Johns Hopkins School of Nursing, 2850 Pebble Beach Drive, Ellicott City, MD 21042, USA.
American Association of Colleges of Nursing, 655 K Street, NW, Suite 750, Washington, DC 20001, USA.
Nurs Clin North Am. 2022 Mar;57(1):115-130. doi: 10.1016/j.cnur.2021.11.008.
Donabedian's framework offers a model to evaluate the relationship between patient outcomes, influenced by clinical care delivery structures and processes. Applying this model proposes that adequate and appropriate structures and processes within organizations are necessary to realize optimal outcomes; it is imperative that leadership focuses on those structures and processes to reduce the risk of burnout. Current research cannot determine whether burnout causes decreased quality or working in a setting with decreased quality causes burnout. The follow-up question is whether curtailing burnout will improve quality or whether improving quality of care will reduce provider burnout?
多纳比迪恩的框架提供了一个模型，用于评估患者结局与临床护理提供结构和流程的关系。应用该模型表明，组织内充足且适当的结构和流程对于实现最佳结局是必要的；领导层必须关注这些结构和流程，以降低倦怠风险。目前的研究无法确定是倦怠导致了质量下降，还是在质量下降的环境中工作导致了倦怠。接下来的问题是，遏制倦怠是否会提高质量，还是提高护理质量是否会减少提供者的倦怠？
