基于Delphi法的护士心血管药物处方权申请资格及内容研究
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摘要
目的探讨三甲医院心内科护士药物处方权申请资格、处方内容及处方形式。方法运用文献调研法查找国外护士处方药物一览表,提取心血管系统药物;采用Delphi法对30名医疗护理专家进行2轮问卷咨询。结果单一疾病下可开具的心血管系统药物为7个类别93种;协议处方64种,独立/协议处方22种,独立处方7种。护士处方权申请资格为三甲医院心内科工作>10年、本科学历、主管护师职称。2轮咨询专家的积极性为83.33%、100%,权威系数为0.85、0.90。结论三甲医院心内科护士药物处方权申请资格、处方内容及处方形式设置合理,可为心内科护士今后开具药物处方提供参照。
Objective To explore the qualifications,contents and forms of nurse prescribing of cardiovascular medications in tertiary hospital.Methods The list of cardiovascular medications that can be prescribed by nurse was concluded after literature review,then a two-round expert consultation was conducted with 30 medical and nursing experts using the Delphi method.Results Medications that could be prescribed by nurse for a single cardiovascular disease were classified into 7 categories,totaling to 93 types,of which 64 were within protocols,22 were independent or within protocols and 7 were independent.The qualifications of nurses who could be authorized to prescribe cardiovascular medications included 10 years of work experience in cardiovascular department of tertiary hospital,with bachelor's degree in nursing education and with intermediate professional title.The response rates of two rounds of expert consultation were 83.33% and100%,respectively;and the authority coefficients of the expert were 0.85 and 0.90.Conclusion The qualifications,contents and forms of nurse prescribing in cardiovascular medications are reasonable,which can provide references for authorizing nurses to prescribe medications in cardiovascular department.
Objective To explore the qualifications,contents and forms of nurse prescribing of cardiovascular medications in tertiary hospital.Methods The list of cardiovascular medications that can be prescribed by nurse was concluded after literature review,then a two-round expert consultation was conducted with 30 medical and nursing experts using the Delphi method.Results Medications that could be prescribed by nurse for a single cardiovascular disease were classified into 7 categories,totaling to 93 types,of which 64 were within protocols,22 were independent or within protocols and 7 were independent.The qualifications of nurses who could be authorized to prescribe cardiovascular medications included 10 years of work experience in cardiovascular department of tertiary hospital,with bachelor's degree in nursing education and with intermediate professional title.The response rates of two rounds of expert consultation were 83.33% and100%,respectively;and the authority coefficients of the expert were 0.85 and 0.90.Conclusion The qualifications,contents and forms of nurse prescribing in cardiovascular medications are reasonable,which can provide references for authorizing nurses to prescribe medications in cardiovascular department.
引文
[1]韩世范,段志光,朱瑞芳,等.新时代护士处方权内容专家共识[J].护理研究,2018,32(1):1-5.
[2]Drennan J,Naughton C,Allen D,etal.Patients'level of satisfaction and self-reports of intention to comply follo-wing consultation with nurses and midwives with prescriptive authority:a cross-sectional survey[J].Int J Nurs Stud,2011,48(7):808-817.
[3]程子卉,夏海鸥.国外护士处方权的实施及对我国的启示[J].中华护理杂志,2017,52(6):764-767.
[4]Binkowska-Bury M,Wich P,Bazaliński D,et al.Nurse prescribing in Poland:opinions expressed by primary care doctors,nurses,and patients[J].Medicine,2016,95(33):1-8.
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[6]张根柱.护士处方权申请者资格和护理本科增设护士处方权相关课程研究[D].南昌:山西医科大学,2012.
[7]黄峻,黄祖瑚,刘晓华,等.临床药物手册[M].上海:科学技术出版社,2015:651-833.
[8]Han S F,Zhu R F,Han H H.A research report on the prescription rights of Chinese nurses[J].Chin Nurs Res,2015,2(1):1-18.
[9]张妲,沈宁.我国护理学硕士研究生核心知识体系的研究[D].北京:中国协和医科大学:2006.
[10]韦余东,张人杰,张新卫,等.应用德尔菲法构建疾控机构应急能力评价指标体系[J].浙江预防医学,2016,28(1):32-36.
[11]汪苗,杨燕,管慧,等.护士处方权准入资质和处方内容的调查研究[J].中华护理杂志,2018,53(6):707-712.
[12]周兴梅,常健,姚秋月,等.中国护士处方权刍议[J].护理学杂志,2006,21(18):74-75.
[13]Green B,Jones M,Hughes D,et al.Applying the Delphi technique in a study of GPs'information requirements[J].Health Soc Care Community,2001,7(3):198-205.
[14]张桃桃,黄正新,吴君,等.基于德尔菲法研制住院患者社会适应能力评估量表[J].护理学杂志,2014,29(13):65-67.
[15]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[16]崔龙,杨海滨,刘娜,等.心血管疾病的中医治疗临床分析102例探讨[J].中外女性健康研究,2018(8):128-129.
[2]Drennan J,Naughton C,Allen D,etal.Patients'level of satisfaction and self-reports of intention to comply follo-wing consultation with nurses and midwives with prescriptive authority:a cross-sectional survey[J].Int J Nurs Stud,2011,48(7):808-817.
[3]程子卉,夏海鸥.国外护士处方权的实施及对我国的启示[J].中华护理杂志,2017,52(6):764-767.
[4]Binkowska-Bury M,Wich P,Bazaliński D,et al.Nurse prescribing in Poland:opinions expressed by primary care doctors,nurses,and patients[J].Medicine,2016,95(33):1-8.
[5]马冬花,丁萍.安徽省护士处方权职权范围实践性研究[J].护理研究,2018,32(1):6-7,12.
[6]张根柱.护士处方权申请者资格和护理本科增设护士处方权相关课程研究[D].南昌:山西医科大学,2012.
[7]黄峻,黄祖瑚,刘晓华,等.临床药物手册[M].上海:科学技术出版社,2015:651-833.
[8]Han S F,Zhu R F,Han H H.A research report on the prescription rights of Chinese nurses[J].Chin Nurs Res,2015,2(1):1-18.
[9]张妲,沈宁.我国护理学硕士研究生核心知识体系的研究[D].北京:中国协和医科大学:2006.
[10]韦余东,张人杰,张新卫,等.应用德尔菲法构建疾控机构应急能力评价指标体系[J].浙江预防医学,2016,28(1):32-36.
[11]汪苗,杨燕,管慧,等.护士处方权准入资质和处方内容的调查研究[J].中华护理杂志,2018,53(6):707-712.
[12]周兴梅,常健,姚秋月,等.中国护士处方权刍议[J].护理学杂志,2006,21(18):74-75.
[13]Green B,Jones M,Hughes D,et al.Applying the Delphi technique in a study of GPs'information requirements[J].Health Soc Care Community,2001,7(3):198-205.
[14]张桃桃,黄正新,吴君,等.基于德尔菲法研制住院患者社会适应能力评估量表[J].护理学杂志,2014,29(13):65-67.
[15]陈伟伟,高润霖,刘力生,等.《中国心血管病报告2017》概要[J].中国循环杂志,2018,33(1):1-8.
[16]崔龙,杨海滨,刘娜,等.心血管疾病的中医治疗临床分析102例探讨[J].中外女性健康研究,2018(8):128-129.