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护理专业实践模式:文献回顾与关键要素综合

Professional practice models for nursing: a review of the literature and synthesis of key components.

机构信息

School of Nursing and Midwifery, Curtin University, Bentley, Perth, WA, Australia.

Centre for Nursing Research, Sir Charles Gairdner Hospital, Nedlands, Perth, WA, Australia.

出版信息

J Nurs Manag. 2016 Mar;24(2):139-50. doi: 10.1111/jonm.12309. Epub 2015 May 14.

DOI:10.1111/jonm.12309
PMID:25975609
Abstract

AIM

This review aimed to synthesise literature describing the development and/or implementation and/or evaluation of a professional practice model to determine the key model components.

BACKGROUND

A professional practice model depicts nursing values and defines the structures and processes that support nurses to control their own practice and to deliver quality care.

EVALUATION

A review of English language papers published up to August 2014 identified 51 articles that described 38 professional practice models. Articles were subjected to qualitative analysis to identify the concepts common to all professional practice models.

KEY ISSUE

Key elements of professional practice models were theoretical foundation and six common components: leadership; nurses' independent and collaborative practice; environment; nurse development and reward; research/innovation; and patient outcomes.

CONCLUSIONS

A professional practice model provides the foundations for quality nursing practice. This review is an important resource for nurse leaders who seek to advance their organisation in a journey for excellence through the implementation of a professional practice model.

IMPLICATIONS FOR NURSING MANAGEMENT

This summary of published professional practice models provides a guide for nurse leaders who seek to develop a professional practice model. The essential elements of a professional practice model; theoretical foundation and six common components, are clearly described. These elements can provide the starting point for nurse leaders' discussions with staff to shape a professional practice model that is meaningful to direct care nurses.

摘要

目的

本综述旨在综合描述专业实践模式的发展和/或实施和/或评估的文献,以确定关键模式要素。

背景

专业实践模式描绘了护理价值观,并定义了支持护士控制自己实践和提供优质护理的结构和流程。

评估

对截至 2014 年 8 月发表的英文论文进行了综述,确定了 51 篇描述 38 种专业实践模式的文章。对这些文章进行了定性分析,以确定所有专业实践模式共有的概念。

关键问题

专业实践模式的关键要素是理论基础和六个共同组成部分:领导力;护士的独立和协作实践;环境;护士的发展和奖励;研究/创新;以及患者结果。

结论

专业实践模式为优质护理实践提供了基础。本综述是寻求通过实施专业实践模式来推动组织卓越发展的护理领导者的重要资源。

对护理管理的影响

已发表的专业实践模式的总结为寻求开发专业实践模式的护理领导者提供了指导。专业实践模式的基本要素;理论基础和六个共同组成部分,都有清晰的描述。这些要素可以为护理领导者与员工进行讨论提供起点,以形成对直接护理护士有意义的专业实践模式。

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