Babicki C, Miller-McIntyre K
Rehabil Nurs. 1992 Mar-Apr;17(2):84-6. doi: 10.1002/j.2048-7940.1992.tb01518.x.
Some facilities are adopting a new organizational model to deliver rehabilitation services: the programmatic model. The premise of this model is the delivery of completely integrated services. The programmatic model differs from the traditional service model in many aspects, including philosophy, governance, clinical practice standards, and identification of patient care goals. There are five phases involved in moving from a pure service model to a programmatic model: commitment, enmeshment, product orientation, integration, and maintenance and growth. This article describes the clinical nurse specialist role and experiences in implementing a programmatic model in a rehabilitation hospital.
即项目模式。该模式的前提是提供完全整合的服务。项目模式在许多方面与传统服务模式不同，包括理念、管理、临床实践标准以及患者护理目标的确定。从纯粹的服务模式转变为项目模式涉及五个阶段：承诺、融入、产品导向、整合以及维持与发展。本文描述了临床护理专家在一家康复医院实施项目模式中的角色和经验。
