护士执业满意度面对面与远程医疗慢性护理交付。

IF 1.2 4区 医学
Stephanie O Ibemere, Susan G Silva, Mary Lou Affronti, Rita Masese, Paula Tanabe
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引用次数: 0

摘要

背景:由于SARS-CoV-2大流行,远程医疗的广泛使用和监管变化增强了执业护士(NP)的执业权威,这为评估大流行后执业护士对远程医疗服务的满意度以及与面对面就诊相比其可行性的看法提供了机会。目的:比较通过面对面和/或远程医疗访问为成人提供护理的NP的门诊慢性护理提供满意度和偏好,并检查NP的人口学和临床特征与护理提供类型的总体满意度相关。方法:采用横断面描述性设计收集数据,通过在线传播《护理服务满意度调查》,对全国具有代表性的586个np样本进行收集。结果:与使用两种访视方式的护理人员相比,亲自访视的护理人员仅在人际关系方式(p = 0.0076)和沟通(p = 0.0108)方面的满意度得分显著低于直接访视的护理人员。与使用两种访问类型的np相比,使用远程医疗的np仅具有显著更高的总体满意度和满意度分量表得分(均p < 0.01)。总体而言,77%使用这两种访问类型的np更喜欢亲自交付。结论/意义:仅提供远程医疗服务的护士比同时提供远程医疗服务的护士对慢性医疗服务更满意。使用两种护理方式的护理人员对人际交往方式和沟通的满意度均高于只提供面对面护理的护理人员。大多数使用这两种类型的np更倾向于亲自护理。鉴于远程医疗使用的增加,卫生系统、学术机构和保险公司可以利用这些研究结果为远程医疗资源和基础设施的政策提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nurse practitioner satisfaction with in-person versus telehealth chronic care delivery.

Background: The widespread use of telehealth and regulatory changes that enhanced nurse practitioner (NP) practice authority because of the SARS-CoV-2 pandemic offers an opportunity to assess postpandemic NP satisfaction with telehealth care delivery and perceptions of its feasibility compared with in-person visits.

Purpose: Outpatient chronic care delivery satisfaction and preference were compared among NPs who provide care to adults through in-person and/or telehealth visits and examined NP demographic and clinical characteristics associated with overall satisfaction by care delivery type.

Methodology: Data were collected using a cross-sectional, descriptive design through online dissemination of The Care Delivery Satisfaction Survey to a nationally representative sample of 586 NPs.

Results: Compared with NPs using both visit types to deliver care, NPs delivering care in-person only had significantly lower satisfaction scores for interpersonal manner ( p = .0076) and communication ( p = .0108). NPs using telehealth only had significantly higher overall satisfaction and satisfaction subscale scores (all p < .01) compared with NPs using both visit types. Overall, 77% of NPs using both visit types preferred in-person delivery.

Conclusions/implications: NPs delivering telehealth care only were more satisfied with chronic care delivery than NPs using both delivery types. NPs using both types were more satisfied with interpersonal manner and communication compared with NPs delivering in-person care only. Most NPs using both types preferred in-person care delivery. Given increased telehealth use, health systems, academic institutions, and insurance companies can use these study findings to inform policy on telehealth resources and infrastructure.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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