Thompson M L, Chambers L G
North Lincoln Hospital, Lincoln City, OR 97367.
Nurs Clin North Am. 1993 Mar;28(1):171-85.
A review of rural-based critical care nursing has demonstrated that quality critical care can be delivered within the constraints of rural practice. The barriers most often found affecting rural care have been described. Proven realistic strategies to these barriers have been delineated. A distinct advantage of rural nursing is the increased amount of change and influence a single nurse can have on the community health care system. The rural nurse manager has the opportunity to create a critical care nursing service with high levels of accountability, that can quickly respond to change, and that produces quality patient care. By accomplishing these goals, rural critical care nurses will leave a meaningful legacy of enhanced lives and improved health for their rural communities.
一项关于农村重症护理的综述表明，在农村医疗实践的限制条件下，也能够提供高质量的重症护理。文中描述了最常发现的影响农村护理的障碍，并阐述了针对这些障碍的切实可行的策略。农村护理的一个显著优势是，单个护士能够对社区医疗系统产生更大的改变和影响。农村护士管理者有机会创建一个具有高度责任感的重症护理服务体系，该体系能够快速应对变化，并提供高质量的患者护理。通过实现这些目标，农村重症护理护士将为其农村社区留下一份意义深远的遗产，即提升居民生活质量、改善居民健康状况。
