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日常卓越。长期护理中专业护理实践的框架。

Everyday excellence. A framework for professional nursing practice in long-term care.

作者信息

Lyons Stacie Salsbury, Specht Janet P, Karlman Susan E, Maas Meridean L

机构信息

The John A. Hartford Center of Geriatric Nursing Excellence, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242, USA.

出版信息

Res Gerontol Nurs. 2008 Jul;1(3):217-28. doi: 10.3928/19404921-20080701-08.

DOI:10.3928/19404921-20080701-08
PMID:20077966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2809933/
Abstract

RNs make measurable contributions to the health and wellness of individuals living in nursing homes. However, most nursing homes do not employ adequate numbers of professional nurses with specialized training in the nursing care of older adults to positively affect resident outcomes. As a result, many people never receive excellent geriatric nursing while living in a long-term care facility. Nurses have introduced various professional practice models into health care institutions as tools for leading nursing practice, improving client outcomes, and achieving organizational goals. Problematically, few professional practice models have been implemented in nursing homes. This article introduces an evidence-based framework for professional nursing practice in long-term care. The Everyday Excellence framework is based on eight guiding principles: Valuing, Envisioning, Peopling, Securing, Learning, Empowering, Leading, and Advancing Excellence. Future research will evaluate the usefulness of this framework for professional nursing practice.

摘要

注册护士对住在养老院的个人的健康和福祉做出了可衡量的贡献。然而,大多数养老院没有雇佣足够数量的经过专门培训、具备老年人护理专业知识的专业护士,以对居民的护理结果产生积极影响。因此,许多人在长期护理机构生活期间从未接受过优质的老年护理。护士们已将各种专业实践模式引入医疗机构,作为引领护理实践、改善患者护理结果和实现组织目标的工具。问题在于,很少有专业实践模式在养老院得到实施。本文介绍了一种基于证据的长期护理专业护理实践框架。“日常卓越”框架基于八项指导原则:重视卓越、展望卓越、以人为本、保障卓越、学习卓越、赋能卓越、引领卓越和推动卓越。未来的研究将评估该框架对专业护理实践的实用性。

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本文引用的文献

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The work of the RN Minimum Data Set coordinator in its organizational context.注册护士最小数据集协调员在其组织环境中的工作。
Res Gerontol Nurs. 2008 Jan;1(1):42-51. doi: 10.3928/19404921-20080101-04.
2
Pressure ulcers among terminally ill nursing home residents.临终疗养院居民的压疮
Res Gerontol Nurs. 2008 Jan;1(1):14-24. doi: 10.3928/19404921-20080101-06.
3
Best practices in nursing homes. Clinical supervision, management, and human resource practices.养老院的最佳实践。临床监督、管理及人力资源实践。
Res Gerontol Nurs. 2008 Jul;1(3):197-207. doi: 10.3928/19404921-20080701-06.
4
Enhancing nursing leadership in long-term care. A review of the literature.加强长期护理中的护理领导力。文献综述。
Res Gerontol Nurs. 2008 Jul;1(3):187-96. doi: 10.3928/19404921-20080701-05.
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Care of nursing home residents by advanced practice nurses. A review of the literature.
Res Gerontol Nurs. 2008 Jul;1(3):177-85. doi: 10.3928/19404921-20080701-04.
6
Staffing characteristics, turnover rates, and quality of resident care in nursing facilities.护理机构的人员配置特征、人员流动率及住院护理质量。
Res Gerontol Nurs. 2008 Jul;1(3):157-70. doi: 10.3928/19404921-20080701-02.
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Nursing working conditions in relation to restraint practices in long-term care units.长期护理病房中与约束措施相关的护理工作条件
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Systematic review of studies of staffing and quality in nursing homes.养老院人员配备与质量研究的系统评价
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RN staffing time and outcomes of long-stay nursing home residents: pressure ulcers and other adverse outcomes are less likely as RNs spend more time on direct patient care.注册护士的工作时间与长期护理院居民的护理结果:随着注册护士在直接护理患者上花费的时间增加,发生压疮及其他不良护理结果的可能性降低。
Am J Nurs. 2005 Nov;105(11):58-70; quiz 71. doi: 10.1097/00000446-200511000-00028.
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Nurse aide empowerment strategies and staff stability: effects on nursing home resident outcomes.护理助理赋权策略与员工稳定性:对养老院居民结局的影响。
Gerontologist. 2005 Jun;45(3):309-17. doi: 10.1093/geront/45.3.309.