Haas S, Gold C
Loyola University, Chicago, IL, USA.
Nurs Econ. 1997 Jan-Feb;15(1):57-9.
It is important to examine the role of supervision in facilitating change and promoting the success of care delivery models using UAP in ambulatory care. Good supervision is a role expectation of all professional nurses, and is especially important in ambulatory settings where patient care objectives and patient diversity and complexity may not be well understood by UAP. The ramifications for nurse executives and managers include ensuring that organized opportunities to learn and be supported in supervision are part of the development of every staff nurse in the ambulatory setting. Sufficient time must be allocated in staffing models so that staff nurses can supervise appropriately. Nurse executives and managers must also assist staff nurses in finding rewards and satisfaction in supervision. Research must be designed to provide a database to assist in decisions about the optimal numbers of UAP that can be effectively used in ambulatory models without compromising patient outcomes. Research is also needed regarding the optimal number of UAP that can be effectively supervised by one staff nurse.
审视监督在促进变革以及推动门诊护理中使用辅助医疗人员（UAP）的护理提供模式取得成功方面所起的作用非常重要。良好的监督是所有专业护士的角色期望，在门诊环境中尤为重要，因为在这种环境下，辅助医疗人员可能无法很好地理解患者护理目标以及患者的多样性和复杂性。对护士管理人员和经理而言，其影响包括确保在门诊环境中，有组织的学习机会以及在监督方面获得支持是每位护士发展的一部分。在人员配备模式中必须分配足够的时间，以便护士能够进行适当的监督。护士管理人员和经理还必须协助护士在监督工作中找到回报和满足感。必须开展研究以提供一个数据库，协助做出关于在不影响患者治疗效果的情况下可在门诊模式中有效使用的辅助医疗人员最佳数量的决策。还需要研究一名护士能够有效监督的辅助医疗人员的最佳数量。
