长期护理院专业护理实践国际联合会的建议。
Recommendations From the International Consortium on Professional Nursing Practice in Long-Term Care Homes.
机构信息
Toronto Rehabilitation Institute-UHN, Toronto, ON, Canada; Lawrence S. Bloomberg of Nursing, University of Toronto, Toronto, ON, Canada.
School of Nursing, University of Wisconsin - Madison, WI.
出版信息
J Am Med Dir Assoc. 2016 Feb;17(2):99-103. doi: 10.1016/j.jamda.2015.11.001. Epub 2015 Dec 18.
In response to the International Association of Gerontology and Geriatrics' global agenda for clinical research and quality of care in long-term care homes (LTCHs), the International Consortium on Professional Nursing Practice in Long Term Care Homes (the Consortium) was formed to develop nursing leadership capacity and address the concerns regarding the current state of professional nursing practice in LTCHs. At its invitational, 2-day inaugural meeting, the Consortium brought together international nurse experts to explore the potential of registered nurses (RNs) who work as supervisors or charge nurses within the LTCHs and the value of their contribution in nursing homes, consider what RN competencies might be needed, discuss effective educational (curriculum and practice) experiences, health care policy, and human resources planning requirements, and to identify what sustainable nurse leadership strategies and models might enhance the effectiveness of RNs in improving resident, family, and staff outcomes. The Consortium made recommendations about the following priority issues for action: (1) define the competencies of RNs required to care for older adults in LTCHs; (2) create an LTCH environment in which the RN role is differentiated from other team members and RNs can practice to their full scope; and (3) prepare RN leaders to operate effectively in person-centered care LTCH environments. In addition to clear recommendations for practice, the Consortium identified several areas in which further research is needed. The Consortium advocated for a research agenda that emphasizes an international coordination of research efforts to explore similar issues, the pursuit of examining the impact of nursing and organizational models, and the showcasing of excellence in nursing practice in care homes, so that others might learn from what works. Several studies already under way are also described.
为响应国际老年学和老年医学协会在长期护理院（LTCH）的临床研究和护理质量方面的全球议程，成立了国际长期护理院专业护理实践联合会（联合会），以培养护理领导力并解决 LTCH 中当前专业护理实践的状况。在其为期两天的首次邀请会议上，联合会召集了国际护士专家，探讨了在 LTCH 中担任主管或护士长的注册护士（RN）的潜力，以及他们在养老院中的贡献价值，考虑可能需要哪些 RN 能力，讨论有效的教育（课程和实践）经验、医疗保健政策和人力资源规划要求，并确定哪些可持续的护理领导策略和模式可以提高 RN 改善居民、家庭和员工结果的效果。联合会就以下优先行动问题提出了建议：（1）定义在 LTCH 中照顾老年人所需的 RN 能力；（2）创建一个 LTCH 环境，其中 RN 角色与其他团队成员区分开来，并且 RN 可以充分发挥其专业能力；（3）培养 RN 领导者，以便在以患者为中心的护理 LTCH 环境中有效运作。除了对实践的明确建议外，联合会还确定了需要进一步研究的几个领域。联合会倡导制定一个研究议程，强调国际协调研究努力，以探讨类似问题，追求研究护理和组织模式的影响，并展示养老院护理实践的卓越之处，以便其他人可以从中学习成功经验。还描述了几项正在进行中的研究。
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