Hedges Cathleen C, Nichols Amy, Filoteo Lourdes
Center for Nursing Excellence, Lucile Packard Children's Hospital, 4700 Bohannon Drive No. 150, Menlo Park, CA 94025, USA.
J Perinat Neonatal Nurs. 2012 Jan-Mar;26(1):27-36. doi: 10.1097/JPN.0b013e31823f0284.
In a fast-paced, high-volume maternity unit, the goal for nursing care delivery is to provide care that is perceived by patients as personal and caring, is rewarding to nurses, and is in an environment of maximum patient safety. A care delivery model is the organizing structure that can facilitate this goal. Relationship-Based Nursing Practice is a care delivery model designed to transition nursing care from task-focused to relationship-based. A shared vision of the registered nurse as a professional member of the healthcare team, working in an optimally safe and family-centered care environment, inspired the model design. Three relationships-the nurse with the patient, the nurse with colleagues, and the nurse with self-provided the foundation for the creation of guiding principles. Guiding principles were operationalized to support 1 or more of the 3 relationships, contribute to improved patient safety, and actualize the role of the professional registered nurse, in daily patient care. Outcomes include improvement in patient safety, increased patient satisfaction, and perception of improved teamwork among nurses. The process for sustainability and ongoing evaluation of the model is discussed.
在一个快节奏、高工作量的产科病房，护理服务的目标是提供患者认为贴心且关爱的护理，让护士感到有成就感，并处于确保患者安全最大化的环境中。一种护理服务模式是能够促进这一目标实现的组织结构。基于关系的护理实践是一种护理服务模式，旨在将护理工作从以任务为重点转变为以关系为基础。将注册护士视为医疗团队的专业成员，在最佳安全且以家庭为中心的护理环境中工作，这一共同愿景激发了该模式的设计。护士与患者、护士与同事、护士与自身这三种关系为制定指导原则奠定了基础。指导原则得以实施，以支持这三种关系中的一种或多种，有助于提高患者安全，并在日常患者护理中实现专业注册护士的角色。成果包括提高患者安全、提升患者满意度以及护士之间团队合作得到改善。文中还讨论了该模式的可持续性及持续评估过程。
