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护理干预研究与护理质量:影响医疗保健的未来

Nursing intervention research and quality of care: influencing the future of healthcare.

作者信息

Naylor Mary D

机构信息

School of Nursing, University of Pennsylvania, Philadelphia 19104-6096, USA.

出版信息

Nurs Res. 2003 Nov-Dec;52(6):380-5. doi: 10.1097/00006199-200311000-00005.

DOI:10.1097/00006199-200311000-00005
PMID:14639084
Abstract

BACKGROUND

Improvement of healthcare in the United States is a national priority. Nursing intervention science can contribute substantially to addressing this priority.

OBJECTIVES

The aim of this study was to describe strategies needed to maximize the base of nursing intervention science.

METHODS

The study involved a review of reports on the state of quality in healthcare and an examination of nurse-led intervention studies funded by the National Institute of Nursing Research aimed at improving healthcare processes and outcomes.

RESULTS

Nursing has contributed valuable data regarding the meaning of quality from the perspectives of individuals, families, and communities. Increased efforts are needed to ensure that this science informs ongoing initiatives to define, assess, and improve the quality of healthcare.

CONCLUSIONS

Nurse-led intervention research is making significant contributions to the advancement of the science underpinning quality healthcare. However, the message regarding the substantive and unique contributions of this body of work needs to be disseminated more broadly. Future nursing intervention research aimed at improving healthcare quality should consider individual behavior in a broader context, extend the traditional foci of interventions, and be grounded in the sciences of multiple disciplines.

摘要

背景

改善美国的医疗保健是一项国家优先事项。护理干预科学可对解决这一优先事项做出重大贡献。

目的

本研究的目的是描述最大限度扩大护理干预科学基础所需的策略。

方法

该研究包括对医疗保健质量状况报告的回顾,以及对由美国国立护理研究所在研的、旨在改善医疗保健流程和结果的护士主导干预研究的审查。

结果

护理从个人、家庭和社区的角度提供了关于质量含义的宝贵数据。需要加大力度,以确保这一科学为正在进行的界定、评估和改善医疗保健质量的举措提供信息。

结论

护士主导的干预研究正在为支撑优质医疗保健的科学进步做出重大贡献。然而,关于这项工作的实质性和独特贡献的信息需要更广泛地传播。未来旨在改善医疗保健质量的护理干预研究应在更广泛的背景下考虑个体行为,扩展干预的传统重点,并以多学科科学为基础。

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