A STUDY COMPARING CARE BETWEEN NURSES AND DOCTORS IN THE FRENCH PREHOSPITAL SETTING: THE CASE OF HYPOGLYCEMIA

被引:1
|
作者
Istria, Jacques [1 ,2 ]
Bonnel, Galadriel [2 ]
Gentile, Stephanie [2 ]
Durand, Anne-Claire [2 ]
Feuerstein, Sebastien [1 ]
Raymond, Jean-Jacques [1 ]
Chabot, Jean-Michel [3 ]
Valliccioni, Willy [1 ]
Sambuc, Roland [2 ]
机构
[1] Toulon La Seyne Sur Mer Hosp, Emergency Med Serv SAMU83, Toulon, France
[2] Univ Aix Marseille, Fac Med, Publ Hlth Lab, EA Perceived Hlth & Evaluat Hlth Care Syst 3279, Marseille, France
[3] French Natl Author Hlth, La Plaine St Denis, France
关键词
Prehospital; Emergency; Hypoglycemia; Skill transfer; Nurses; Physicians;
D O I
10.1016/j.jen.2012.09.001
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: The objective of this study was to compare the quality of care between French nurses and physicians in the prehospital management of hypoglycemic patients. Methods: Response times, concordance with medical protocols/recommendations, quality of medical records, and percentage of hospitalized patients were evaluated. Results: A total of 33 patients were treated for hypoglycemia by the nurse group and 41 by the physician group. The groups were similar in terms of response rates (mean time of 00:08 +/- 00:06 minutes for nurses and 00:10 +/- 00:09 minutes for doctors). For 51 patients not requiring hospitalization, the proportion was similar in each group (47.1% and 52.9% for nurses and doctors, respectively). The nurse group showed significantly higher mean scores for concordance with recommendations (P < .001) and quality of medical records (P = .005). Discussion: In the management of hypoglycemic patients, the quality of care of an emergency ambulance team composed of nurses was comparable to that of doctors.
引用
收藏
页码:384 / 388
页数:5
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