目的:研究与无ACNP的跨专业团队相比,有急性护理执业护士(ACNP)的跨专业团队对最佳实践指南的遵守程度。
方法:2023年进行了一项回顾性观察性研究。
方法:创建了一个回顾性队列,包括280例患者,这些患者在2019年1月1日至2020年1月31日期间接受了冠状动脉旁路移植术和/或瓣膜修复术,并在魁北克(加拿大)大学附属医院的心脏外科病房住院。对最佳实践指南的遵守程度是根据百分比的综合得分来衡量的。综合评分是从一个新开发的工具创建的,该工具包括六个类别的99个项目(患者信息,药物治疗,实验室测试,术后评估,患者和跨专业团队的特点)。计算多元线性和逻辑回归模型,以检查具有ACNP的跨专业团队对遵守最佳实践指南的水平的影响。
结果:该队列的大多数患者为男性,接受了冠状动脉旁路移植术。与没有ACNP的跨专业团队相比,接受ACNP的跨专业团队护理的患者达到依从性高于80%的可能性是1.72倍,并且在该水平的得分最高四分位数内的可能性是2.29倍。
结论:本研究提供的经验数据支持ACNP实践对患者的益处,跨专业团队和医疗机构。
结论:我们的发现确定了跨专业团队的重要贡献,包括使用经过验证的工具的ACNP,以及他们对提供高质量患者护理的贡献。
■本研究遵循加强流行病学观察性研究报告(STROBE)声明:报告观察性研究指南指南。
■没有患者或公众捐款。
OBJECTIVE: To examine the level of adherence to best-practice guidelines of interprofessional teams with acute care nurse practitioners (ACNPs) compared to interprofessional teams without ACNPs.
METHODS: A retrospective observational
study was conducted in 2023.
METHODS: A retrospective cohort was created including 280 patients who underwent a coronary artery bypass graft and/or a valve repair and hospitalised in a cardiac surgery unit of a university affiliated hospital in Québec (Canada) between 1 January 2019 to 31 January 2020. The level of adherence to best-practice guidelines was measured from a composite score in percentage. The composite score was created from a newly developed tool including 99 items across six categories (patient information, pharmacotherapy, laboratory tests, post-operative assessment, patient and interprofessional teams\' characteristics). Multivariate linear and logistic regression models were computed to examine the effect of interprofessional teams with ACNPs on the level of adherence to best-practice guidelines.
RESULTS: Most of the patients of the cohort were male and underwent a coronary artery bypass graft procedure. Patients under the care of interprofessional teams with ACNP were 1.72 times more likely to reach a level of adherence higher than 80% compared to interprofessional teams without ACNPs and were 2.29 times more likely to be within the highest quartile of the scores for the level of adherence to best-practice guidelines of the cohort.
CONCLUSIONS: This
study provides empirical data supporting the benefits of ACNP practice for patients, interprofessional teams and healthcare organisations.
CONCLUSIONS: Our findings identify the important contributions of interprofessional teams that include ACNPs using a validated instrument, as well as their contribution to the delivery of high quality patient care.
UNASSIGNED: This
study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for reporting observational studies guidelines.
UNASSIGNED: No patient or public contribution.