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INVESTIGATION ON THE CONSTRUCTION STATUS OF NURSE-LED CLINICS
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Journal Article
INVESTIGATION ON THE CONSTRUCTION STATUS OF NURSE-LED CLINICS
2025
Overview
Significance & Background: Although nurse-led clinics have developed rapidly in China recently, the functional positioning and construction levels vary greatly depending on the development of nursing specialization. In addition, due to the lack of a standardized survey instrument guided by theories based on advanced nursing practice, the content and focus of the survey varied greatly, and in particular, there was a lack of comprehensive information on the regional construction. Purpose: Based on Brown and Hamric's theory of advanced nursing practice, we investigated the construction level of nurse-led clinics in public hospitals from four dimensions, to understand the development quality and problems, and to promote the development towards the homogenization of international advanced nursing practice. Interventions: A cross-sectional survey study was conducted, taking nurses sitting in the nurse-led clinics of all public hospitals in Chengdu, Sichuan Province, as the research subjects, and using the Questionnaire on the Current Situation of the Construction of Nurse-led Clinics and the Registered Nurses' Professional Core Competency Scale as the survey tools. Descriptive statistics, entropy weight method and multiple linear regression were used to analyze the data. Results: The highest level of construction among the 171 nurseled clinics was 4.5949, the lowest was 0.0545, and the median (quartiles) was 0.3601 (0.2275, 0.6026) points. The top five rankings for both the mean construction score and the number of openings of the 26 nurse-led clinics were: psychological counseling clinic, PICC care clinic, and wound/ostomy clinic. The mean scores of the dimensions of the nurse-led clinics, from highest to lowest, were human resource construction (1.6884), service result (1.6338), organization construction (1.2073) and practice content (0.9362). The level of clinic construction is influenced by the opening time (t=-6.023, P<0.001) and the service type (t=3.753, P<0.001). There was a significant difference in the construction level of different types of nurse-led clinics (H=16.719, P=0.005). Discussion: Nurse-led clinics in Chengdu are developing rapidly, but there is an imbalance in development. Despite the better human resource construction and the variety of health service methods, the lack of management system, poor homogenization of service content and the prescription rights limit the scope of outpatient practice and development. It suggests that although the social demand for nurse-led clinics health services is high, the connotation of outpatient development still needs to be strengthened to enhance the homogenization level of clinic construction.
Publisher
Oncology Nursing Society
Subject
