Glen S
School of Nursing and Midwifery, University of Dundee, Ninewells, UK.
Nurs Ethics. 1998 Jan;5(1):36-42. doi: 10.1177/096973309800500105.
The question of how to improve the quality of nursing care is quite properly perceived to be at the heart of the contemporary nursing debate. Yet it is not clear what quality in health care is; nor is it clear what quality nursing care is. This article will explore why quality issues are such a matter of concern in public and political debate and how different concepts of quality determine different definitions of nursing. The former definitions constitute a developmental continuum of nursing from minimally acceptable levels of competence to excellence. It is argued that the quality of nursing cannot be assessed in terms of performance referenced criteria, but only in terms of the personal qualities displayed in the performance. The key to improvement in practice may be the improvement of emotional and motivational tendencies. In essence, professional development implies personal development.
如何提高护理质量的问题被恰当地视为当代护理辩论的核心。然而，医疗保健中的质量是什么并不明确；护理质量是什么也不明确。本文将探讨为什么质量问题在公众和政治辩论中如此受关注，以及不同的质量概念如何决定对护理的不同定义。以前的定义构成了护理从最低可接受的能力水平到卓越水平的发展连续体。有人认为，护理质量不能根据绩效参考标准来评估，而只能根据绩效中展现的个人品质来评估。实践改进的关键可能在于改善情感和动机倾向。从本质上讲，专业发展意味着个人发展。
