School of Nursing, School of Public Health, University of Michigan, Ann Arbor, MI.
School of Nursing, University of Michigan, Ann Arbor, MI.
Nurs Outlook. 2022 Jul-Aug;70(4):566-569. doi: 10.1016/j.outlook.2022.05.002. Epub 2022 Jul 5.
With the adoption of value-based payments which tie reimbursement to patient outcomes and costs, days when nursing is viewed primarily as a cost to hospitals will soon be over. Already the backbone of high-quality care delivery and patient outcomes, nurses are becoming key drivers of health care organizations' financial outcomes, too. The first three articles published in this 6-part series on value-informed nursing practice-practice that considers both the outcomes and the cost of producing the outcomes-described what value-informed nursing practice means, its economic, policy, and ethical impetuses, and how value-informed nursing practice helps improve environmental sustainability of health systems. Here, in Part 4, we focus on the importance of nursing innovation in implementing value-informed nursing practice. We begin by discussing how innovation is connected to value and then examine the false dichotomy, perceived by many, between innovation and evidence-based care. Following this, we examine how health care organizations and systems can support nursing innovation, before concluding with recommendations for nursing educators.
随着基于价值的支付方式（将报销与患者的结果和成本挂钩）的采用，护理主要被视为医院成本的日子很快就会结束。护士已经成为高质量护理提供和患者结果的主要驱动力，他们也是医疗保健组织财务结果的关键驱动因素。在这个关于以价值为导向的护理实践的 6 部分系列的前 3 篇文章中——既考虑了结果，也考虑了产生结果的成本——描述了什么是以价值为导向的护理实践，它的经济、政策和伦理动力，以及以价值为导向的护理实践如何有助于提高卫生系统的环境可持续性。在这里，在第 4 部分中，我们重点讨论护理创新在实施以价值为导向的护理实践中的重要性。我们首先讨论创新与价值的联系，然后检查许多人认为的创新与基于证据的护理之间的错误二分法。接下来，我们研究医疗保健组织和系统如何支持护理创新，最后为护理教育者提出建议。
