Splaine Wiggins Marjorie
Maine Medical Center, Portland, ME, USA.
J Nurs Manag. 2008 Jul;16(5):629-38. doi: 10.1111/j.1365-2834.2008.00900.x.
This article describes the foundation of an emerging care delivery model based on partnership. It also reflects on and synthesizes the findings of earlier concept analyses of its core concept.
Changes in the delivery of health care services in the United States have been driven significantly by cost containment over the last 20 years. This has resulted in an unprecedented pace of work, fragmentation of care, and medical errors. Fundamental changes are needed to meet the needs of today's health care environment.
A literature search was done in electronic data bases. Concept analysis papers were reviewed and synthesized. Results The antecedents, attributes and consequences of partnership are described and linked to the supporting literature and theoretical models.
Engaging and empowering the patient through partnership seem to be crucial to developing a cohesive and effective model of care delivery. Partnerships among patients, their families, physicians, nurses and other clinicians positively impact on safety, quality of care, satisfaction, outcomes and job fulfillment.
Managers need to foster an environment that allows for stronger reciprocal relationships. They need to facilitate changes in practice that support the development of partnerships among patients, their families and all care providers.
本文描述了一种基于伙伴关系的新兴护理服务模式的基础。它还对其核心概念早期概念分析的结果进行了反思和综合。
在过去20年里，美国医疗保健服务提供方式的变化主要由成本控制推动。这导致了前所未有的工作节奏、护理碎片化和医疗差错。需要进行根本性变革以满足当今医疗保健环境的需求。
在电子数据库中进行文献检索。对概念分析论文进行了回顾和综合。结果：描述了伙伴关系的前因、属性和后果，并与支持性文献和理论模型相联系。
通过伙伴关系让患者参与并赋予其权力，对于建立一个有凝聚力和有效的护理服务模式似乎至关重要。患者、其家人、医生、护士和其他临床医生之间的伙伴关系对安全性、护理质量、满意度、结果和工作成就感产生积极影响。
管理者需要营造一个允许建立更强大互惠关系的环境。他们需要推动实践变革，以支持患者、其家人与所有护理提供者之间伙伴关系的发展。
