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  1. Urological community nursing : a new concept in the delivery of urological care.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0574134

    Code Inist : 002B30B03. Création : 01/03/1996.