Goldman B D
Kendal Corporation, Kennett Square, Pennsylvania 19348, USA.
J Gerontol Nurs. 1998 Sep;24(9):29-34. doi: 10.3928/0098-9134-19980901-11.
Regardless of the primary care model used in the long-term care facility, each of the three approaches offers quality care improvement and greater consistency for residents at reduced costs. Of the three, an all licensed nursing staff model could best meet the higher acuity levels of residents and the disintegrating availability of qualified nursing assistants. If nurses are unable to "sell" this model to administration, it may be helpful to pilot the concept one one unit for a period of time and compare resident, family, and staff satisfaction with that of a similar unit. Also, it is critical to compare the financial implications, including cost per resident per day and rate of staff turnover, to weigh the model's effectiveness. This small sampling of five facilities indicates the average cost per resident per day is $10 less when using either the primary team or all licensed staff models than in facilities of comparable size. Hospitals have already passed the time when they have had to work smarter, leaner, and more efficiently. Can long-term care facilities afford not to do the same?
无论长期护理机构采用何种初级护理模式，这三种方法中的每一种都能在降低成本的同时，为居民提供质量更高的护理服务，并提高护理的一致性。在这三种模式中，全持牌护理人员模式最能满足居民更高的护理需求以及合格护理助理日益减少的可获得性。如果护士无法向管理层“推销”这种模式，不妨在一个单元内试行一段时间，然后将该单元的居民、家属和工作人员的满意度与类似单元进行比较。此外，比较财务影响（包括每位居民每天的成本和员工流动率）以衡量该模式的有效性也至关重要。对五家机构的这个小样本调查表明，使用初级护理团队或全持牌员工模式时，每位居民每天的平均成本比同等规模的机构低10美元。医院早已过了必须更明智、更精简、更高效地运营的阶段。长期护理机构难道还能负担不起这样做吗？
