Ferrell B R, Jacox A, Miaskowski C, Paice J A, Hester N O
City of Hope National Medical Center in Duarte, CA.
Oncol Nurs Forum. 1994 Aug;21(7):1229-31.
Addressing the what, who, when, where, and how of implementing the AHCPR guidelines is an attempt to simplify what may be an overwhelming process. Use the suggestions presented in Figure 1 to formulate an action plan, and remember to assign a time frame and individual accountability. The commitment to moving the guidelines from the bookshelf to the bedside begins now. Using a process such as this will assist efforts to improve care of patients in pain. It is our hope that a year from now the copy of the AHCPR cancer pain guidelines on your shelf will not be covered with dust but rather will be a well-worn text translated to practice.
阐述实施AHCPR指南的内容、对象、时间、地点及方式,是为了简化这一可能让人应接不暇的过程。利用图1中给出的建议制定一份行动计划,并记住要设定一个时间框架和明确个人责任。将这些指南从书架应用到床边的工作现在就开始。采用这样的流程将有助于努力改善对疼痛患者的护理。我们希望一年后,你书架上的那份AHCPR癌症疼痛指南不是布满灰尘,而是成为一份因付诸实践而被翻旧的文本。