This descriptive correlational study investigated the reliability of a new measure of client-nurse practitioner interaction, the Client Encounter Form (CEF), and used the CEF to describe the domains of client-nurse practitioner interaction that occurred during problem and preventative visits at a primary care clinic.
The CEF is based on Cox's Interactional Model of Client Health Behavior.
Data were collected from a convenience sample of 41 primary care clinic visits.
Descriptive data on all clients and the patterns of use characterized by the CEF were collected using retrospective chart review (n=60).
Reliability testing showed the CEF has high interrater reliability ; Cohen's Kappas for its dimensions ranged from 0.78-1.0. The CEF was also shown to be useable in a primary care clinic.
Health information, affective support, goal setting, and technical procedures were consistently part of the nurse-client interactions in this sample, demonstrating they are part of the nurse practitioner model of care.
Analysis revealed different patterns of interaction for preventative and problem-oriented visits.
Preventative visits had higher levels of health promotion information, psychological affective support, and health promotion goal-setting behaviors.
Problem visits included more information regarding the client's diagnosis, medications, and treatments, and more affective support related to the client's physical condition.
Mots-clés Pascal : Relation soignant soigné, Infirmier, Interaction sociale, Soin, Modèle, Evaluation, Méthodologie, Homme, Personnel sanitaire
Mots-clés Pascal anglais : Health staff patient relation, Nurse, Social interaction, Care, Models, Evaluation, Methodology, Human, Health staff
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0284880
Code Inist : 002B30A05. Création : 16/11/1999.