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Nurses joining family doctors in primary care practices: perceptions of patients with multimorbidity

机译：护士与家庭医生一起参加初级保健实践：对多发病患者的看法

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Background Among the strategies used to reform primary care, the participation of nurses in primary care practices appears to offer a promising avenue to better meet the needs of vulnerable patients. The present study explores the perceptions and expectations of patients with multimorbidity regarding nurses' presence in primary care practices. Methods 18 primary (health) care patients with multimorbidity participated in semi-directed interviews, in order to explore their perceptions and expectations in regard to the involvement of nurses in primary care practices. Interviews were audio-recorded and transcribed. After reviewing the transcripts, the principal investigator and research assistants performed thematic analysis independently and reached consensus on the retained themes. Results Patients with multimorbidity were open to the participation of nurses in primary care practices. They expected greater accessibility, for both themselves and for new patients. However, the issue of shared roles between nurses and doctors was a source of concern. Many patients held the traditional view of the nurse's role as an assistant to the doctor in his or her various duties. In general, participants said they were confident about nurses' competency but expressed concern about nurses performing certain acts that their doctor used to, notwithstanding a close collaboration between the two professionals. Conclusion Patients with multimorbidity are open to the involvement of nurses in primary care practices. However, they expect this participation to be established using clear definitions of professional roles and fields of practice.
机译：背景技术在用于改革初级保健的策略中，护士参与初级保健实践似乎为更好地满足弱势患者的需求提供了有希望的途径。本研究探讨了多种疾病患者对护士在初级保健实践中的存在的看法和期望。方法18位多发病的基层（卫生）护理患者参加了半定向访谈，以探讨他们对护士参与基层护理实践的看法和期望。采访被录音和转录。复习成绩单后，主要研究人员和研究助手独立进行主题分析，并就保留的主题达成共识。结果多种病患者对护士参加初级保健实践持开放态度。他们期望自己和新患者都有更大的可及性。但是，护士和医生之间的角色共享问题令人担忧。许多患者对护士在其各种职责中作为医生助手的角色持传统看法。总体而言，与会人员表示，他们对护士的能力充满信心，但尽管两位专业人员之间密切合​​作，但他们对护士执行医生所习惯的某些行为表示关注。结论多种病态的患者对护士参与初级保健实践持开放态度。但是，他们希望可以使用对专业角色和实践领域的明确定义来建立这种参与。

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