MacDonald M, Bodzak W
Day Surgery Unit, Queen Margaret Hospital NHS Trust, Dunfermline, Fife, UK.
J Adv Nurs. 1999 Apr;29(4):859-68. doi: 10.1046/j.1365-2648.1999.00956.x.
The objective of this study was to assess the validity of the hypothesis that a self-managing nurse team can successfully combine traditional caring, expanded nursing and modern management roles and that morale among team members will be high. The study comprised a 15-month longitudinal case study of eleven members of a day surgery nursing team at a newly established day surgery unit in a district general hospital. The main outcome measures were as follows. Morale: sickness absence statistics, results of staff surveys. Caring role: patient satisfaction survey results. Expanded nurse role: day case activity performance indicators. Management role: financial performance measures. Morale in the day surgery team was higher than average for hospital staff. The results of patient satisfaction surveys were overwhelmingly positive. Day case activity performance improved to that of the top percentile for Scotland. Financial performance targets were exceeded. The day surgery team successfully combined caring, expanded nursing and management roles and staff morale was higher than hospital average.
一个自我管理的护士团队能够成功地将传统护理、拓展护理和现代管理角色结合起来，并且团队成员的士气高昂。该研究包括对一家地区综合医院新设立的日间手术单元的日间手术护理团队的11名成员进行为期15个月的纵向案例研究。主要结果指标如下。士气：病假统计数据、员工调查结果。护理角色：患者满意度调查结果。拓展护士角色：日间手术活动绩效指标。管理角色：财务绩效指标。日间手术团队的士气高于医院员工的平均水平。患者满意度调查结果绝大多数是积极的。日间手术活动绩效提高到了苏格兰前百分之一的水平。财务绩效目标也被超额完成。日间手术团队成功地将护理、拓展护理和管理角色结合起来，员工士气高于医院平均水平。
