Fielding J, Beaton S, Appavoo M, Baier L, Iacobocci H, Samuel A
J N Y State Nurses Assoc. 1990 Sep;21(3):19-23.
This exploratory project in developing outcome criteria for long term care was conducted with the view that the individual professional nursing practitioner has a unique, valuable contribution to make to the overall nursing quality assurance effort. Twenty-seven nurses volunteered to design and conduct individual systematic nursing diagnosis/intervention/outcome measurement projects. They were employees of five long term care facilities in New York state. Their contribution to this project was an embodiment of their professional judgement and practice with 107 selected clients under their care. They were prepared for participation through instruction repeated in all five facilities. The North American Nursing Diagnosis Association's Taxonomy of Nursing Diagnoses was used in the instruction, by the practitioners in their practice and data collection, and in the data analysis. Data analysis also included use of Campbell's nursing intervention category scheme. This work demonstrated that professional nurses are able to specify appropriate outcome criteria and to measure these outcomes of their planned nursing interventions. Eighty-seven percent of the expected outcomes were achieved as anticipated or in the anticipated direction. Results provided many leads for future study of nursing diagnosis/intervention/outcome measurement among residents of long term care institutions.
这个为长期护理制定结果标准的探索性项目开展的前提是，个体专业护理从业者对整体护理质量保证工作能做出独特且有价值的贡献。27名护士自愿设计并开展个人系统性护理诊断/干预/结果测量项目。她们是纽约州五家长期护理机构的员工。她们对该项目的贡献体现了她们对所护理的107名选定患者的专业判断和实践。通过在所有五家机构反复进行的培训，她们为参与项目做好了准备。北美护理诊断协会的护理诊断分类法在培训中、从业者的实践及数据收集过程中以及数据分析中均有使用。数据分析还包括使用坎贝尔的护理干预类别方案。这项工作表明，专业护士能够明确合适的结果标准，并对其计划的护理干预结果进行测量。87%的预期结果如预期那样或朝着预期方向得以实现。研究结果为未来针对长期护理机构居民的护理诊断/干预/结果测量研究提供了许多线索。
