Geospatial Study of Psychiatric Mental Health-Advanced Practice Registered Nurses (PMH-APRNs) in the United States
Geospatial Study of Psychiatric Mental Health-Advanced Practice Registered Nurses (PMH-APRNs) in the United States
复制标题
DOI：
10.1176/appi.ps.000532011
复制
发表时间：
2011-12-01
影响因子：
3.8
通讯作者：
Hamera, Edna
中科院分区：
文献类型：
--
作者：
Ghosh, Debarchana;Sterns, Anthony A.;Hamera, Edna
目的：本研究的目的是确定地理区域短缺的精神心理健康高级实践注册护士（PMH-APRNs），描述城乡差异的PMH-APRNs的分布，并讨论不均衡的地理分布的影响。研究方法：数据来源是一个完整的列表，由美国护士认证中心提供，在2007年期间认证PMH-APRN的就业邮政编码（N=10,452）。利用地理信息科学技术和空间统计学方法对PMH-APRN的空间分布进行聚类分析。结果如下：在根据美国人口普查报告对人口进行调整后，确定了具有高密度和低密度PMH-APRN（可达性不均匀的一个指标）的县的统计学显著集群。报告还说明了农村和城市在分布方面的差异。结论：跨学科的方法，包括绘图和统计分析，确定短缺领域，并为指导未来的教育，临床实践和公共政策举措奠定了基础。（精神病学服务62：1506-1509，2011）
Objective: The objectives of this study were to identify geographic regions with shortages of psychiatric mental health-advanced practice registered nurses (PMH-APRNs), describe rural-urban differences in the distribution of PMH-APRNs, and discuss implications of the uneven geographic distribution. Methods: The data source was a complete listing, provided by the American Nurses Credentialing Center, of the employment zip codes of certified PMH-APRNs during 2007 (N=10,452). Geographic information science techniques and spatial statistics were used to conduct a cluster analysis of the spatial distribution of PMH-APRNs. Results: After adjustment for population on the basis of U.S. census reports, statistically significant clusters of counties with high and low density of PMH-APRNs, an indicator of uneven accessibility, were identified. Rural-urban differences in the distribution were also illustrated. Conclusions: The inter-disciplinary approach, including both mapping and statistical analyses, identified shortage areas and provided the groundwork for directing future education, clinical practice, and public policy initiatives. (Psychiatric Services 62:1506-1509, 2011)