Humphrey C J
Visiting Nurse Association of the Valley, Derby, Connecticut.
Nurs Clin North Am. 1988 Jun;23(2):305-14.
This article has outlined the need for clarification of home care nursing practice to retain the elements essential to professional practice. Home care that is nursing focused, based on concepts of community health nursing, and client/family centered forms the core of professional home care nursing. Technical services that are provided in the home should be clearly delineated so that consumers, payors, and practitioners can determine the roles and functions of the various providers. Professional home care, practiced not just by nursing but by all licensed providers, is practice driven. The boundaries of practice are determined by professional standards with a basis in scientific theory and research. The foundation for this type of practice is strong and should continue to be practiced in the future. Technical house call services, on the other hand, are product driven, often with a zeal for the bottom line profits that does not take into account what is the best product for a specific patient situation or how well that product has been tested. There is definitely a need for both services in delivering health care to people in their homes. It is also hoped that both areas of service can work together to facilitate the management of patient and family needs. It is important, though, to fully define the type and substance of care that is provided in the home setting. Without this ongoing clarification, home care will continue to be fragmented and interpreted differently by everyone involved.
本文概述了澄清家庭护理实践的必要性，以保留专业实践所必需的要素。以社区健康护理概念为基础、以客户/家庭为中心的护理型家庭护理构成了专业家庭护理的核心。应明确界定在家中提供的技术服务，以便消费者、付款人和从业者能够确定各类提供者的角色和职能。专业家庭护理不仅由护士实施，所有持牌提供者均可实施，它是由实践驱动的。实践的界限由基于科学理论和研究的专业标准决定。这种实践的基础坚实，未来应继续推行。另一方面，技术上门服务是由产品驱动的，往往热衷于追求利润底线，而不考虑什么是针对特定患者情况的最佳产品，或者该产品的测试效果如何。在家中为人们提供医疗保健服务时，这两种服务肯定都有需求。人们也希望这两个服务领域能够共同努力，以满足患者和家庭的需求。不过，全面界定在家中提供的护理类型和内容很重要。如果不持续进行这种澄清，家庭护理将继续支离破碎，每个相关人员的理解都会不同。
