在养老院的RN - - 它并不总是关于数字
Christine A Mueller1, Barbara J Bowers2, Ann M Kolanowski3
1School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA.
Journal of the American Geriatrics Society
|March 29, 2024
概括
在养老院实施基于证据的注册护士 (RN) 人员标准至关重要. 为了最大限度地提高每位住院医生每天的RN小时 (HPRD),需要扩大RN的实践范围,并优化护理交付模式,以获得更好的住院医生结果.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 老年学是指老年学的学科.
背景情况:
- 较高的注册护士 (RN) 与居民比率与改善的养老院健康结果有关.
- 目前对每住院人每天的RN小时 (HPRD) 的关注可能无法完全捕捉影响护理质量的因素.
- 需要对RN人员配置有一个更广泛的视角,以实现增加人员配置的全部好处.
研究的目的:
- 概述在养老院最大限度地提高RN HPRD的策略.
- 探索如何扩大RN实践范围和优化护理组织可以提高质量.
- 提出护理实践模型框架,以改善RN角色和住院护理.
主要方法:
- 这篇文章提出了一个护理实践模型框架.
- 这个框架强调放大RN的实践范围.
- 它还专注于在养老院内组织和提供护理服务.
主要成果:
- 拟议的框架加强了RN的问责制.
- 它有助于护理人员的集体决策.
- 它改善了居民的信息和护理提供者的连续性.
结论:
- 实现RN HPRD最大化不仅仅是增加工作时间;它需要优化RN角色和护理交付.
- 一个全面的护理实践模型可以利用RN在老年学和领导方面的专业知识.
- 这种方法对于提高养老院护理质量至关重要.
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