Daly B J, Phelps C, Rudy E B
University Hospitals of Cleveland, OH.
J Nurs Adm. 1991 Jul-Aug;21(7-8):31-8.
The authors describe the first year of operation of a nurse-managed intensive care unit (ICU). Concerned with the problems, costs, and inadequacies of caring for long-term patients in traditional ICUs, nurse administrators designed a special care unit that incorporates a physical design facilitating family involvement and rehabilitative care, registered nurse case management, and a shared governance management philosophy. Compared with traditional ICUs, the effectiveness of the special care unit is tested in terms of patient and nurse outcomes. Implications of this innovation for health-care delivery systems and the nursing profession are discussed.
作者描述了由护士管理的重症监护病房（ICU）运营的第一年情况。鉴于传统ICU在护理长期患者方面存在问题、成本高且护理不足，护士管理人员设计了一个特殊护理单元，其采用的物理设计便于家属参与和康复护理，实行注册护士病例管理以及共享治理管理理念。与传统ICU相比，该特殊护理单元的有效性通过患者和护士的护理结果进行检验。文中还讨论了这一创新对医疗保健提供系统和护理专业的影响。
