Wicker P
Br J Theatre Nurs. 1995 Oct;5(7):16-9.
Several key features are emerging about the management situation in the NHS which has an effect, in part, on the way a pre-operative visiting scheme must be introduced. Fewer nurses are being employed Technicians (ODP's) are being trained in ever greater numbers to take over the non-nursing duties of theatre nurses. Managers, even at theatre manager level, are increasingly coming from non nursing, non-medical or non-healthcare backgrounds. Budgets are being devolved down to theatre sister level. Theatre sisters are being downgraded to what was once a senior staff nurse grade. Two of the more significant concerns of managers are 'value for money' and 'quality at a given price'. It is very likely that clinical based nurses will be the ones who are trying to implement a pre-operative visiting system. If so, then they must take these factors into account in order to be successful. This requires an understanding of the management process and how to 'speak the same language' as a manager. The following paper is based on my experiences both in this country and abroad, and upon my perception of how the role of a clinical nurse interacts with the role of manager.
英国国民医疗服务体系（NHS）的管理情况正呈现出几个关键特征，这些特征在一定程度上影响着术前访视计划的推行方式。护士雇佣数量减少，越来越多的技术人员（手术室从业人员）接受培训，以接管手术室护士的非护理工作。管理人员，甚至是手术室护士长级别的管理人员，越来越多地来自非护理、非医疗或非医疗保健背景。预算被下放到手术室护士长层面。手术室护士长的级别被降至曾经的高级护师级别。管理人员的两个更重要的关注点是“性价比”和“给定价格下的质量”。很可能基于临床的护士将是试图实施术前访视系统的人。如果是这样，那么他们必须考虑这些因素才能取得成功。这需要了解管理过程以及如何与管理人员“说同一种语言”。以下论文基于我在国内外的经验，以及我对临床护士角色与管理人员角色如何相互作用的理解。
