TPOG Associates, LLC, Atlanta, Georgia (Dr Porter-O'Grady); Emory University, School of Nursing, Atlanta, Georgia (Drs Porter-O'Grady and Pappas); and Emory Healthcare, Atlanta, Georgia (Dr Pappas).
Nurs Adm Q. 2024;48(4):264-274. doi: 10.1097/NAQ.0000000000000610. Epub 2024 Aug 30.
Nursing has always been a cost for the institutions within which nurses work. This fact has influenced almost everything that affects how nurses are utilized and valued. As a cost, nurses are closely managed on the margin, always constrained by the resource machinations of organizations and systems with little determination or enumeration of the contributions nurses make to the service and financial value represented by algorithms and metrics that enumerate and demonstrate nurse's impact and contribution to service and financial value. This article further pushes the boundaries of this circumstance, challenging nurse and health leaders to reconceptualize nursing contribution and recalibrate the determination and calculation of nursing value as a sustainable baseline for nursing leadership for the future.
护理一直是护士所在机构的一项成本。这一事实几乎影响到了所有影响护士利用和价值的因素。作为一种成本,护士在边缘上被严格管理,总是受到组织和系统资源策略的限制,而很少确定或列举护士对服务和财务价值的贡献,这些贡献由算法和指标来衡量和展示。本文进一步推动了这种情况的发展,挑战护士和卫生领导人重新构想护理贡献,并重新调整护理价值的确定和计算,作为未来护理领导的可持续基准。