Deremo D E, Nerenz D R, Pacini C M
Henry Ford Hospital, Detroit, MI 48202.
J Soc Health Syst. 1991;3(2):22-32.
As hospitals continue to face problems with nursing shortages and difficulty in retaining experienced nurses, they are forced to examine the environment of nursing practice to determine how that environment can be improved. At Henry Ford Hospital, a planning process is underway to establish a more truly professional practice environment for nursing. This professional practice environment is based on a group practice model for inpatient nursing. The group practice model offers the potential for greater clinical and administrative autonomy and collaborative practice with physicians, but may require significant changes in internal budgeting and accounting systems. Several different inpatient group practice models and their implications are discussed.
随着医院持续面临护士短缺以及难以留住经验丰富护士的问题，它们不得不审视护理实践环境，以确定如何改善这一环境。在亨利·福特医院，一个规划过程正在进行中，旨在为护理建立一个更真正的专业实践环境。这种专业实践环境基于住院护理的团队实践模式。团队实践模式为护士提供了更大的临床和管理自主权以及与医生协作实践的潜力，但可能需要对内部预算和会计系统进行重大变革。本文讨论了几种不同的住院团队实践模式及其影响。
