Laughlin Candia Baker, Beisel Marie
Ambulatory Care Nursing, University of Michigan Health System, Ann Arbor, MI, USA.
Nurs Econ. 2010 Nov-Dec;28(6):409-14.
High-quality, accessible, and efficient primary care is needed as the U.S. health care system undergoes significant change. Advancing the role of registered nurses in the primary care setting is important to the solution. A large academic health center implemented five initiatives to improve the care of chronically ill patients through the expanded role of RNs in the context of the health care team. Role evolution of nurses in the pilots required some continuing education and some additional nursing support to release the pilot nurses from their usual duties. These strategies allowed the nurses to apply interventions that enhanced the coordination of care and promoted patient self-management skills. Some short-term improvements in health status were realized and barriers to self-care were identified and resolved.
随着美国医疗保健系统经历重大变革，高质量、可及且高效的初级保健至关重要。提升注册护士在初级保健环境中的作用对解决这一问题至关重要。一家大型学术健康中心实施了五项举措，通过在医疗团队背景下扩大注册护士的作用来改善慢性病患者的护理。试点项目中护士角色的演变需要一些继续教育和额外的护理支持，以使试点护士从日常工作中解脱出来。这些策略使护士能够应用增强护理协调和促进患者自我管理技能的干预措施。实现了健康状况的一些短期改善，并识别和解决了自我护理的障碍。
