University of Pennsylvania School of Nursing, Philadelphia, PA.
University of Pennsylvania School of Nursing, Philadelphia, PA.
Nurs Outlook. 2020 Jan-Feb;68(1):26-32. doi: 10.1016/j.outlook.2019.06.019. Epub 2019 Jun 27.
Our health care system is facing unprecedented and complex challenges in caring for older adults and their families. A paradigm shift is needed that recognizes new roles and competencies for nurses to play a leadership role in the design and implementation of high value care models.
The purpose of this paper is to introduce a series of recommendations for leveraging nurses to generate innovative tools and solutions for the delivery of value-based care for older adults living with complex health and social needs and their families.
These recommendations were generated by a Think-Tank of national experts based on review of current evidence and focus groups with older adults.
The generated recommendations focus on positioning nurses to assume leadership roles in implementing evidence-based care models, preparing nurses to serve as health innovators and catalysts of system transformation, and fostering system-level infrastructure that leverages the contributions of nurses for current and emerging roles.
Nurses as innovators can address the challenges in providing high quality care for older adults with complex needs and their families. System-level infrastructure, including resources for training and implementation of well-established programs, is necessary to leverage the contributions of nurses and facilitate innovative approaches to care.
我们的医疗保健系统在照顾老年人及其家庭方面面临着前所未有的复杂挑战。需要进行范式转变，承认护士的新角色和能力，使其能够在设计和实施高价值护理模式方面发挥领导作用。
本文旨在介绍一系列建议，利用护士为满足具有复杂健康和社会需求的老年人及其家庭提供基于价值的护理，生成创新工具和解决方案。
这些建议是由一个全国专家智囊团根据对现有证据的审查和与老年人的焦点小组讨论提出的。
提出的建议侧重于使护士能够在实施基于证据的护理模式方面担任领导角色，使护士能够担任健康创新者和系统转型的催化剂，并培养系统层面的基础设施，以利用护士在当前和新兴角色中的贡献。
作为创新者的护士可以解决为有复杂需求的老年人及其家庭提供高质量护理的挑战。系统层面的基础设施，包括培训资源和完善项目的实施，对于利用护士的贡献和促进创新的护理方法是必要的。
