Steel J E
AACN Clin Issues Crit Care Nurs. 1994 Feb;5(1):71-6. doi: 10.1097/00044067-199402000-00011.
The focus on advanced practice is now critical, as the nation begins to reform our health care system. President Clinton has called for a plan that incorporates "security, simplicity, savings, choice, quality, and responsibility". These are major efforts for health care providers, including nurses who deliver direct care and designers of these health care systems. The future work of the advanced nurse practitioner evolves from today's practitioners and their vision. Now, nurses in advanced practice can help design and implement systems of the future. The author highlights some of the issues involved in advanced practice, remarking on how advanced practice might be implemented in the critical care setting. The specifics of implementation is the responsibility of specialists in acute care. As a primary care nurse practitioner, the author provides ideas of application and examines some of the barriers to the continuing growth of nursing practice.
随着国家开始改革我们的医疗保健系统，对高级实践的关注现在至关重要。克林顿总统呼吁制定一项包含“安全、简单、节约、选择、质量和责任”的计划。这些对医疗保健提供者来说是重大任务，包括提供直接护理的护士以及这些医疗保健系统的设计者。高级执业护士的未来工作源自当今的从业者及其愿景。如今，高级实践护士可以帮助设计和实施未来的系统。作者强调了高级实践中涉及的一些问题，并论述了在重症监护环境中如何实施高级实践。实施的具体细节由急性护理专家负责。作为一名初级护理执业护士，作者提供了应用思路，并审视了护理实践持续发展的一些障碍。
