Paul S
Heart Failure Clinic, Medical University of South Carolina, Charleston, USA.
AACN Clin Issues. 1999 Aug;10(3):343-55. doi: 10.1097/00044067-199908000-00004.
In most states, the role of an advanced practice nurse is dependent on practice protocols that provide an organized method for analyzing and managing a disease or major symptom. They are also used to control the process of medical care and to specify steps in the delivery of that care. Creating appropriate practice protocols is one of the most important precursors to implementing the advanced practice role, because they virtually drive the clinician's ability to treat or manage clinical situations or disease states. This article outlines the steps involved in developing practice protocols and discusses the content that should be included in a protocol, providing an example of narrative and algorithm format protocols. Pros and cons, as well as legal issues related to practice protocols, are also presented.
在大多数州，高级执业护士的角色取决于实践方案，这些方案提供了一种有组织的方法来分析和管理疾病或主要症状。它们还用于控制医疗护理过程，并明确该护理提供过程中的步骤。制定适当的实践方案是实施高级执业角色最重要的前提之一，因为它们实际上推动了临床医生治疗或管理临床情况或疾病状态的能力。本文概述了制定实践方案所涉及的步骤，并讨论了方案中应包含的内容，提供了叙述性和算法格式方案的示例。还介绍了实践方案的优缺点以及相关法律问题。
