Wright S G
European Nursing Development Agency, United Kingdom.
Int J Nurs Pract. 1996 Sep;2(3):142-8. doi: 10.1111/j.1440-172x.1996.tb00040.x.
This paper examines some of the strategies that can be used to produce change in nursing. These strategies range from the power-coercive through rational-empirical to the normative-re-educative. Strategies that promote a 'bottom-up' approach are advocated for clinical nursing and some of the principal factors towards success, such as team building, the presence of a clinical leader and planning are indicated. The paper will also expand on what needs to be changed in nursing, and what the purpose of such changes are. It is argued that externally focused efforts of change, such as the organization of care or new practices are only part of the picture. The journey of change also requires an inner exploration of who we are and what are we seeking to achieve in nursing.
本文探讨了一些可用于推动护理领域变革的策略。这些策略涵盖了从权力强制型到理性实证型，再到规范再教育型的范围。文中倡导在临床护理中采用“自下而上”的方法，并指出了取得成功的一些主要因素，如团队建设、临床领导者的存在以及规划。本文还将详细阐述护理领域需要改变的内容以及此类变革的目的。有人认为，诸如护理组织或新实践等外部聚焦的变革努力只是其中一部分。变革之旅还需要对我们自身是谁以及我们在护理工作中想要实现什么进行内在探索。
