Venturato Lorraine, Drew Liz
Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, QLD, Australia.
Contemp Nurse. 2010 Jun;35(2):157-70. doi: 10.5172/conu.2010.35.2.157.
Contemporary health care environments are increasingly challenged by issues associated with the recruitment and retention of qualified nursing staff. This challenge is particularly felt by residential aged care providers, with registered nurse (RN) numbers already limited and resident acuity rapidly rising. As a result, aged care service providers are increasingly exploring creative and alternative models of care. This article details exploratory research into a pre-existing, alternative model of care in a medium sized, regional residential aged care facility. Research findings suggest that the model of care is complex and multi-faceted and is an example of an integrated model of care. As a result of the implementation of this model of care a number of shifts have occurred in the practice experiences and clinical culture within this facility. Results suggest that the main benefits of this model are: (1) increased opportunities for RNs to engage in clinical leadership and proactive care management; (2) improved management and communication in relation to work processes and practices; and (3) enhanced recruitment and retention of both RNs and care workers.
当代医疗保健环境日益受到与招聘和留住合格护理人员相关问题的挑战。这种挑战在老年护理机构中尤为明显，因为注册护士（RN）数量本就有限，而居民护理需求却在迅速增加。因此，老年护理服务提供商越来越多地探索创新和替代护理模式。本文详细介绍了对一个中等规模的地区性老年护理机构中现有的替代护理模式的探索性研究。研究结果表明，该护理模式复杂且多面，是综合护理模式的一个范例。由于实施了这种护理模式，该机构的实践经验和临床文化发生了一些变化。结果表明，该模式的主要好处是：（1）注册护士有更多机会参与临床领导和积极的护理管理；（2）在工作流程和实践方面的管理和沟通得到改善；（3）增强了注册护士和护理人员的招聘和留用。
