Driever Marie J, McNulty Julie, Nowak Nancy, Wild Rietman Lorie
Providence Portland Medical Center, Portland, OR, USA.
Commun Nurs Res. 2007 Spring;40:27, 29-53.
The practice of nursing continues in a state of change, with a number of issues challenging us as we strive for excellence. Nursing leaders must confront these on a daily basis and are passionate about and committed to continually strengthening nursing practice for the delivery of excellent patient care. The nursing workforce issues, nursing leadership challenges, focus on quality, safety and evidence based practice, decreasing health disparities and creating patient partnerships all must be addressed for us to succeed. Through exploring the interconnections of these issues, we can make a significant change in one to affect other areas. Challenges bring opportunities and we are seeing our hard work begin to make significant improvements. The work force is stabilizing, we are experimenting with ways to get staff excited about becoming nurse leaders, focusing on improving care through quality and safety initiatives, moving toward evidence based practice and achieving partnerships with patients other healthcare providers and our communities.
护理行业持续处于变革状态,在我们追求卓越的过程中,诸多问题给我们带来了挑战。护理领导者必须每日应对这些问题,满怀热情并致力于不断强化护理实践,以提供优质的患者护理。为了取得成功,我们必须解决护理劳动力问题、护理领导挑战、对质量、安全和循证实践的关注、减少健康差距以及建立患者伙伴关系等所有问题。通过探索这些问题之间的相互联系,我们可以在一个方面做出重大改变,从而影响其他领域。挑战带来机遇,我们看到自己的辛勤工作开始取得显著成效。劳动力正在趋于稳定,我们正在尝试各种方法,让员工对成为护理领导者充满热情,通过质量和安全举措专注于改善护理,朝着循证实践迈进,并与患者、其他医疗服务提供者以及我们的社区建立伙伴关系。