Abstract：
AIM:This paper is a report of a study to evaluate the impact on office hours capacity, patient satisfaction, quality of life and costs of including a nurse practitioner in a multidisciplinary consultation team for patients with hand problems caused by rheumatoid arthritis. BACKGROUND:Over 90% of patients with rheumatoid arthritis suffer symptoms in their hand joints and may be seriously disabled in performing daily, work or leisure activities. A recent promising development in the treatment of patients with a chronic disease is the co-ordinating and accompanying role of a nurse, such as a nurse practitioner, in a multidisciplinary treatment team. METHODS:A two successive group time-series design was adopted. The intervention group (n = 78) visited a clinic with a nurse practitioner assigned to the team during 2003-2004. The control group (n = 69) was seen before inclusion of the nurse practitioner. Office hours capacity, patient satisfaction, quality of life and costs were assessed using questionnaires directly after consulting the team, and 3 and 6 months later. RESULTS:Between-group comparisons of patient satisfaction and quality of life revealed no statistically significant differences. Changes within groups over time were not demonstrable. Mean office hour capacity increased by 17% (t = -1.906, d.f. = 32.879, P = 0.065). The costs for professional home care or informal care were equal in the two groups. CONCLUSION:Evaluation of clinical practice using pre- and post-test design was impeded by changes in clinical practice, which made concrete conclusions difficult to draw. In future studies the satisfaction of participating clinicians should be evaluated, in addition to that of patients.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
van der Sluis CK,Datema L,Saan I,Stant D,Dijkstra PUdoi
10.1111/j.1365-2648.2008.04916.xsubject
Has Abstractpub_date
2009-03-01 00:00:00pages
625-33issue
3eissn
0309-2402issn
1365-2648pii
JAN4916journal_volume
65pub_type
杂志文章abstract：:This paper argues that although there has been an increasing use of the term 'empowerment' in the nursing literature, the word is sometimes employed uncritically and in inappropriate contexts. The origins of the expression in community development work are noted, in an effort to set the activity of empowerment in its ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1994.tb01102.x
更新日期：1994-03-01 00:00:00
abstract：AIM:This paper is a report of a study conducted to identify and gain consensus on appropriate benchmarks for effective primary care-based nursing services for adults with depression. BACKGROUND:Worldwide evidence suggests that between 5% and 16% of the population have a diagnosis of depression. Most of their care and ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
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abstract：AIMS:This paper is a report of a study with three aims: (i) to investigate whether emotional, quantitative and physical demands have a causal, negative impact on nurses' health; (ii) to examine whether work-home interference can explain this effect, by playing a mediating role; and (iii) to test the so-called loss spir...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2008.04630.x
更新日期：2008-06-01 00:00:00
abstract：:This paper summarizes a research study inquiring into the attitudes of qualified nursing staff and nursing auxiliaries towards stroke patients in general medical wards. The survey was undertaken on eight mixed-sex general medical wards in a large general hospital. All wards are used for clinical nursing experience for...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01562.x
更新日期：1991-11-01 00:00:00
abstract：:Many studies in western countries have shown that persons who have a high level of social support are likely to have better health behaviours, including use of preventive health services, than those who have low support. The present study aims to investigate the impact of level of social support among Thai pregnant wo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1365-2648.1999.00901.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1996.tb00017.x
更新日期：1996-03-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13008
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01263.x
更新日期：2000-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1994.tb01083.x
更新日期：1994-02-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
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更新日期：2001-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2008.04612.x
更新日期：2008-05-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1988.tb02853.x
更新日期：1988-07-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12983
更新日期：2016-09-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1998.00823.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1992.tb02006.x
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journal_title：Journal of advanced nursing
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doi：10.1111/j.1365-2648.1992.tb01811.x
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01123.x
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1987.tb01302.x
更新日期：1987-01-01 00:00:00
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journal_title：Journal of advanced nursing
pub_type： 临床试验,杂志文章,随机对照试验
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journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14303
更新日期：2020-04-01 00:00:00
