行了调查，以确定在 ED 转诊血压升高 (BP) 的障碍以及提供者类型之间的差异。注册护士对 I 期 HTN (p = .043) 和 Pre-HTN (p<.01) 的了解较少；对 HTN 的定义知之甚少 (p<.001)；据报道，照顾无症状患者更加困难 (p = .007)；需要参考的经济补偿（p = .048）；感知的 BP 转诊受到医疗主任的影响 (p<.001)。 MD 报告了更多需要参考的技能 (p = .008) 和时间作为障碍 (p = .038)； PA 更有可能报告患者不了解健康益处 (p = .035)，并怀疑他们对血压的担忧 (p = .023)；并在提及时感到情绪上不舒服 (p = .025)。尽管存在这些差异，但提供者类型和推荐之间没有显着差异。
A multidisciplinary sample of ED providers across the United States (n = 450) were surveyed to identify barriers to referral for elevated blood pressure (BP) in the ED and differences between provider-type. RNs reported less knowledge of Stage I HTN (p = .043) and Pre-HTN (p<.01); were less aware of definitions for HTN (p<.001); reported more difficulty caring for patients who are asymptomatic (p = .007); required financial compensation to refer (p = .048); and perceived BP referrals are influenced by the medical director (p<.001). MDs reported more skills to refer (p = .008) and time as a barrier (p = .038); PAs were more likely to report patients are not aware of health benefits (p = .035) and doubted their concern for their BP (p = .023); and felt emotionally uncomfortable when referring (p = .025). Despite these differences, there was no significant difference between provider-type and referral.
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