Fawcett J
Intensive Care Unit, York District Hospital.
Nurs Crit Care. 1998 Mar-Apr;3(2):89-97.
A study was undertaken in a district general hospital intensive care unit in order to bring about an improvement in care plan practice, through the development of the care plan tool being used. Action research, as a research approach, was adopted, with the utilisation of the 'insider' model. Initially, an evaluation of care plan practice was made using a questionnaire. Weak aspects of care plan practice and design problems of the care plan tool itself were identified. Changes were then made to the care plan and introduced after discussion at a focus group meeting. As a result, the care plan tool was changed from an almost complete pre-printed plan, to a non-pre-printed plan, written free hand for each individual patient. Prior to implementation of the revised care plan tool, educational information and ongoing educational support was provided. An evaluation of the revised care plan was then made and the study continues to be an ongoing evaluation of the practice of care planning using the stages of action research.
为了通过改进所使用的护理计划工具来改善护理计划实践，在一家地区综合医院的重症监护病房开展了一项研究。采用行动研究作为研究方法，并运用了“内部人”模式。最初，使用问卷对护理计划实践进行了评估。确定了护理计划实践的薄弱环节以及护理计划工具本身的设计问题。然后对护理计划进行了修改，并在焦点小组会议讨论后引入。结果，护理计划工具从几乎完全预先打印好的计划改为非预先打印的计划，为每个患者手写。在实施修订后的护理计划工具之前，提供了教育信息和持续的教育支持。随后对修订后的护理计划进行了评估，并且该研究继续使用行动研究阶段对护理计划实践进行持续评估。
