A curriculum for nurses in Germany undertaking medically-delegated tasks in primary care
A curriculum for nurses in Germany undertaking medically-delegated tasks in primary care
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DOI：
10.1111/j.1365-2648.2009.05167.x
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发表时间：
2010-03-01
影响因子：
3.8
通讯作者：
Hoffmann, Wolfgang
中科院分区：
文献类型：
--
作者：
Dreier, Adina;Rogalski, Hagen;Hoffmann, Wolfgang
P >的目标。本文是一项基于医疗任务委派来发展初级保健护士资格的研究报告，以减轻全科医生的负担，并在今天和将来为农村地区的人口提供服务。年龄人口结构的变化将导致医疗保健供应问题，特别是对老年人，促使人们重新评估护理在门诊医疗保健中的作用。方法：2006年1月1日至2007年12月31日在德国进行了一项干预研究，包括理论和实践阶段，由参与者、全科医生和患者通过问卷进行评估。在实习阶段期间和之后进行反思和结构化访谈。调查结果：参与者和全科医生认为课程是相关的和有用的。护士的动机是能够自主经营和扩大其专业工作范围，全科医生认为医疗职责授权是工作量减轻。患者积极评价护士来访，将其医疗能力和行为与全科医生进行比较。资格认证是一种很有希望的方法，可以弥补即将出现的初级保健供应不足，并允许德国农村地区和具有类似结构的国家保持高标准的医疗保健质量。它通过任务委派来支持医生，并为护士提供高级培训的选择。
P>Aim.This paper is a report of a study conducted to develop a qualification for nurses in primary care based on the delegation of medical tasks in order to relieve general practitioners and to supply the population in rural regions today and in the future.Background.Age-demographic changes will cause medical care supply problems, especially for older people, motivating a re-evaluation of the nursing role in ambulatory medical care.Methods.An intervention study was conducted in Germany between 1 January 2006 and 31 December 2007, comprising a theoretical and practical phase evaluated by participants, general practitioners and patients through questionnaires, reflection rounds and structured interviews during and after the practice phase.Findings.Participants and general practitioners rated the curriculum as relevant and useful. Nurses were motivated by the ability to be self-employed and the expansion of their scope of professional work general practitioners regarded medical duty delegation as workload relief. Patients positively evaluated nurse visits, comparing medical competence and conduct to that of a general practitioner's.Conclusion.The qualification is a promising approach to compensate for the imminent undersupply of primary care and allows maintenance a high standard of healthcare quality for rural areas of Germany and countries with similar structures. It supports doctors through task delegation, and offers an option for an advanced training for nurses.