Aiken L H
Am J Nurs. 1981 Feb;81(2):324-30.
It is clear that the two institutions where nurses play a critical role--hospitals and nursing homes--are experiencing major problems. Patients in these institutions are not receiving the full benefits of the best health care America has to offer. Organized nursing has the opportunity and capacity to resolve these difficulties and in the process improve both patient care and the importance of our profession. The time is right for change. To date, nursing has not taken on this difficult leadership task. I believe we will remain dependent on other professions unless we take on significant responsibilities for resolving the problems facing these two institutions. The GMENAC report on health manpower suggests that out profession should not rely on others for public policy recommendations which will affect our future. Nursing has greater respect and national visibility than ever before. Within this decade, nursing has the potential ability to help resolve the crisis affecting these two institutions. The future of the nation's hospitals, nursing homes, those for whom we care, and of the nursing profession may depend upon how we respond to these two challenges in the years ahead.
很明显，护士发挥关键作用的两个机构——医院和疗养院——正面临重大问题。这些机构中的患者并未充分受益于美国所能提供的最佳医疗保健服务。有组织的护理行业有机会也有能力解决这些难题，并在此过程中改善患者护理以及提升我们职业的重要性。变革的时机已经成熟。迄今为止，护理行业尚未承担起这项艰巨的领导任务。我认为，除非我们承担起解决这两个机构所面临问题的重大责任，否则我们将继续依赖其他行业。GMENAC关于卫生人力的报告表明，我们的行业不应依赖他人提供将影响我们未来的公共政策建议。护理行业比以往任何时候都更受尊重，在全国的知名度也更高。在这十年内，护理行业有潜在能力帮助解决影响这两个机构的危机。国家医院、疗养院的未来，我们所护理的对象的未来，以及护理行业的未来，可能都取决于我们在未来几年如何应对这两项挑战。
