O'Connor Margaret, Lee Susan
School of Nursing and Midwifery, Monash University, Victoria, Australia.
Int J Palliat Nurs. 2007 Dec;13(12):606-9. doi: 10.12968/ijpn.2007.13.12.27889.
Home care services have characteristics that are distinctive from other health care settings. Thus, they require different management systems to those traditionally used in institutional settings. Typical management models often require adaptation for home care services in areas such as staffing, education and support. This includes performance appraisal, where traditional models may be inappropriate when clinicians work alone, with little supervision. This article describes an experience of adapting a performance appraisal tool, in order to be more relevant for staff working in home-based care. The project arose from staff frustration with the expectation of management that a tool developed for institutional settings would be appropriate for the home setting. This frustration gave the impetus for developing a successful appraisal system, and because of staff involvement, the model was wholeheartedly embraced. The process of development is discussed, and the model explained, with commentary about its implementation in a home care service.
居家护理服务具有与其他医疗保健环境不同的特点。因此，它们需要有别于传统机构环境中使用的管理系统。典型的管理模式通常需要在人员配备、教育和支持等方面进行调整以适用于居家护理服务。这包括绩效评估，当临床医生单独工作且几乎没有监督时，传统模式可能并不适用。本文描述了对一种绩效评估工具进行调整的经验，以便使其更适用于居家护理工作的人员。该项目源于工作人员对管理层期望的不满，即认为为机构环境开发的工具适用于居家环境。这种不满推动了一个成功评估系统的开发，并且由于工作人员的参与，该模式得到了全心全意的接受。文中讨论了开发过程，解释了该模式，并对其在居家护理服务中的实施进行了评论。
