Smith M, Cusack L
University of South Australia, Division of Health Sciences, School of Nursing and Midwifery, City East Campus, North Terrace, Adelaide, South Australia 5000, Australia.
Int J Nurs Pract. 2000 Aug;6(4):168-73. doi: 10.1046/j.1440-172x.2000.00215.x.
This article aims to assist nursing services to use the Ottawa Charter as a framework for nursing practice. Incorporation of the Ottawa Charter for Health Promotion into a nursing structure constitutes an innovation in nursing practice that was evaluated as a quality improvement exercise in a health-care organization responsible for providing services in the area of alcohol and other drugs. The evaluation consisted of two stages and sought to identify the degree to which the framework was effective in practice. This involved identifying issues surrounding the implementation of the Ottawa Charter as a framework for nursing practice as well as identifying the means by which quality improvements could occur. The evaluation involved an initial questionnaire to all nursing staff, followed by a series of focus groups. The data collected was both informative and enlightening and revealed a range of pertinent issues such as staff understanding and interpretation of the Ottawa Charter, expansion of the nurse's role and suggestions for organizational change. The Ottawa Charter strategies are discussed in relation to their relevance to the organization under evaluation and also expanded into recommendations to assist those contemplating using the Ottawa Charter as a framework for nursing practice. There was considerable agreement among the respondents that the Ottawa Charter provided a useful framework for nursing practice but was on occasions problematic.
本文旨在协助护理服务将《渥太华宪章》作为护理实践的框架。将《促进健康渥太华宪章》纳入护理结构是护理实践中的一项创新，在一个负责提供酒精和其他药物领域服务的医疗保健组织中，该创新被评估为一项质量改进活动。评估包括两个阶段，旨在确定该框架在实践中的有效程度。这涉及识别围绕将《渥太华宪章》作为护理实践框架实施的问题，以及确定实现质量改进的方法。评估首先向所有护理人员发放问卷，随后开展一系列焦点小组讨论。收集到的数据既丰富又有启发性，揭示了一系列相关问题，如工作人员对《渥太华宪章》的理解和解读、护士角色的扩展以及对组织变革的建议。讨论了《渥太华宪章》策略与被评估组织的相关性，并进一步扩展为建议，以帮助那些考虑将《渥太华宪章》作为护理实践框架的人。受访者普遍认为，《渥太华宪章》为护理实践提供了一个有用的框架，但有时也存在问题。
