Nardone P L, Markie J W, Tolle S
North Memorial Medical Center, Robbinsdale, Minnesota, USA.
J Nurs Care Qual. 1995 Oct;10(1):70-84. doi: 10.1097/00001786-199510010-00011.
The goal to develop and implement a new model of nursing care delivery grew out of administrative and shared governance initiatives to improve the quality of nursing care. This evaluative study used both quantitative and qualitative methods. Seven principles related to quality were identified and became the driving force behind the changes. Aspects of these changes in care delivery were piloted on a neurological unit and included implementation of collaborative rounds, a modular structure, role changes, and work redesign. Frequency distribution, questionnaire, focus group, and financial data indicated that there had been improvement in the delivery of care in addition to financial benefits. A considerable amount of the data provided evidence that supported continuing the changes.
开发并实施一种新的护理服务模式的目标源自行政和共同治理举措，旨在提高护理质量。这项评估研究采用了定量和定性方法。确定了与质量相关的七项原则，这些原则成为变革背后的驱动力。护理服务这些变革的方面在一个神经科病房进行了试点，包括实施协作查房、模块化结构、角色转变和工作重新设计。频率分布、问卷调查、焦点小组和财务数据表明，除了经济效益外，护理服务也有所改善。大量数据提供了支持继续推进这些变革的证据。
