Supportive Clinical Practice Environments Associated With Patient-Centered Care

被引：26

作者：

Carthon, J. Margo Brooks ^{[1
,2
]}

Brom, Heather ^{[2
,3
]}

Poghosyan, Lusine ^{[4
]}

Daus, Marguerite ^{[1
]}

Todd, Barbara ^{[5
]}

Aiken, Linda ^{[3
]}

机构：

[1] Univ Penn, Leonard Davis Inst Hlth Econ, Ctr Hlth Outcomes & Policy Res, Nursing, Philadelphia, PA 19104 USA

[2] Univ Penn, Leonard Davis Inst Hlth Econ, Ctr Hlth Outcomes & Policy Res, Philadelphia, PA 19104 USA

[3] Univ Penn, Leonard Davis Inst Hlth Econ, Philadelphia, PA 19104 USA

[4] Columbia Univ, Nursing, Sch Nursing, New York, NY 10027 USA

[5] Univ Penn, Grad Nurse Educ Demonstrat, Philadelphia, PA 19104 USA

来源：

JNP-JOURNAL FOR NURSE PRACTITIONERS | 2020年 / 16卷 / 04期

关键词：

patient-centered care; nurse practitioners; patient preferences; practice environments; NURSE-PRACTITIONERS; ORGANIZATIONAL-CLIMATE; PROVIDERS; BARRIERS; POLICY;

D O I：

10.1016/j.nurpra.2020.01.019

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

A lack of organizational supports in clinical settings may prevent nurse practitioners (NPs) from providing patient-centered care. Using a cross-sectional survey design, data were collected from NPs in 1,571 practices across 4 states to investigate clinical practice environments and the extent to which they are associated with NP integration of patient preferences. Three-quarters of NPs reported frequent integration of patient preferences into clinical care. Overall, 371 practices (23.6%) were classified as good practice environments; the remaining 76.3% were mixed or poor environments. NPs in good environments were significantly more likely to integrate patient preferences. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：294 / 298

页数：5

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