Objective To investigate the impact of a urological community nursing service on the mode of practice, efficiency, and quality of care in a urological practice.
Methods A urological community nurse was appointed to investigate the possibility of performing various urological procedures in the community rather than in hospital, with a prospective audit of the results for a period of 1 year.
The setting was a busy urological unit serving a mixed urban and rural catchment area of 300 000 people.
The outcome was assessed by the number and type of procedures successfully transferred from hospital to community practice.
Results In 1 year, 464 urological episodes were performed in the patients'homes which otherwise would have required transfer or admission to hospital for treatment or, in some cases, a cancelled operation.
These episodes included tuition in clean intermittent self-catheterization and dilatation, changes and insertions of urethral. suprapubic and nephrostomy catheters, bladder instillations to treat cancer and interstitial cystitis, voiding trials with no catheter, urosheath fittings, and pre-operative visits and follow-up visits to avoid attendance at the clinic.
Conclusions The urological community nursing service transferred a significant number of routine urological procedures from hospital to community with considerable financial savings and improvement in the quality and efficiency of urological care.
Mots-clés Pascal : Infirmier, Urologie, Evaluation professionnelle, Coût, Qualité service, Activité professionnelle, Economie, Médecine travail
Mots-clés Pascal anglais : Nurse, Urology, Professional evaluation, Costs, Service quality, Professional activity, Economy, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0574134
Code Inist : 002B30B03. Création : 01/03/1996.