护理专业实践

,赵文,护理专业实践的未来-美国斯坦福护理专业实践模型,美国加利福尼亚帕洛阿尔托斯坦福医学中心,大事记：1858-在旧金山成立医学院 1891-创办斯坦福大学 1895-设立护理学院 1959-医学院搬离旧金山 1968-斯坦福医院并入斯坦福大学 1968-完成美国首例成人心脏移植 1981-完成世界首例心肺联合移植 1988-Lucile Packard儿童医院动工 1974-斯坦福护理学院最后一名护士毕业 1993-斯坦福门诊开放 1994-斯坦福大学附属医院和斯坦福大学门诊部合并组建斯坦福健康服务中心 2004-斯坦福癌症中心大楼建成 2012-总住院天数-25164 门诊病人643806 急诊病人-53908,认证,Magnet Status(美国护理认证中心，ANCC)Beacon奖（美国急救护理学会，AACN)继续教育和职业发展认证中心（ANCC)NICHE认证医院（老人健康护理改善体系）一级创伤中心（美国外科医师协会，ACS)儿科一级创伤中心（ACS）急诊科因卓越表现获得Lantern奖（急救护理协会）,怎样提高护理参与度和病人满意度,背景斯坦福护理历史悠久，成绩卓越。然而，我们针对护理的调查表明，她们更多地想参与到护理的管理，改善病人的预后中去。病人满意度调查显示，病人总体是满意的，但是在满足病人要求时我们还可以在以下方面做得更好。呼叫器的应答让他们清楚出院计划满足他们的个人要求效果护理领导意识到员工的参与度可以通过共同管理，创造专业实践模型来改善。患者希望多参与到护理工作中，因此我们成立了患者咨询委员会来建议医院如何处理患者的建议。制定了标准版的护理制度。,怎样改变护理实践,护士们需要参与到做决定的过程中来改变护理实践斯坦福用分享管理的模式通过了Magnet认证.倾听患者的诉求，让我们在做决定时始终以患者为中心。通过角色练习营造专业责任制，让我们迎接护理实践的挑战，达到良好的结果。,护理专业实践模型,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING 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ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO DIACOVER,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO EDUCTAE,TO DIACOVER,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO CARE,TO EDUCTAE,TO DIACOVER,PROFESSIONAL DEVELOPMENT,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL NURSING ROLE,SHARED COVERNANCE,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL DEVELOPMENT,SHARED COVERNANCE,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL NURSING ROLE,PROFESSIONAL DEVELOPMENT,SHARED 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ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO DIACOVER,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE 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ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL NURSING ROLE,PROFESSIONAL DEVELOPMENT,SHARED COVERNANCE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO DIACOVER,PROFESSIONAL NURSING ROLE,PROFESSIONAL DEVELOPMENT,SHARED COVERNANCE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,护理专业实践模型,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED 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COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO CARE,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL 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COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,SHARED COVERNANCE,PROFESSIONAL DEVELOPMENT,PROFESSIONAL NURSING ROLE,CARE DELIVERV A CLINICAL PRACTICE,EDUCATION A RESEARCH,COLLABORATIVE ENVIRONMENT,HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK,TO EDUCTAE,TO DIACOVER,TO CARE,TO EDUCTAE,TO DIACOVER,TO CARE,TO EDUCTAE,TO DIACOVER,TO CARE,TO CARE,护理专业实践模型,信念、价值、理论以及系统贯穿于斯坦福护理实践始终。对所有的护士来说，此模型是“活的”，所以她们可以用利己利人的方式描述它。用这种模型可以保证护理实践和组织是一致的。它预示着我们将来在护理实践中扮演的角色。我们的宗旨围绕在上面，价值放在下面，以一种强劲的拥抱聚在一起实践的要素包括：传递关爱，临床实践专业的护理角色共同管理平的环境教育、研究,Magnet认证,背景美国护理认证中心的Magnet认证项目，是对那些提供卓越护理实践，具有典范作用的健康组织的一种认可。效果包括从Magent项目中挑选40名Magnet冠军，35名Magnet设计成员，以及超过60名的内容贡献者组成多学科参与的团队，最后形成大约3700页的文件重新提交。斯坦福是全美372所注册医院中获得ANCC Magnet认证的6.5%中的一员。Magnet医院有更高的满意护士比例，低的护士流动性和空闲率，更好的临床预后和患者满意度。,ORourke病人关怀模型,临床实践,标准化管理,标准化教学