Douglas Kathy
Institute for Staffing Excellence and Innovation, Sedona, AZ, USA.
Nurs Econ. 2010 Mar-Apr;28(2):119-25.
Health care staffing is a complicated arena, and nurses are in the best position to assure a good match between the problems being addressed and the solutions being adopted. Why would nurses want to hand over their power to make staffing decisions to the government? Perhaps what got us into the situation of asking government to intervene in the world of health care staffing is the inability of management and staff to work together effectively to design the most effective approach to staffing. The business side and the quality/safety side of health care must work in harmony. Collaboration between nursing and finance is perhaps the most important formula for success. The challenges before us in health care staffing are big, but they will never be solved by the application of symptom-level solutions.
医疗保健人员配置是一个复杂的领域，护士最有能力确保所解决的问题与所采用的解决方案之间的良好匹配。为什么护士要把做出人员配置决策的权力交给政府呢？也许让我们陷入要求政府干预医疗保健人员配置领域这种局面的原因，是管理层和员工无法有效合作以设计出最有效的人员配置方法。医疗保健的业务层面和质量/安全层面必须协同工作。护理与财务之间的合作或许是成功的最重要准则。我们在医疗保健人员配置方面面临的挑战巨大，但靠应用治标不治本的解决方案永远无法解决这些问题。
