Gerrish K, Ferguson A
School of Nursing and Midwifery, University of Sheffield.
Br J Nurs. 2000;9(10):626-30. doi: 10.12968/bjon.2000.9.10.6273.
Nursing development units (NDUs) have long been advocated as 'test-beds' for pioneering leading-edge practice development. This article reports on the findings of a study examining factors influencing the development of NDUs, and, more recently, established multidisciplinary practice development units (PDUs). Individual and focus group interviews were undertaken with key stakeholders involved in six NDUs/PDUs accredited by the University of Leeds. The findings from the study highlight a number of internal and external factors that have impacted upon the progress made by these units. Importantly, the role of the clinical leader, the staffing establishment, organizational infrastructures to facilitate dissemination and the nature of the support from managers and medical staff have all influenced the success of the NDUs/PDUs. In order to ensure the long-term viability of an NDU/PDU it is essential that practice development is planned and managed in a systematic and coordinated way with a full appraisal undertaken of the human, physical and financial resources necessary to implement and disseminate change and that the work of the NDU/PDU is incorporated in the trust's strategic plans in order to ensure organizational support.
长期以来，护理发展单位（NDUs）一直被倡导作为前沿实践发展的“试验台”。本文报告了一项研究的结果，该研究考察了影响护理发展单位以及近期已设立的多学科实践发展单位（PDUs）发展的因素。对参与利兹大学认证的六个护理发展单位/多学科实践发展单位的关键利益相关者进行了个人访谈和焦点小组访谈。该研究的结果突出了一些影响这些单位发展进程的内部和外部因素。重要的是，临床领导者的角色、人员配备、促进传播的组织基础设施以及管理人员和医务人员的支持性质都对护理发展单位/多学科实践发展单位的成功产生了影响。为确保护理发展单位/多学科实践发展单位的长期生存能力，至关重要的是，实践发展要以系统和协调的方式进行规划和管理，对实施和传播变革所需的人力、物力和财力资源进行全面评估，并且护理发展单位/多学科实践发展单位的工作要纳入信托机构的战略计划，以确保获得组织支持。
