Shannon Valerie, French Susan
McGill University, Montreal, Canada.
Nurs Inq. 2005 Sep;12(3):231-9. doi: 10.1111/j.1440-1800.2005.00272.x.
The healthcare environment is knowledge driven and knowledge and human resource dependent. Despite the paucity of evidence on which to shape and evaluate organizational change, health-care in Canada has undergone many changes in the last 15 years. In the pursuit of enhanced productivity, healthcare administrators have turned to industrial and engineering models. Using available Canadian research and policy reports, and where necessary, American literature, this paper describes the impact of re-engineering on nursing and on the relationship between nursing and patient outcomes. It also identifies emerging trends and ways forward.
医疗保健环境以知识为驱动，依赖知识和人力资源。尽管缺乏用以塑造和评估组织变革的证据，但在过去15年里，加拿大的医疗保健领域已经历了诸多变革。为追求更高的生产率，医疗保健管理人员已转向工业和工程模式。本文利用现有的加拿大研究和政策报告，并在必要时参考美国文献，描述了重新设计对护理以及护理与患者预后之间关系的影响。它还确定了新出现的趋势和前进方向。
