Chimner N E, Easterling A
Rehabil Nurs. 1993 Jul-Aug;18(4):226-30. doi: 10.1002/j.2048-7940.1993.tb00759.x.
A 528-bed community teaching hospital redesigned its patient care delivery system, implementing a collaborative practice model on the 30-bed inpatient rehabilitation unit in April 1990. This model is a patient-centered delivery model that encourages the healthcare team to facilitate the achievement of patient outcomes within effective time frames and with an appropriate use of resources. The collaborative practice model includes a nurse case manager's role for the staff nurse, which had as its frame-work the concept of nursing case management. Tested project management techniques were used to ensure a successful implementation process. Various strategies, such as using project teams and providing educational programs, were used to respond to the issues of role conflict and overlap, especially between social workers and nurse case managers. The implementation of this model provided a number of benefits, including improved interdisciplinary relationships and decreased length of stay.
一家拥有528张床位的社区教学医院重新设计了其患者护理提供系统，并于1990年4月在拥有30张床位的住院康复科实施了协作实践模式。该模式是以患者为中心的护理模式，鼓励医疗团队在有效的时间范围内并合理利用资源的情况下促进患者达到预期治疗效果。协作实践模式为护士配备了护士个案管理员的角色，其框架为护理个案管理的概念。采用了经过检验的项目管理技术以确保实施过程顺利。运用了各种策略，如组建项目团队和提供教育项目，来应对角色冲突和重叠问题，尤其是社会工作者与护士个案管理员之间的此类问题。该模式的实施带来了诸多益处，包括改善了跨学科关系以及缩短了住院时间。
