Martin Deborah Maust
Professional Practice at Banner Health, and Innovation Leadership DNP Program, Arizona State University, Phoenix.
Nurs Adm Q. 2014 Jul-Sep;38(3):214-20. doi: 10.1097/NAQ.0000000000000040.
The implementation of patient-centered medical homes has reinforced the need for interprofessional practice as the means to increasing patient quality. The nurse executive is well positioned to facilitate interprofessional collaborative practice; however, more sophisticated and focused strategies are needed for high levels of interprofessional partnerships that wholeheartedly ensure patient-driven health care. This article presents strategies to meet the needs of the patient as the interprofessional team coordinates activities across the continuum. Strategies include having a clear understanding of the patient-centered medical homes concept, clear articulation of patient centricity behaviors, selection of metrics that are actionable, competence in developing high-functioning partnerships, and processes to strengthen the organizational cultural to support interprofessional practice.
以患者为中心的医疗之家的实施强化了跨专业实践的必要性，将其作为提高患者医疗质量的手段。护士管理人员具备推动跨专业协作实践的有利条件；然而，要建立高度的跨专业伙伴关系，全心全意确保以患者为导向的医疗服务，还需要更复杂、更有针对性的策略。本文介绍了在跨专业团队协调连续护理活动时满足患者需求的策略。这些策略包括对以患者为中心的医疗之家概念有清晰的理解、明确阐述以患者为中心的行为、选择可操作的指标、具备建立高效能伙伴关系的能力，以及加强组织文化以支持跨专业实践的流程。
