Rowell P A, Milholland D K
Department of Nursing Practice, American Nurses Association, Washington, DC, USA.
J Nurs Care Qual. 1998 Apr;12(4):9-13. doi: 10.1097/00001786-199804000-00005.
A major effect of today's emphasis on cost-cutting in health care has been reductions in the numbers and mix of registered nurses (RNs). RNs have increased concerns over patient and practitioner safety and patient care quality. The American Nurses Association (ANA) has a major, multi-phase project addressing these concerns, called Nursing's Safety and Quality Initiative. This initiative encompasses: nursing-sensitive quality indicators, educating staff nurses, researching the impact of skill mix on patient outcomes, political activities, a national database of nursing quality indicators, and liaisons and coalitions. These activities reflects ANA's commitment to patient and nurse safety and the quality of patient care.
如今医疗保健领域强调削减成本的一个主要影响是注册护士（RN）的数量及构成有所减少。注册护士对患者和从业者安全以及患者护理质量的担忧与日俱增。美国护士协会（ANA）有一个针对这些担忧的大型多阶段项目，称为“护理安全与质量倡议”。该倡议包括：护理敏感质量指标、对 staff nurses 进行教育、研究技能组合对患者预后的影响、政治活动、护理质量指标国家数据库以及联络和联盟。这些活动体现了美国护士协会对患者和护士安全以及患者护理质量的承诺。 （注：原文中“staff nurses”直译为“ staff 护士”，在护理领域可能有更准确的中文表述，这里保留英文以便更准确传达原文信息。）
