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Nursing practice in primary care and patients’ experience of care

Da Silva Roxane Borgès, Brault Isabelle, Pineault Raynald, Chouinard Maud-Christine, Prud'homme Alexandre et D'Amour Danielle. (2018). Nursing practice in primary care and patients’ experience of care. Journal of Primary Care & Community Health, 9, p. 1-7.

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URL officielle: https://doi.org/10.1177/2150131917747186

Résumé

PURPOSE: Nurses are identified as a key provider in the management of patients in primary care. The objective of this study was to evaluate patients’ experience of care in primary care as it pertained to the nursing role. The aim was to test the hypothesis that, in primary health care organizations (PHCOs) where patients are systematically followed by a nurse, and where nursing competencies are therefore optimally used, patients’ experience of care is better.

METHOD: Based on a cross-sectional analysis combining organizational and experience of care surveys, we built 2 groups of PHCOs. The first group of PHCOs reported having a nurse who systematically followed patients. The second group had a nurse who performed a variety of activities but did not systematically follow patients. Five indicators of care were constructed based on patient questionnaires. Bivariate and multivariate linear mixed models with random intercepts and with patients nested within were used to analyze the experience of care indicators in both groups.

RESULTS: Bivariate analyses revealed a better patient experience of care in PHCOs where a nurse systematically followed patients than in those where a nurse performed other activities. In multivariate analyses that included adjustment variables related to PHCOs and patients, the accessibility indicator was found to be higher.

CONCLUSION: Results indicated that systematic follow-up of patients by nurses improved patients’ experience of care in terms of accessibility. Using nurses’ scope of practice to its full potential is a promising avenue for enhancing both patients’ experience of care and health services efficiency.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:9
Pages:p. 1-7
Version évaluée par les pairs:Oui
Date:2018
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:primary care, registered nurses, scope of practice, case-management, access to care, soins primaires, soins infirmiers, gestion de cas, accessibilité aux soins
Déposé le:24 janv. 2018 23:46
Dernière modification:24 janv. 2018 23:46
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Creative Commons LicenseSauf indication contraire, les documents archivés dans Constellation sont rendus disponibles selon les termes de la licence Creative Commons "Paternité, pas d'utilisation commerciale, pas de modification" 2.5 Canada.

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