Miller E
Department of Veterans Affairs Medical Center (DVAMC), New York, NY, USA.
J Nurs Care Qual. 1999 Aug;13(6):47-56. doi: 10.1097/00001786-199908000-00006.
The Department of Veterans Affairs Medical Center in New York City expanded the role of a nurse manager to a manager and leader of the interdisciplinary team within a structure reorganized to focus on patients. As the literature noted the critical nature of the role of a middle manager, an interdisciplinary team reached the consensus that a registered nurse with progressive clinical and head nurse experience should be the first-line manager in a patient-centered care organization. The process of reengineering the role of a Patient Care Team Coordinator (PCTC), the support systems designed to develop the new leadership role, and the benefits associated with the changes implemented are discussed. The functional statement for the PCTC's position is included, as well as an organizational structure to show how staff are grouped to promote the continuity and coordination of care provided to patients.
纽约市退伍军人事务医疗中心将护士经理的角色扩展为跨学科团队的管理者和领导者，该中心进行了结构重组，以专注于患者。正如文献所指出的中层管理者角色的关键性质，一个跨学科团队达成共识，认为具有渐进式临床和护士长经验的注册护士应成为以患者为中心的护理组织中的一线管理者。本文讨论了重新设计患者护理团队协调员（PCTC）角色的过程、为发展新领导角色而设计的支持系统，以及与实施的变革相关的益处。文中还包括了PCTC职位的职能说明，以及一个组织结构，以展示工作人员如何分组，以促进为患者提供的护理的连续性和协调性。
