Covaleski Mark A
Graduate School of Business, University of Wisconsin-Madison, Madison, WI 53706, USA.
Nurs Outlook. 2005 Nov-Dec;53(6):310-6. doi: 10.1016/j.outlook.2005.07.003.
This paper adapts the perspective of organizational contingency theory to consider the changing nature of how the economic impact of nursing care upon health care organizations is measured. It is argued that useful measures of the economic impact of nursing care are a function of environmental, organizational, and technological circumstances. The increasing and diverse demands of health care consumers (environmental), the dramatic restructuring and re-engineering of the health care delivery system (organizational), and recent developments in the capabilities of and insights from information measurement practices (technological), have all provided opportunities for more meaningful measurement of the contributions of nursing care to the economic well-being of health care organizations.
本文采用组织权变理论的视角，来考量衡量护理对医疗保健组织经济影响的方式的不断变化的本质。有人认为，护理经济影响的有效衡量指标是环境、组织和技术环境的函数。医疗保健消费者日益增长且多样化的需求（环境因素）、医疗保健服务提供系统的剧烈重组和再造（组织因素），以及信息测量实践能力和见解方面的最新发展（技术因素），都为更有意义地衡量护理对医疗保健组织经济福祉的贡献提供了机会。
