通过护士主导的流动初级保健服务于服务不足的人群。

IF 1.3 4区 医学 Q2 NURSING
Catherine Nadeau, Autumn Mreczko, Kristine Gauthier, Elizabeth Remo, Duellyn Pandis, Laura Szalacha, Kumar Jairamdas, Usha Menon
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引用次数: 0

摘要

目标:发展和实施一所护理学院附属的护士领导的流动诊所,以改善服务不足社区获得护理的机会,并通过体验式护理和跨专业教育支持劳动力发展。设计:一项描述性的、以社区为基础的质量改进倡议,详细介绍为服务不足的社区服务的护士领导的流动保健单位的运作情况。样本:使用人口普查数据和社会脆弱性指数确定了五个高需求社区地点的前200名由MHU服务的患者。测量方法:收集患者人口统计数据、就诊类型和满意度。附加的过程度量包括诊所人员配置、提供的服务和学生参与。干预:莫布尔护士医疗诊所提供免费的初级保健服务,同时作为护理本科生和研究生以及跨专业学习者的培训场所。结果:200例患者中,成人175例(平均年龄48岁),儿童25例(平均年龄9.2岁)。成年人中女性占43.5%,白人占51.5%,西班牙裔占20.5%,黑人占18%。大多数儿童寻求学校/体育锻炼(88%)。常见的成人就诊包括健康护理(16%)、高血压(13.1%)和酒精滥用缓解(9.7%)。超过99%的人表示满意。结论:护士主导的流动诊所是一种可扩展的、公平驱动的模式,可以在服务不足的社区扩大获得护理的机会,并支持实践劳动力的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serving the Underserved Through Nurse-Led Mobile Primary Care.

Objectives: To develop and implement a nurse-led mobile health clinic affiliated with an academic college of nursing to improve access to care in underserved communities and support workforce development through experiential nursing and interprofessional education.

Design: A descriptive, community-based quality improvement initiative detailing the operationalization of a nurse-led mobile health unit (MHU) serving underserved communities.

Sample: The first 200 patients served by the MHU across five high-need community locations were identified using census data and the social vulnerability index.

Measurements: Patient demographic data, visit type, and satisfaction were collected. Additional process measures included clinic staffing, services delivered, and student involvement.

Intervention: The Mo-Bull Nurse Medical Clinic delivered free primary care services while serving as a training site for undergraduate and graduate nursing students and interprofessional learners.

Results: Among 200 patients, 175 were adults (mean age 48), and 25 were children (mean age 9.2). Adults were 43.5% female, 51.5% White, 20.5% Hispanic, and 18% Black. Most children sought school/sports physicals (88%). Common adult visits included well-care (16%), hypertension (13.1%), and alcohol abuse remission (9.7%). Over 99% reported high satisfaction.

Conclusions: Nurse-led mobile clinics are a scalable, equity-driven model that expands access to care and supports hands-on workforce development in underserved communities.

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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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