Glouberman Sholom, Richards Joy, El Bestawi Marilyn, Seidman-Carlson Rhonda, Teperman Lorne
Baycrest Geriatric Health System Toronto, ON, Canada.
Nurs Leadersh (Tor Ont). 2007;20(2):39-49.
This paper describes and examines a change program for nursing services in Complex: Continuing/Long Term Care (CC/LTC) at the Baycrest Centre for Geriatric Care in Toronto. It presents a brief history of the rise of CC/LTC services and the difficulties associated with them. In particular it claims that demographic, professional and insti tutional changes have produced a differentiated specialization of supports which tend to disregard some necessary aspects of daily support for patients, and devalue the role of direct care workers in these settings. The "Reconnecting to Care" (RTC) initiative is a response the to these changes by nurses at Baycrest. In detailing why Baycrest has decided to get back to basics and reconnect to care and how it has begun to do this, this paper provides an overview of the reasons for this initiative, a little of how it has been implemented so far, and some initial lessons for nursing leaders and others.
本文描述并审视了多伦多贝克莱斯特老年护理中心复杂的持续/长期护理（CC/LTC）护理服务变革项目。文中简要介绍了CC/LTC服务的兴起历程及其面临的困难。特别指出，人口结构、专业领域和机构方面的变化导致了支持服务的差异化专业化，这往往忽视了患者日常支持的一些必要方面，并贬低了直接护理人员在这些环境中的作用。“重新连接护理”（RTC）倡议是贝克莱斯特的护士针对这些变化做出的回应。在详细阐述贝克莱斯特为何决定回归基础并重新连接护理以及如何开始这样做的过程中，本文概述了该倡议的原因、到目前为止的实施方式，以及给护理领导者和其他人员的一些初步经验教训。
