Thompson D R
Intensive Crit Care Nurs. 1994 Dec;10(4):293-8. doi: 10.1016/0964-3397(94)90039-6.
I visited four centres of clinical cardiac care and rehabilitation to examine, compare and discuss the development of nursing research and practice and the application of this knowledge to patients and their families after a heart attack or cardiac surgery. The key areas examined were the organisation of services, specific interventions, and outcome and evaluation criteria. American care and rehabilitation services generally appear to be more directed towards the family and involve a wide range of health professionals from different disciplines. The systems, when compared to their British counterparts, are more structured in terms of organisation, coordination and evaluation, and are more geared towards cost-containment, effectiveness and efficiency. However, although British systems are increasingly emulating the American ones, they are in many respects more innovative, flexible and tailored to individual needs.
我走访了四个临床心脏护理与康复中心，以检查、比较并讨论护理研究与实践的发展情况，以及这些知识在心脏病发作或心脏手术后应用于患者及其家属的情况。所考察的关键领域包括服务组织、具体干预措施以及结果与评估标准。美国的护理与康复服务总体上似乎更注重家庭，涉及来自不同学科的广泛医疗专业人员。与英国的同类系统相比，美国的系统在组织、协调和评估方面更具结构性，并且更倾向于控制成本、提高有效性和效率。然而，尽管英国的系统越来越多地效仿美国的系统，但在许多方面，英国的系统更具创新性、灵活性且更能满足个体需求。
