Tonges M C
Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
J Nurs Adm. 1989 Jul-Aug;19(7):31-8.
Nurse executives must lead in proactively managing care delivery in the face of an increasingly severe nursing shortage. Failure to do so invites the imposition of untenable "solutions" by outside parties. Much has been written about the magnitude and causes of the current nursing shortage. This article focuses on alternative practice models as a viable solution. Part 1 examines similarities and differences among existing models and describes the Robert Wood Johnson University Hospital ProACT model. Part 2 will discuss the process of developing and implementing this alternative nursing practice and care delivery model.
面对日益严重的护士短缺问题，护士管理人员必须带头积极主动地管理护理服务的提供。否则，外部各方就会强行推行难以维持的“解决方案”。关于当前护士短缺的规模和原因，已有大量著述。本文重点探讨替代实践模式作为一种可行的解决方案。第1部分探讨了现有模式之间的异同，并介绍了罗伯特·伍德·约翰逊大学医院的ProACT模式。第2部分将讨论开发和实施这种替代护理实践及护理服务提供模式的过程。
