Salmond S W
Orthop Nurs. 1995 Nov-Dec;14(6):47-58. doi: 10.1097/00006416-199511000-00010.
This article describes the results of a NAON-funded descriptive design research project developed to gather data on how clinical nursing assistants are being used in the practice setting by examining the role responsibilities, extent of delegation, training effectiveness, and evaluation measures designed by agencies to evaluate the effectiveness of this model of care. Fifty-three hospitals from 31 states participated in the investigation, with 53 nurses managers, 620 staff nurses, and 305 nursing assistants responding to questionnaires. Overall results indicated that models of care using unlicensed assistive personnel are not working. Primary impediments were identified as lack of role clarity, ineffective educational preparation of nursing assistants, ineffective educational preparation of staff nurses, lack of an adequate infrastructure to support the model, and lack of evaluation systems.
本文介绍了一项由美国国家眼科护理协会（NAON）资助的描述性设计研究项目的结果。该项目旨在通过考察临床护理助理在实践环境中的角色职责、授权范围、培训效果以及机构设计的评估措施，来收集关于临床护理助理如何被使用的数据，以评估这种护理模式的有效性。来自31个州的53家医院参与了此次调查，53名护士管理人员、620名注册护士和305名护理助理对问卷进行了回复。总体结果表明，使用无执照辅助人员的护理模式效果不佳。主要障碍被确定为角色不明确、护理助理的教育培训无效、注册护士的教育培训无效、缺乏支持该模式的适当基础设施以及缺乏评估系统。
