Musanti Rita, OʼKeefe Trish, Silverstein Wendy
Morristown Medical Center, 100 Madison Ave, Morristown, NJ 07962, USA.
Nurs Adm Q. 2012 Jul-Sep;36(3):217-24. doi: 10.1097/NAQ.0b013e318258c256.
Nursing leadership at Morristown Medical Center, a Magnet-designated, 600-plus bed tertiary care center, in response to forces, such as health care reform, and recommendations, such as those outlined in the Institute of Medicine report The Future of Nursing, developed an innovative model of care delivery called the Partners in Caring. This model of care delivery is an approach built on a functional unit of registered nurse-nurse assistant partnership supported by a patient care facilitator. The nursing partners are accountable for the coordination of patient care with an emphasis on patient and organizational goal achievement of (1) improving the health of our patients, (2) developing and maintaining an improved and responsive health care system, and (3) lowering costs while delivering quality care. The model of care was developed and is being implemented and evaluated using a knowledge translation methodology to ensure its evidence base and outcome achievement. Transforming workforce roles and communication patterns, incorporating technology to benefit time management and maintaining a keen focus on achieving patient outcomes are hallmarks of this new model.
莫里斯敦医疗中心是一家拥有600多张床位的指定磁石医院,也是一家三级护理中心。为应对医疗改革等力量以及医学研究所报告《护理的未来》中概述的建议,该中心开发了一种名为“关爱伙伴”的创新护理模式。这种护理模式基于注册护士与护士助理伙伴关系的功能单元,并由患者护理协调员提供支持。护理伙伴负责协调患者护理,重点是实现患者和组织的目标,即:(1)改善患者健康;(2)发展并维持一个改进且响应迅速的医疗保健系统;(3)在提供优质护理的同时降低成本。该护理模式采用知识转化方法进行开发、实施和评估,以确保其循证基础和成果达成。转变劳动力角色和沟通模式、引入技术以优化时间管理以及始终专注于实现患者治疗效果是这种新模式的特点。