Lyons Stacie Salsbury, Specht Janet P, Karlman Susan E, Maas Meridean L
The John A. Hartford Center of Geriatric Nursing Excellence, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242, USA.
Res Gerontol Nurs. 2008 Jul;1(3):217-28. doi: 10.3928/19404921-20080701-08.
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.
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。