Author Affiliations: Director of Operational Performance Improvement and Staffing Resource Operations (Ms Johnson-Salerno), Director of Advanced Practice Nursing (Ms Bachman), Medical Director of Unit 4W (Dr Jones), Senior Director of Nursing, Acute Inpatient Services, Day Medicine/Sedation (Mr Hancox), Coordinator of Research and Evidence-Based Practice (Dr Haut), and Operational Vice President and Chief Nursing Executive (Dr Mericle), Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.
J Nurs Adm. 2020 Jun;50(6):328-334. doi: 10.1097/NNA.0000000000000893.
Information about pediatric observation and limited-stay unit design and function is lacking in the literature. A quality improvement approach was used to create new care processes on an inpatient unit within a large children's hospital. Outcomes included the use of advanced practice nurse patient care management, creation of 30 clinical pathways to model care, and consistent and faster transfer from emergency department to inpatient unit, resulting in high-level parent and patient satisfaction and decreased nursing turnover.
关于儿科观察病房和有限住院病房的设计和功能的信息在文献中较为缺乏。本文采用质量改进方法，在一家大型儿童医院的住院病房内创建了新的护理流程。结果包括使用高级执业护士进行患者护理管理，创建 30 个临床路径以规范护理，以及更迅速地从急诊部门向住院病房进行连续转移，从而提高了患者及其家属的满意度，并降低了护理人员的离职率。
