護(hù)理專業(yè)實(shí)踐

1、趙文護(hù)理專業(yè)實(shí)踐的未來(lái)-美國(guó)(mi u)斯坦福護(hù)理專業(yè)實(shí)踐模型共二十三頁(yè)美國(guó)(mi u)加利福尼亞帕洛阿爾托斯坦福醫(yī)學(xué)中心大事記：1858-在舊金山成立醫(yī)學(xué)院 1891-創(chuàng)辦斯坦福大學(xué) 1895-設(shè)立護(hù)理學(xué)院 1959-醫(yī)學(xué)院搬離舊金山 1968-斯坦福醫(yī)院并入斯坦福大學(xué) 1968-完成美國(guó)首例成人心臟移植 1981-完成世界首例心肺聯(lián)合移植 1988-Lucile Packard兒童醫(yī)院動(dòng)工 1974-斯坦福護(hù)理學(xué)院最后一名護(hù)士畢業(yè) 1993-斯坦福門診(mnzhn)開(kāi)放 1994-斯坦福大學(xué)附屬醫(yī)院和斯坦福大學(xué)門診部合并組建斯坦福健康服務(wù)中心 2004-斯坦福癌癥中心大樓建成 2012-總

2、住院天數(shù)-25164 門診病人643806 急診病人-53908共二十三頁(yè)認(rèn)證(rnzhng)Magnet Status(美國(guó)(mi u)護(hù)理認(rèn)證中心，ANCC)Beacon獎(jiǎng)（美國(guó)急救護(hù)理學(xué)會(huì)，AACN)繼續(xù)教育和職業(yè)發(fā)展認(rèn)證中心（ANCC)NICHE認(rèn)證醫(yī)院（老人健康護(hù)理改善體系）一級(jí)創(chuàng)傷中心（美國(guó)外科醫(yī)師協(xié)會(huì)，ACS)兒科一級(jí)創(chuàng)傷中心（ACS）急診科因卓越表現(xiàn)獲得Lantern獎(jiǎng)（急救護(hù)理協(xié)會(huì)）共二十三頁(yè)怎樣提高(t go)護(hù)理參與度和病人滿意度背景斯坦福護(hù)理歷史悠久，成績(jī)卓越。然而，我們針對(duì)護(hù)理的調(diào)查表明，她們更多地想?yún)⑴c到護(hù)理的管理，改善病人的預(yù)后中去。病人滿意度調(diào)查顯示，病人總體是

3、滿意的，但是在滿足病人要求(yoqi)時(shí)我們還可以在以下方面做得更好。呼叫器的應(yīng)答讓他們清楚出院計(jì)劃滿足他們的個(gè)人要求效果護(hù)理領(lǐng)導(dǎo)意識(shí)到員工的參與度可以通過(guò)共同管理，創(chuàng)造專業(yè)實(shí)踐模型來(lái)改善?；颊呦Ｍ鄥⑴c到護(hù)理工作中，因此我們成立了患者咨詢委員會(huì)來(lái)建議醫(yī)院如何處理患者的建議。制定了標(biāo)準(zhǔn)版的護(hù)理制度。共二十三頁(yè)怎樣改變護(hù)理(hl)實(shí)踐護(hù)士們需要參與到做決定的過(guò)程中來(lái)改變護(hù)理(hl)實(shí)踐斯坦福用分享管理的模式通過(guò)了Magnet認(rèn)證.傾聽(tīng)患者的訴求，讓我們?cè)谧鰶Q定時(shí)始終以患者為中心。通過(guò)角色練習(xí)營(yíng)造專業(yè)責(zé)任制，讓我們迎接護(hù)理實(shí)踐的挑戰(zhàn)，達(dá)到良好的結(jié)果。共二十三頁(yè)護(hù)理專業(yè)(zhuny)實(shí)踐模型CARE

4、 DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO CARETO DIACOVERHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHE

5、SPECTTEAMWORKEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONEST

6、YEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRON

7、MENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO DIACOVERSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING

8、 ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO DIACOVERSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCEL

9、LENCEADVOCACYHESPECTTEAMWORKTO CARETO EDUCTAETO DIACOVERPROFESSIONAL DEVELOPMENTCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLESHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKHONESTYEXCELLENCEADV

10、OCACYHESPECTTEAMWORKSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLEPROFESSIONA

11、L DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKEDUCATION A RESEARCHCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL

12、DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCOLLABORATIVE ENVIRONMENTEDUCATION A RESEARCHCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO DIACOVERCOLLABORATIVE ENVIRONMENTEDUCATION A

13、RESEARCHCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO DIACOVERCOLLABORATIVE ENVIRONMENTEDUCATION A RESEARCHCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARE

14、D COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO CARETO EDUCTAETO DIACOVERCOLLABORATIVE ENVIRONMENTEDUCATION A RESEARCHCARE DELIVERV A CLINICAL PRACTICEPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKHONESTYEXCELLENCEADVOCACYHESPECTTEAM

15、WORKHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTSHARED COVERNANCEHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK護(hù)理(hl)專業(yè)實(shí)踐模型HONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKE

16、DUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRO

17、NMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINIC

18、AL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPRO

19、FESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO DIACOVERSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLAB

20、ORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO CARECOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONEST

21、YEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTSHARED COVERNANCECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCEL

22、LENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCECARE DELIVERV A CLINIC

23、AL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO DIACOVERPROFESSIO

24、NAL NURSING ROLEPROFESSIONAL DEVELOPMENTSHARED COVERNANCECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORK護(hù)理專業(yè)實(shí)踐模型EDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTIC

25、EEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINIC

26、AL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPRO

27、FESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENV

28、IRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO DIACOVERSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NUR

29、SING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO DIACOVERSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYE

30、XCELLENCEADVOCACYHESPECTTEAMWORKTO CAREHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSI

31、NG ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED C

32、OVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLA

33、BORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NU

34、RSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKCARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRAC

35、TICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPRO

36、FESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENC

37、EADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKSHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL P

38、RACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO DIACOVERTO CARESHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAM

39、WORKTO EDUCTAETO DIACOVERTO CARETO EDUCTAETO DIACOVERTO CARETO CARESHARED COVERNANCEPROFESSIONAL DEVELOPMENTPROFESSIONAL NURSING ROLECARE DELIVERV A CLINICAL PRACTICEEDUCATION A RESEARCHCOLLABORATIVE ENVIRONMENTHONESTYEXCELLENCEADVOCACYHESPECTTEAMWORKTO EDUCTAETO DISCOVERTO CARE共二十三頁(yè)護(hù)理專業(yè)實(shí)踐(shjin)模型信

40、念、價(jià)值、理論以及系統(tǒng)貫穿于斯坦福護(hù)理實(shí)踐始終。對(duì)所有的護(hù)士來(lái)說(shuō)，此模型是“活的”，所以她們可以用利己利人的方式描述它。用這種模型可以保證護(hù)理實(shí)踐和組織是一致的。它預(yù)示(ysh)著我們將來(lái)在護(hù)理實(shí)踐中扮演的角色。我們的宗旨圍繞在上面，價(jià)值放在下面，以一種強(qiáng)勁的擁抱聚在一起實(shí)踐的要素包括：傳遞關(guān)愛(ài)，臨床實(shí)踐專業(yè)的護(hù)理角色共同管理平的環(huán)境教育、研究共二十三頁(yè)Magnet認(rèn)證(rnzhng)背景美國(guó)護(hù)理認(rèn)證中心的Magnet認(rèn)證項(xiàng)目，是對(duì)那些提供卓越護(hù)理實(shí)踐，具有典范作用的健康組織的一種認(rèn)可。效果包括從Magent項(xiàng)目中挑選40名Magnet冠軍，35名Magnet設(shè)計(jì)成員，以及超過(guò)60名的內(nèi)容貢獻(xiàn)

41、者組成多學(xué)科參與的團(tuán)隊(duì)，最后形成大約3700頁(yè)的文件(wnjin)重新提交。斯坦福是全美372所注冊(cè)醫(yī)院中獲得ANCC Magnet認(rèn)證的6.5%中的一員。Magnet醫(yī)院有更高的滿意護(hù)士比例，低的護(hù)士流動(dòng)性和空閑率，更好的臨床預(yù)后和患者滿意度。共二十三頁(yè)ORourke病人關(guān)懷(gunhui)模型臨床實(shí)踐標(biāo)準(zhǔn)化管理(gunl)標(biāo)準(zhǔn)化教學(xué)標(biāo)準(zhǔn)化執(zhí)行管理實(shí)踐病人關(guān)懷模型實(shí)踐演練共二十三頁(yè)熟悉(shx)的角色練習(xí)背景重新調(diào)整專業(yè)護(hù)理的期望，將護(hù)理實(shí)踐(shjin)從以任務(wù)為主向以角色為導(dǎo)向轉(zhuǎn)變。我們讓護(hù)士參加多周項(xiàng)目，對(duì)照最好的實(shí)踐標(biāo)準(zhǔn)，來(lái)重新檢查自己的實(shí)踐行為。提升角色能力，批判思維，轉(zhuǎn)換思路，加

42、強(qiáng)協(xié)作，提高質(zhì)量和患者安全。護(hù)士在護(hù)理實(shí)踐上的繼續(xù)教育，明確在其中扮演的角色效果截止2010年9月，斯坦福醫(yī)學(xué)中心有超過(guò)160名的護(hù)士和護(hù)理領(lǐng)導(dǎo)參與了此項(xiàng)目。2011-2013年，此項(xiàng)目被迅速推廣到其他住院病區(qū)。共二十三頁(yè)保持90%患者(hunzh)滿意度歷程呼叫器應(yīng)答(yngd)C-i-care每小時(shí)巡查床邊教學(xué)床邊團(tuán)隊(duì)教學(xué)共二十三頁(yè)我們(w men)要問(wèn)，為什么我們(w men)的患者對(duì)護(hù)理不滿意？Why?共二十三頁(yè)住院患者的護(hù)理(hl)實(shí)踐框架：全方位分析患者(hunzh)滿意度高于90%監(jiān)督/認(rèn)證C-I-CARE查房C-I-CARE服務(wù)補(bǔ)救當(dāng)天反饋患者經(jīng)驗(yàn)展示構(gòu)建基礎(chǔ)靈活的日常管理統(tǒng)一的制