Mueller Christine A, Alexander Gregory L, Ersek Mary, Ferrell Betty R, Rantz Marilyn J, Travers Jasmine L
University of Minnesota School of Nursing, Minneapolis, MN.
Columbia University School of Nursing, New York City, NY.
Nurs Outlook. 2023 Jan-Feb;71(1):101897. doi: 10.1016/j.outlook.2022.11.001. Epub 2023 Jan 6.
For a number of decades, nurses have raised concerns about nursing-related issues in nursing homes (NH) such as inadequate registered nurse (RN) staffing, insufficient RN and advanced practice registered nurse (APRN) gerontological expertise, and lack of RN leadership competencies. The NASEM Committee on the Quality of Care in Nursing Homes illuminated the long-standing issues and concerns affecting the quality of care in nursing homes and proposed seven goals and associated recommendations intended to achieve the Committee's vision: Nursing home residents receive care in a safe environment that honors their values and preferences, addresses goals of care, promotes equity, and assesses the benefits and risks of care and treatments. This paper outlines concrete and specific actions nurses and nursing organizations can take to ensure the recommendations are implemented.
几十年来,护士们一直对养老院中与护理相关的问题表示担忧,比如注册护士(RN)人员配备不足、注册护士和高级实践注册护士(APRN)缺乏老年护理专业知识以及注册护士缺乏领导能力。美国国家医学院(NASEM)养老院护理质量委员会阐明了影响养老院护理质量的长期问题和担忧,并提出了七个目标及相关建议,旨在实现委员会的愿景:养老院居民在安全的环境中接受护理,这种环境尊重他们的价值观和偏好,解决护理目标,促进公平,并评估护理和治疗的益处与风险。本文概述了护士及护理组织为确保这些建议得到实施可以采取的具体行动。