Watson Pamela G, Marshall David R, Sexton Karen H
University of Texas Medical Branch School of Nursing, Galveston, TX 77555-1132, USA.
J Prof Nurs. 2006 Sep-Oct;22(5):280-8. doi: 10.1016/j.profnurs.2005.11.008.
In January 2005, the University of Texas Medical Branch (UTMB) School of Nursing and the UTMB Hospitals and Clinics launched the first phase of a project to improve perceptions of patient care on the part of nursing faculty and nursing clinicians. A finding on the UTMB annual employee satisfaction survey that nursing faculty and clinicians tended to rate quality of UTMB patient care lower than other UTMB employees provided the impetus for the initiative. When UTMB colleagues noticed the findings, various entities including human resources and the Faculty Senate called for explanations from the dean of the School of Nursing, the chief nursing officer, and the CEO for the hospitals and clinics. In the process of attempting to give reasons for the findings, each of us determined we would take definitive action to address the situation. This article describes our accomplishments for Phase 1 of the initiative. Beginning with a vision for a productive professional community characterized by a pedagogical partnership between nursing education and practice, we share the processes we followed to (1) achieve mutual understanding among task force members, (2) obtain input on perceptions from nursing colleagues, (3) identify the clinical and nursing education aspects of the perceptions, (4) reach consensus on target perceptions for Phase 2 of the project, and (5) outline the next steps for the project.
2005年1月，德克萨斯大学医学分校（UTMB）护理学院与UTMB医院及诊所启动了一个项目的第一阶段，旨在提升护理教员和护理临床医生对患者护理的认知。UTMB年度员工满意度调查结果显示，护理教员和临床医生对UTMB患者护理质量的评分往往低于其他UTMB员工，这为该倡议提供了动力。当UTMB的同事们注意到这些结果时，包括人力资源部门和教员参议院在内的多个实体要求护理学院院长、首席护理官以及医院和诊所的首席执行官做出解释。在试图为这些结果给出原因的过程中，我们每个人都决定采取果断行动来解决这一情况。本文描述了我们在该倡议第一阶段所取得的成果。从建立一个以护理教育与实践之间的教学伙伴关系为特征的高效专业社区的愿景出发，我们分享了我们所遵循的过程，以（1）在工作组成员之间达成相互理解，（2）从护理同事那里获取对认知的看法，（3）确定这些认知的临床和护理教育方面，（4）就该项目第二阶段的目标认知达成共识，以及（5）概述该项目的后续步骤。
