التفاصيل البيبلوغرافية
| العنوان: |
The impact of general practice nursing care on patient satisfaction and enablement in Australia: A mixed methods study |
| المؤلفون: |
Jane Desborough, Nasser Bagheri, Michelle Banfield, Jane Mills, Christine Phillips, Rosemary Korda |
| سنة النشر: |
2016 |
| مصطلحات موضوعية: |
Nursing not elsewhere classified, General practice, General practice nursing, Mixed methods, Nursing scope of practice, Patient enablement, Patient satisfaction, Primary health care, Quality of care |
| الوصف: |
© 2016 Elsevier Ltd Background The numbers of nurses in general practice in Australia tripled between 2004 and 2012. However, evidence on whether nursing care in general practice improves patient outcomes is scarce. Although patient satisfaction and enablement have been examined extensively as outcomes of general practitioner care, there is little research into these outcomes from nursing care in general practice. The aim of this study was to examine the relationships between specific general practice characteristics and nurse consultation characteristics, and patient satisfaction and enablement Methods A mixed methods study examined a cross-section of patients from 21 general practices in the Australian Capital Territory. The Patient Enablement and Satisfaction Survey was distributed to 1665 patients who received nursing care between September 2013 and March 2014. Grounded theory methods were used to analyse interviews with staff and patients from these same practices. An integrated analysis of data from both components was conducted using multilevel mixed effect models. Results Data from 678 completed patient surveys (response rate = 42%) and 48 interviews with 16 nurses, 23 patients and 9 practice managers were analysed. Patients who had longer nurse consultations were more satisfied (OR = 2.50, 95% CI: 1.43-4.35) and more enabled (OR = 2.55, 95% CI: 1.45-4.50) than those who had shorter consultations. Patients who had continuity of care with the same general practice nurse were more satisfied (OR = 2.31, 95% CI: 1.33-4.00) than those who consulted with a nurse they had never met before. Patients who attended practices where nurses worked with broad scopes of practice and high levels of autonomy were more satisfied (OR = 1.76, 95% CI: 1.09-2.82) and more enabled (OR = 2.56, 95% CI: 1.40-4.68) than patients who attended practices where nurses worked with narrow scopes of practice and low levels of autonomy. Patients who received nursing care for the management of |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
unknown |
| Relation: |
10779/rmit.27504819.v1; https://figshare.com/articles/journal_contribution/The_impact_of_general_practice_nursing_care_on_patient_satisfaction_and_enablement_in_Australia_A_mixed_methods_study/27504819 |
| الاتاحة: |
https://figshare.com/articles/journal_contribution/The_impact_of_general_practice_nursing_care_on_patient_satisfaction_and_enablement_in_Australia_A_mixed_methods_study/27504819 |
| Rights: |
All rights reserved |
| رقم الانضمام: |
edsbas.B91DA6F5 |
| قاعدة البيانات: |
BASE |