Wong S T
University of California, San Francisco, USA.
Clin Nurse Spec. 1998 Jul;12(4):147-51. doi: 10.1097/00002800-199807000-00009.
Nurses have become increasingly interested and involved in the area of outcomes to assure that the patient is represented as more than a composite of physiological variables. The use of outcome measures has helped nurses articulate their unique value and contribution to the well being of patients. Nevertheless, many measures presently used to evaluate an outcome do not identify or acknowledge the unique contribution of nurses. Clinical nurse specialists and other advanced practice nurses must use their "ways of knowing" to develop appropriate measures and outcomes. Through this careful inquiry, nurses will then be equipped to ask "nurse-driven" questions regarding the development of appropriate outcomes and outcome measures and to analyze the models in which care is presently delivered.
护士们对结果领域越来越感兴趣并参与其中，以确保患者不仅仅被视为生理变量的集合。结果测量的使用有助于护士阐明他们对患者福祉的独特价值和贡献。然而，目前许多用于评估结果的测量方法并未识别或认可护士的独特贡献。临床护理专家和其他高级实践护士必须运用他们的“认知方式”来制定合适的测量方法和结果。通过这种细致的探究，护士们将有能力提出关于制定合适结果和结果测量方法的“护士主导”问题，并分析当前提供护理的模式。
