Finn S M, Ahrens S, Dinisco H
Insight. 1994 Oct;19(3):16-8.
The changing economic climate in health care has motivated nurses to clearly define their role and job duties. Ophthalmic nurses, in particular, have to relate to the differences between the skill level of nurses and technicians. Staff nurses asked to define their role in an ambulatory ophthalmic laser center, placed a high priority on patient education as a professional responsibility. Their view is supported by the Joint Commission Accreditation Manual for Hospitals, and is listed as a responsibility for the registered nurse by that agency. The Joint Commission Standards were reviewed, and a review of related theories of learning was conducted. Teaching standards were developed for nine ophthalmic laser procedures. The standards include teaching content and appropriate teaching aids. The goal is to inform patients specifically regarding the laser surgery, and eye health in general. The patient's knowledge base regarding laser surgery is addressed as part of the nursing assessment and documented in the progress note. Information regarding the proposed procedure is provided based on the teaching standard, and the patient's level of understanding is documented in the progress note. Theories of learning as well as individual teaching standards and tools will be presented.
医疗保健领域不断变化的经济形势促使护士们明确界定自己的角色和工作职责。尤其是眼科护士，必须处理好护士与技术人员技能水平之间的差异。当要求在职护士界定他们在门诊眼科激光中心的角色时，他们将患者教育作为一项职业责任置于高度优先的地位。他们的观点得到了《联合委员会医院评审手册》的支持，该机构将患者教育列为注册护士的一项职责。对联合委员会标准进行了审查，并对相关学习理论进行了研究。为九种眼科激光手术制定了教学标准。这些标准包括教学内容和适当的教学辅助工具。目标是让患者具体了解激光手术以及总体的眼部健康状况。作为护理评估的一部分，要了解患者关于激光手术的知识基础，并在病程记录中予以记录。根据教学标准提供有关拟议手术的信息，并在病程记录中记录患者的理解程度。将介绍学习理论以及个人教学标准和工具。
