Derrick Lisa M, Mangold Kara
Department of Nursing, Mayo Clinic, Phoenix, Arizona (Ms Derrick); and Center for Individualized Medicine, Mayo Clinic, Scottsdale, Arizona (Dr Mangold).
Nurs Adm Q. 2020 Apr/Jun;44(2):159-167. doi: 10.1097/NAQ.0000000000000415.
It is challenging to implement a hospital discharge process that effectively prepares patients for success at home, especially when self-care needs are immense. This article describes a disruptive model that leverages nurse autonomy on an acute care medical-surgical hospital unit. The integration of an education resource nurse within existing resources is showing positive gains in 30-day readmission rates and specific patient experience metrics. The continued success of this newly created role is dependent on an adaptive capacity to leverage principles of complexity leadership and to grow the role within the ever-changing health care environment.
实施一种能有效帮助患者为居家成功做好准备的医院出院流程具有挑战性,尤其是当自我护理需求极大时。本文介绍了一种颠覆性模式,该模式在急性护理内科 - 外科医院科室利用护士的自主性。在现有资源中整合一名教育资源护士,已在30天再入院率和特定患者体验指标方面显示出积极成效。这一新设立角色的持续成功取决于一种适应能力,即利用复杂性领导原则,并在不断变化的医疗环境中发展该角色。