设计先进实践的理想办公室:将劳动力卓越与系统目标相结合
1Author Affiliation: Associate Dean, Strategic Partnerships and Global Affairs, Vanderbilt University School of Nursing, Nashville, Tennessee.
The Journal of nursing administration
|March 27, 2025
概括
先进实践办公室 (OAP) 集中支持先进实践提供者 (APRNs),提高患者护理和运营效率. 这种基础设施优化了APRN的劳动力,与机构目标保持一致.
科学领域:
- 医疗保健管理部门的管理.
- 高级实践护理高级实践护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 分碎的流程和有限的系统支持阻碍了高级实践注册护士 (APRNs) 的全部潜力,尽管它们对患者护理的影响很大.
- 十多年前,在范德比尔特大学医学中心 (VUMC) 确定了对中央基础设施的需求,以支持和赋予APRN工作人员权力.
研究的目的:
- 检查一个精心设计的先进实践办公室 (OAP) 的框架和可衡量的影响.
- 为APRN和行政领导层展示集中式OAP的价值.
主要方法:
- 在VUMC建立先进实践办公室 (OAP).
- 在OAP中集中高级实践领导,认证和专业发展功能.
- 评估OAP对运营效率,患者结果和劳动力战略的影响.
主要成果:
- OAP已经成为APRN员工和VUMC的重要资源.
- 提高运营效率和改善患者的结果归因于OAP.
- 员工战略与组织目标的调整,由OAP促进.
结论:
- 设计好的OAP对于最大限度地发挥APRN的潜力至关重要.
- 该OAP为先进实践提供商和执行领导层提供了重要的价值.
- 集中式支持结构提高了APRN在医疗机构中的有效性和整合.
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