Russo J M, Lancaster D R
Keddy Group Management Consultation Firm, Sterling, MA, USA.
J Nurs Adm. 1995 Sep;25(9):51-7. doi: 10.1097/00005110-199509000-00010.
Although the popularity of unlicensed assistive personnel (UAP) models is evident by their implementation across the country, there has been very little scientifically based evaluation of their effectiveness. To facilitate better program evaluation, the authors review the current literature and outline a variety of data elements essential to effective UAP model evaluation. Major concepts that are addressed include program cost-effectiveness, customer satisfaction, patient outcomes, and evaluation of the success of both the training and implementation processes. Research questions that are pertinent to the model and need investigation also are presented. It is only through more thorough program evaluations that nurse executives can make informed decisions regarding the outcomes of care delivery restructuring efforts.
尽管无执照辅助人员（UAP）模式在全国范围内的实施表明其颇受欢迎，但对其有效性进行的基于科学的评估却非常少。为便于进行更好的项目评估，作者回顾了当前的文献，并概述了有效评估UAP模式所必需的各种数据要素。所涉及的主要概念包括项目成本效益、客户满意度、患者结局以及对培训和实施过程成功与否的评估。还提出了与该模式相关且需要调查的研究问题。只有通过更全面的项目评估，护士管理人员才能就护理服务重组工作的成果做出明智的决策。
