White D
Inforum. 1991;12:4-8.
This paper describes changes in the pattern of care delivery in a general surgical ward. The results reported are from the pilot study which was designed to establish that a model other than the team leader model was possible within this setting. Data was collected from staff regarding their perceptions of the changes and also from patients regarding their perceptions of the quality of their care. The research showed that a patient centred, consensus management pattern of care was the preferred choice by staff. Patient opinion surveys and staff evaluations supported the greater continuity in care of the patients in the trial group as compared to the control group. Initial nursing assessment and planning of nursing care were significantly better (p greater than 0.05) within the trial group as compared to the control group when measured utilising a standardised quality assurance tool.
本文描述了普通外科病房护理模式的变化。所报告的结果来自一项试点研究，该研究旨在确定在这种环境下除团队领导模式之外的其他模式是否可行。收集了工作人员对这些变化的看法以及患者对其护理质量的看法。研究表明，以患者为中心的共识管理护理模式是工作人员的首选。患者意见调查和工作人员评估支持，与对照组相比，试验组患者的护理连续性更强。使用标准化质量保证工具进行测量时，试验组的初始护理评估和护理计划明显优于对照组（p大于0.05）。
