Duffy J R, Lemieux K G
Nurs Adm Q. 1995 Fall;20(1):12-23. doi: 10.1097/00006216-199502010-00005.
The traditionally organized, functionally structured nature of hospitals is no longer affordable in today's economic environment. Managed care, the outcomes movement, and changed stakeholders have challenged hospitals to become more patient centered with seamless, streamlined operations. A service line approach focusing on patient populations across a broad continuum of care offers a system that maximizes results. Strong leadership that emphasizes a clear vision of the future, a process-oriented organizational structure, multidisciplinary clinical practice, performance-based management, and broadened roles that emphasize lifelong learning have contributed to the success of the cardiac service at Virginia Heart Center. Nurse managers have taken the lead at this center in achieving superior performance.
在当今的经济环境下，医院传统的组织架构和功能结构已难以维系。管理式医疗、医疗结果运动以及利益相关者的变化，促使医院必须更以患者为中心，实现无缝、高效的运作。一种专注于广泛连续护理过程中患者群体的服务线方法，提供了一个能使成果最大化的系统。弗吉尼亚心脏中心心脏服务的成功得益于强有力的领导，这种领导强调对未来的清晰愿景、面向流程的组织结构、多学科临床实践、基于绩效的管理以及强调终身学习的拓展角色。在该中心，护士长率先实现了卓越绩效。
