Burritt Joan E, Wallace Patricia, Steckel Cynthia, Hunter Anita
Scripps Memorial Hospital, 9888 Genesee Avenue, La Jolla, CA 92037, USA.
J Nurs Adm. 2007 Dec;37(12):558-63. doi: 10.1097/01.NNA.0000302385.98989.5e.
Contemporary patient care requires sophisticated clinical judgment and reasoning in all nurses. However, the level of development regarding these abilities varies within a staff. Traditional care models lack the structure and process to close the expertise gap creating potential patient safety risks. In an innovative model, senior, experienced nurses were relieved of direct patient care assignments to oversee nursing care delivery. Evaluation of the model showed significant impact on quality and fiscal outcomes.
当代患者护理要求所有护士具备精湛的临床判断和推理能力。然而,这些能力在员工中的发展水平各不相同。传统护理模式缺乏缩小专业知识差距的结构和流程,从而产生潜在的患者安全风险。在一种创新模式中,经验丰富的资深护士被免去直接护理患者的任务,转而监督护理服务的提供。对该模式的评估显示,其对质量和财务成果产生了重大影响。