Williams-Reade Jackie, Lamson Angela L, Knight Sharon M, White Mark B, Ballard Sharon M, Desai Priti P P
School of Behavioral Health, Loma Linda University, Loma Linda, CA, USA.
J Nurs Manag. 2015 Jan;23(1):4-14. doi: 10.1111/jonm.12095. Epub 2013 Aug 14.
This literature review offers a response to the current paediatric palliative care literature that will punctuate the need for a framework (i.e. the three world view) that can serve as an evaluative lens for nurse managers who are in the planning or evaluative stages of paediatric palliative care programmes.
The complexities in providing paediatric palliative care extend beyond clinical practices to operational policies and financial barriers that exist in the continuum of services for patients.
This article offers a review of the literature and a framework in order to view best clinical practices, operational/policy standards and financial feasibility when considering the development and sustainability of paediatric palliative care programmes.
Fifty-four articles were selected as representative of the current state of the literature as it pertains to the three world view (i.e. clinical, operational and financial factors) involved in providing paediatric palliative care.
In developing efficient paediatric palliative care services, clinical, operational and financial resources and barriers need to be identified and addressed.
Nursing management plays a crucial role in addressing the clinical, operational and financial needs and concerns that are grounded in paediatric palliative care literature.
本综述对当前儿科姑息治疗文献做出回应，强调了一种框架（即三种世界观）的必要性，该框架可为处于儿科姑息治疗项目规划或评估阶段的护理管理者提供评估视角。
提供儿科姑息治疗的复杂性不仅体现在临床实践中，还涉及到患者服务连续体中的运营政策和财务障碍。
本文对文献进行了综述并提出了一个框架，以便在考虑儿科姑息治疗项目的发展和可持续性时审视最佳临床实践、运营/政策标准和财务可行性。
选取了54篇文章作为当前文献状态的代表，这些文献涉及提供儿科姑息治疗所涉及的三种世界观（即临床、运营和财务因素）。
在发展高效的儿科姑息治疗服务时，需要识别并解决临床、运营和财务资源及障碍。
护理管理在满足基于儿科姑息治疗文献的临床、运营和财务需求及关注点方面发挥着关键作用。
