PDF(Pubmed)
Abstract：
UNASSIGNED: Dutch ambulance service faces future challenges due to acute care development, patient changes, demographics, increased ambulance runs and regional differences. Ambulance Care Netherlands published a framework titled \"Pilot physician assistant and nurse practitioner ambulance care\". Within this framework, a role is proposed so that their qualifications can provide solutions to future challenges. Despite the introduction of nurse practitioners and physician assistants into Dutch ambulance care, little is known about the effects of this introduction or the tasks these professionals perform. Nevertheless, they are being called upon, even though it is not known whether their potential contribution to the desired outcome described in the framework.
UNASSIGNED: This study aims to provide an overview of all nurse practitioners and physician assistants working in Dutch ambulance care and the tasks they perform.
UNASSIGNED: We used a cross-sectional exploratory study design. The nurse practitioners and physician assistants participated in a structured telephone survey.
UNASSIGNED: Emergency ambulance services in the Netherlands.
UNASSIGNED: A total of 56 respondents participated in a telephone survey.
UNASSIGNED: We found 53 nurse practitioners and 20 physician assistants working in Dutch ambulance care, 56 participated in the survey. Their performance of both direct care and indirect care tasks differed considerably. While some nurse practitioners and physician assistants were fully autonomous in-patient care, others were bound by regulations and restrictions.
UNASSIGNED: We found large variations between respondents in direct and indirect care task, number of working hours, and the different positions within the different Emergency ambulance services in the Netherlands. As a result, the established framework cannot presently function but can provide sound guidance to different ambulance services in positioning their nurse practitioners or physician assistants.
UNASSIGNED: This study aims to provide an overview of all nurse practitioners and physician assistants working in Dutch ambulance care and the tasks they perform.
UNASSIGNED: We used a cross-sectional exploratory study design. The nurse practitioners and physician assistants participated in a structured telephone survey.
UNASSIGNED: Emergency ambulance services in the Netherlands.
UNASSIGNED: A total of 56 respondents participated in a telephone survey.
UNASSIGNED: We found 53 nurse practitioners and 20 physician assistants working in Dutch ambulance care, 56 participated in the survey. Their performance of both direct care and indirect care tasks differed considerably. While some nurse practitioners and physician assistants were fully autonomous in-patient care, others were bound by regulations and restrictions.
UNASSIGNED: We found large variations between respondents in direct and indirect care task, number of working hours, and the different positions within the different Emergency ambulance services in the Netherlands. As a result, the established framework cannot presently function but can provide sound guidance to different ambulance services in positioning their nurse practitioners or physician assistants.
摘要：
■由于急性护理的发展，荷兰的救护车服务面临着未来的挑战，病人的变化,人口统计，增加救护车运行和地区差异。荷兰救护车护理公司发布了一个名为“飞行员医师助理和护士执业救护车护理”的框架。在这个框架内,提出了一个角色，以便他们的资格可以为未来的挑战提供解决方案。尽管在荷兰的救护车护理中引入了执业护士和医师助理，对这些介绍的影响或这些专业人员执行的任务知之甚少。然而，他们被召唤，即使不知道它们是否对框架中描述的预期结果有潜在贡献。
■本研究旨在概述在荷兰救护车护理中工作的所有护士从业人员和医师助理及其执行的任务。
■我们使用了横截面探索性研究设计。执业护士和医师助理参加了结构化的电话调查。
■荷兰的紧急救护车服务。
■共有56名受访者参加了电话调查。
■我们发现53名执业护士和20名助理医师在荷兰的救护车护理工作，56人参加了调查。他们的直接护理和间接护理任务的表现差异很大。虽然一些执业护士和医师助理是完全自主的住院护理，其他人受到法规和限制的约束。
■我们发现受访者在直接和间接护理任务中存在很大差异，工作小时数,以及荷兰不同紧急救护车服务中的不同职位。因此,已建立的框架目前无法运作，但可以为不同的救护车服务提供合理的指导，以定位其执业护士或医师助理。
■本研究旨在概述在荷兰救护车护理中工作的所有护士从业人员和医师助理及其执行的任务。
■我们使用了横截面探索性研究设计。执业护士和医师助理参加了结构化的电话调查。
■荷兰的紧急救护车服务。
■共有56名受访者参加了电话调查。
■我们发现53名执业护士和20名助理医师在荷兰的救护车护理工作，56人参加了调查。他们的直接护理和间接护理任务的表现差异很大。虽然一些执业护士和医师助理是完全自主的住院护理，其他人受到法规和限制的约束。
■我们发现受访者在直接和间接护理任务中存在很大差异，工作小时数,以及荷兰不同紧急救护车服务中的不同职位。因此,已建立的框架目前无法运作，但可以为不同的救护车服务提供合理的指导，以定位其执业护士或医师助理。
