一个路线图,制定一个决策权力框架,用于使用问责制网的专业治理
Kirsten Wisner1, Aubree Collins, Tim Porter-O'Grady
1Author Affiliations: Magnet Program Director (Dr Wisner), and Clinical Nurse (Collins), Labor and Delivery, Salinas Valley Health, California; Senior Partner (Dr Porter-O'Grady), Health Systems, TPOG Associates, LLC, Tucson, Arizona and Atlanta, Georgia, and Clinical Professor, Emory University, School of Nursing, Atlanta, Georgia.
The Journal of nursing administration
|January 16, 2024
概括
本研究概述了护理专业治理的框架,通过为直接护理护士,护士领导者和护士高管建立明确的问责制和决策权.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 组织治理 组织治理
背景情况:
- 关于定义护士对临床实践所有权的决策权限的指导意见有限.
- 护理领导者在专业治理中的作用需要进一步澄清.
- 现有的资源集中在结构和流程上,而不是权威的合法化.
研究的目的:
- 介绍创建和实施问责制网的路线图.
- 为临床护士,护士领导者和护士高管界定明确的权力.
- 建立专业治理的决策权力框架.
主要方法:
- 为不同的护理角色开发问责制网格.
- 在网格中划分特定的决策权力机构.
- 在单一医疗保健组织内实施.
主要成果:
- 为专业治理创建了一个结构化的框架.
- 对各级护士建立了明确的权威范围.
- 问责制网格促进了护士对临床实践的拥有权.
结论:
- 拟议的框架支持加强护理领域的专业治理.
- 清晰定义的权威赋予护士和护理领导者权力.
- 该模型为组织实施提供了一种实际的方法.
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