Maas M L
University of Iowa College of Nursing, Iowa City.
Nurs Clin North Am. 1987 Dec;22(4):881-6.
The effective use of nursing diagnosis is facilitated by an organizational structure that accommodates nursing professional autonomy and accountability. Nurse executives who plan for the implementation of nursing diagnosis should expect nurses to develop as an autonomous and accountable collective. There should be shared leadership to achieve mutual goals, make decisions about nursing practice, socialize its members, build and maintain effective communication processes, and use the process of change to effect and maintain the model of practice. When these structures and processes compose the organizational milieu, nursing diagnoses will be used and will promote the further development of nurses as autonomous and accountable professionals who develop and use knowledge to deliver quality client care.
一种能够容纳护理专业自主性和问责制的组织结构有助于护理诊断的有效应用。计划实施护理诊断的护士管理人员应期望护士发展成为一个自主且有问责能力的群体。应通过共享领导来实现共同目标、就护理实践做出决策、使成员融入群体、建立并维持有效的沟通流程，以及利用变革过程来实现并维持实践模式。当这些结构和流程构成组织环境时，护理诊断将得到应用，并将促进护士进一步发展成为自主且有问责能力的专业人员，他们运用知识为患者提供高质量护理。
