Mick Stephen S, Mark Barbara A
Department of Health Administration, Virginia Commonwealth University, Richmond, VA 23298-0203, USA.
Nurs Outlook. 2005 Nov-Dec;53(6):317-23. doi: 10.1016/j.outlook.2005.07.002.
We review nursing and health services research on health care organizations over the period 1950 through 2004 to reveal the contribution of nursing to this field. Notwithstanding this rich tradition and the unique perspective of nursing researchers grounded in patient care production processes, the following gaps in nursing research remain: (1) the lack of theoretical frameworks about organizational factors relating to internal work processes; (2) the need for sophisticated methodologies to guide empirical investigations; (3) the difficulty in understanding how organizations adapt models for patient care delivery in response to market forces; (4) the paucity of attention to the impact of new technologies on the organization of patient care work processes. Given nurses' deep understanding of the inner workings of health care facilities, we hope to see an increasing number of research programs that tackle these deficiencies.
我们回顾了1950年至2004年期间关于医疗保健机构的护理与健康服务研究,以揭示护理对该领域的贡献。尽管有着这一丰富传统以及护理研究人员基于患者护理生产过程的独特视角,但护理研究仍存在以下差距:(1)缺乏关于与内部工作流程相关的组织因素的理论框架;(2)需要复杂的方法来指导实证研究;(3)难以理解组织如何根据市场力量调整患者护理提供模式;(4)对新技术对患者护理工作流程组织的影响关注不足。鉴于护士对医疗保健机构内部运作有着深入了解,我们希望看到越来越多的研究项目能够解决这些不足。