Milne D
J Adv Nurs. 1986 Mar;11(2):203-10. doi: 10.1111/j.1365-2648.1986.tb01238.x.
A controlled evaluation of nurses' and patients' perceptions of the hospital ward atmosphere served to both define problems and evaluate the corrective changes that were implemented in a psychiatric day hospital. The results indicated that nurses and patients held similarly unfavourable views of the ward at a baseline assessment, including low levels of support, involvement, spontaneity and programme clarity. This finding then served as the basis for systematic changes, including staff training, the regrouping of patients, and revising the therapeutic programme. A repeat evaluation then indicated that these changes had significantly improved the ward atmosphere from the perspective of both nurses and patients. It is concluded that this approach holds considerable promise for the implementation of changes in nursing practice.
对护士和患者对医院病房氛围的看法进行的对照评估，既有助于明确问题，也有助于评估在一家精神科日间医院实施的纠正性改变。结果表明，在基线评估时，护士和患者对病房的看法同样不利，包括支持度、参与度、自发性和项目清晰度较低。这一发现随后成为系统性改变的基础，包括员工培训、患者重新分组以及修订治疗方案。再次评估表明，从护士和患者的角度来看，这些改变显著改善了病房氛围。得出的结论是，这种方法在实施护理实践变革方面具有很大的前景。
