Duke University School of Nursing, Durham, NC 27710, USA.
Nurs Outlook. 2011 Jul-Aug;59(4):221-7. doi: 10.1016/j.outlook.2011.05.001.
Effective staff interdependence is needed to improve care of older adults in nursing homes. We synthesized research about nursing management practices that help nursing home staff members manage their relationships for better care. We searched PubMed for studies of relationship-oriented management in nursing homes, published in English between 2000 and 2010. We evaluated and synthesized findings from the literature. Thirty-three articles met the inclusion criteria. Analyzing these studies, we identified 3 themes: (a) managing relationships between managers and staff, (b) staff participation in decision-making, and (c) work designs that foster staff interactions. Most studies were descriptive and suggested that relationship-oriented management practices will promote better outcomes. Future intervention research that combines relationship-oriented management and evidenced-based clinical practices will help staff to skillfully manage problems in nursing home care, including complex geriatric syndromes.
为改善养老院老年人的护理工作，需要员工之间有效协作。本研究综合了有关护理管理实践的研究，这些实践有助于养老院员工管理关系以提高护理质量。我们在 PubMed 中检索了 2000 年至 2010 年间发表的有关养老院面向关系管理的英文研究，并对文献结果进行了评估和综合。有 33 篇文章符合纳入标准。通过对这些研究进行分析，我们确定了 3 个主题：（a）管理经理与员工之间的关系，（b）员工参与决策，以及（c）促进员工互动的工作设计。大多数研究都是描述性的，并表明面向关系的管理实践将促进更好的结果。未来将面向关系的管理与基于证据的临床实践相结合的干预研究，将有助于员工熟练管理养老院护理中的问题，包括复杂的老年综合征。
