Kesby Sheila G
Gregory Research Interlink, 27 Brockenhurst Close, Canterbury, Kent CT2 7RX, UK.
J Clin Nurs. 2002 May;11(3):357-66. doi: 10.1046/j.1365-2702.2002.00620.x.
This article argues that the time is right for nurses in the UK to become the case managers in all healthcare settings. The re-launch of family health nursing, as a model for the organization and delivery of nursing care in the community, and the advent of the GP practice-based self-managed integrated nursing teams, offer the means by which to take up the opportunities presented by recent legislation and the national strategies for promoting partnership working and collaborative practice. Nurses could approach this by combining their current involvement with developing the single assessment process for older people with the overall development of interprofessional collaborative practice across all boundaries in health and social services. Despite the new opportunities, this will not be straightforward because of the still existing problems associated with the health and social care divide. In order to generate high quality care, it is imperative for nurses and their patients that the profession gains control and ownership of its own policy, remit and practice. Nursing care should be defined according to the patient's condition, so that their dependency level, diagnostic picture and potential for rehabilitation govern the eligibility criteria for health or social care and not the level of technicality in the task itself.
本文认为，英国护士成为所有医疗环境中的病例管理者的时机已经成熟。家庭健康护理作为社区护理组织和提供的一种模式的重新推出，以及基于全科医生诊所的自我管理综合护理团队的出现，提供了抓住近期立法以及促进伙伴关系工作和协作实践的国家战略所带来的机遇的途径。护士可以通过将他们目前参与为老年人制定单一评估流程与跨健康和社会服务所有领域的跨专业协作实践的全面发展相结合来实现这一目标。尽管有新的机遇，但由于健康和社会护理鸿沟仍然存在的问题，这并非易事。为了提供高质量的护理，护士及其患者必须让该专业获得对其自身政策、职责范围和实践的控制权和自主权。护理应根据患者的病情来定义，以便他们的依赖程度、诊断情况和康复潜力决定健康或社会护理的资格标准，而不是任务本身的技术水平。
