Department of Biobehavioral Health Sciences, NewCourtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA.
Department of Nursing Research and Quality Outcomes, Center for Translational Science, Children's National Health System, The George Washington University, Washington, DC.
Nurs Outlook. 2015 Jan-Feb;63(1):51-9. doi: 10.1016/j.outlook.2014.11.007. Epub 2014 Dec 11.
The Institute of Medicine's 2014 report Dying in America: Improving quality and honoring individual preferences near the end of life provides recommendations for creating transformational change in the models of end-of-life care delivery, clinician-patient communication, and advance care planning; improving professional education, reforming policies, and payment systems; and engaging and educating the public toward high-quality, coordinated, and comprehensive care that is person centered and family oriented. This article provides a policy brief of this recently released report. The role of nursing in advancing these recommendations is discussed.
美国医学研究所 2014 年的报告《在美国死亡:改善生命末期的质量和尊重个人意愿》为临终关怀服务提供了变革性的模式建议,改善了医患沟通和预先医疗指示;提高专业教育、改革政策和支付体系;并使公众参与到以患者为中心、以家庭为导向的高质量、协调和全面的护理中来。本文提供了这份新发布报告的政策摘要。讨论了护理在推进这些建议方面的作用。