New tool for patient evaluation of nurse practitioner in primary care settings

Authors

  • Zalika Klemenc-Ketis MD, PhD,

    Assistant Professor, Corresponding author
    1. Department of Family Medicine, Maribor Medical School, Maribor, Slovenia
    2. Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia
    • Correspondence: Zalika Klemenc-Ketis, Assistant Professor, Department of Family Medicine, Maribor Medical School, Slomskov trg 15, 2000 Maribor, Slovenia. Telephone: +38641516067

      E-mail: zalika.klemenc.ketis@gmail.com

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  • Andrej Kravos MD, MSc,

    Assistant
    1. Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia
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  • Tonka Poplas-Susič MD, PhD,

    Assistant Professor
    1. Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia
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  • Igor Švab MD, MSc, PhD,

    Professor
    1. Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia
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  • Janko Kersnik MD, MSc, PhD

    Professor
    1. Department of Family Medicine, Maribor Medical School, Maribor, Slovenia
    2. Department of Family Medicine, Ljubljana Medical School, Ljubljana, Slovenia
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Abstract

Aims and objectives

To validate a tool for patient evaluation of nurse practitioners.

Background

The roles of nurse practitioners in family practice settings are health promotion and routine follow-up of patients with chronic diseases. So far, several tools for patient evaluation of nurse practitioners have been developed. They revealed several dimensions of nurse practitioners' work and high levels of patient satisfaction with their work. The studies also reported conflicting data on the associations between demographic and other variables and the level of nurse practitioners' evaluation by patients.

Design

A cross-sectional study.

Methods

This study was performed in a sample of seven model family medicine practices in Slovenia. We included 30 consecutive adult patients in each model family practice aiming at the final sample of 210 respondents. Patient evaluation of nurse practitioners was assessed using a Nurse Practitioner Evaluation Scale.

Results

The response rate was 80·9%. Mean total score on Nurse Practitioner Evaluation Scale was 87·9 ± 12·4 points. Cronbach's alpha of Nurse Practitioner Evaluation Scale was 0·941. Factor analyses revealed three factors: clinical approach factor, comprehensive approach factor and patient-centred approach factor.

Conclusions

Nurse Practitioner Evaluation Scale proved to be a reliable tool for patient evaluations of nurse practitioners in primary care settings. Nurse Practitioner Evaluation Scale can be used in terms of a whole scale as well as in terms of three separate subscales.

Relevance to clinical practice

This newly developed tool can be used to monitor quality performance of nurse practitioners and to plan quality improvement actions in nurse practitioners' performance in primary care settings.

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