Nurse practitioners, physician assistants, and trust: A systematic review.

IF 1.7 3区医学 Q3 HEALTH POLICY & SERVICES

Health Care Management Review Pub Date : 2024-07-01 DOI:10.1097/HMR.0000000000000405

Tracy H Porter, Jessica A Peck, Gina Thoebes

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引用次数: 0

Abstract

Background: The use of physician extenders (e.g., nurse practitioners [NPs] and physician assistants [PAs]) has risen in recent years in the U.S. health care domain, yet some scholars have questioned if physician extenders are being fully utilized in the health care field.

Purposes: The purpose of this research was to conduct a systematic review to determine if trust in the NP/PA might be influential in the ways these professionals are utilized. We view trust through the lens of Mayer et al. and their model of organizational trust, and we seek to examine how patients, physicians, and NPs/PAs themselves view one another.

Methods: This systematic review spanned from 1996 to 2022 and applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy. The final sample consisted of 29 articles.

Results: The findings point to how the antecedents of trust according to Mayer et al.; i.e., trustee's ability, benevolence, and integrity) influence the trusting relationships between patients and NPs/PAs and between physicians and NPs/PAs. Consequences and outcomes of trust are also discussed. Importantly, a trustor's propensity to trust and repeat interactions over time (e.g., feedback loop) is influential to trusting relationships.

Practice implications: These findings offer health care organizations insight into the mechanisms for building trust as physician extenders become more prominent in the health care field.

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护士、医生助理与信任：系统综述。

背景：近年来，医生扩展人员（如执业护士[NPs]和医生助理[PAs]）在美国医疗保健领域的使用有所增加，但一些学者对医生扩展人员在医疗保健领域是否得到充分利用提出了质疑：本研究的目的是进行系统性回顾，以确定对 NP/PA 的信任是否会对这些专业人员的使用方式产生影响。我们从 Mayer 等人及其组织信任模型的视角来看待信任问题，并试图研究患者、医生和 NP/PA 本身是如何看待彼此的：本系统综述的时间跨度为 1996 年至 2022 年，采用了系统综述和元分析首选报告项目策略。最终样本包括 29 篇文章：结果：研究结果表明，根据 Mayer 等人的研究，信任的先决条件（即受托人的能力、仁慈和正直）如何影响患者与 NPs/PAs 之间以及医生与 NPs/PAs 之间的信任关系。此外，还讨论了信任的后果和结果。重要的是，信任者的信任倾向和长期重复互动（如反馈回路）对信任关系有影响：这些发现为医疗机构提供了建立信任机制的洞察力，因为医生扩展人员在医疗领域的作用日益突出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Management Review HEALTH POLICY & SERVICES-

CiteScore

4.70

自引率

8.00%

发文量

期刊介绍： Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.