Vena C, Oldaker S
Nurs Adm Q. 1994 Fall;19(1):66-73. doi: 10.1097/00006216-199401910-00008.
Differentiated practice is a term that has been identified in nursing for years. Nurses today, however, still practice under the old paradigm that disregards preparation and states that "a nurse is a nurse is a nurse." The idea of differentiated practice, which supports the restructuring of nursing roles based on education, experience, and competence, can again be found in recent literature. Current models for differentiated practice and rationales for implementation are reviewed. This article addresses the need to shift from the old paradigm and provides an analysis of the issues central to differentiated practice from two theoretical perspectives: role theory and nursing theory.
差异化实践是护理领域多年来一直存在的一个术语。然而，如今的护士仍在旧的范式下执业，这种范式忽视准备工作，宣称“护士就是护士”。支持根据教育、经验和能力对护理角色进行重组的差异化实践理念，在近期的文献中再次出现。本文回顾了当前差异化实践的模式及实施的基本原理。本文探讨了从旧范式转变的必要性，并从角色理论和护理理论这两个理论视角分析了差异化实践的核心问题。
