Frampton Susan B, Guastello Sara
Planetree, Derby, CT, USA.
World Hosp Health Serv. 2010;46(4):13-6.
When a nurse at the Celilo Cancer Center at the Mid-Columbia Medical Center in The Dalles, Oregon, found out that his patient was scheduled to receive chemotherapy on her wedding anniversary, he asked the woman and her husband what song they'd first danced to on their wedding day. It was "Save the Last Dance For Me," and the next day, when the couple rose from their chairs after the patient's six-hour infusion, the song began playing. Right there in the infusion area, with their arms around each other, they danced. This story illustrates the kind of care that has become the norm at the 10 hospitals in North America recognized since 2007 as patient-centred hospitals by Planetree's Patient-Centred Hospital Designation Program. At these hospitals "patient-centred care" is more than a buzzword. Rather, it's reflected in their mission statements, strategic plans, models of nursing care, and day-to-day operations. While many organizations, including the Institute of Medicine, the Institute for Healthcare Improvement, and Planetree, have endeavored to define patient-centred care, no definition conveys its essence as well as the patients at these hospitals can. "This place has a special character," one patient said in a focus group. Others have said, "You can tell the nurses here care about you as a person," "They are a special breed of people here," and "I don't think it's just a job for them; they're here for a reason." Over the past year, this series, Putting Patients First, has explored several aspects of the patient-centered approach--encouraging patients to review their medical records, lifting restrictions on family involvement in care, and lowering noise levels in hospitals, among others. We believe they show that, ultimately, patient-centered care is more than the sum of its parts.
俄勒冈州达尔斯市中哥伦比亚医疗中心的塞利洛癌症中心有一位护士，他得知自己的病人计划在结婚纪念日接受化疗，于是询问这位女士和她的丈夫他们在婚礼当天第一支舞跳的是什么曲子。是《最后一支舞留给我》。第二天，在病人六个小时的输液结束后，这对夫妇从椅子上起身，这时这首歌开始播放。就在输液区，他们相拥起舞。这个故事体现了自2007年以来被普兰特里以患者为中心的医院指定计划认可的北美10家医院中已经成为常态的那种关怀。在这些医院里，“以患者为中心的护理”不仅仅是一个时髦的口号。相反，它体现在医院的使命宣言、战略计划、护理模式以及日常运营中。包括医学研究所、医疗改进研究所和普兰特里在内的许多组织都努力对以患者为中心的护理进行定义，但没有一个定义能像这些医院的患者所表达的那样传达出其精髓。“这个地方有一种特殊的气质，”一位患者在焦点小组中说道。其他人则说，“你能看出这里的护士关心你这个人，”“他们是一群特别的人，”以及“我觉得这对他们来说不只是一份工作；他们来这里是有原因的。”在过去的一年里，这个名为“把患者放在首位”的系列报道探讨了以患者为中心的方法的几个方面——鼓励患者查看自己的病历、取消对家属参与护理的限制以及降低医院的噪音水平等等。我们相信这些报道表明，最终，以患者为中心的护理不仅仅是各个部分的总和。
