Call to action: Blueprint for change in acute and critical care nursing.

Autor: Curley MAQ; University of Pennsylvania School of Nursing, Department of Family and Community Health, Philadelphia, PA. Electronic address: Curley@UPENN.edu., Zalon ML; The University of Scranton, Department of Nursing, Scranton, PA., Seckel MA; Critical Care and Sepsis Consultant, Newark, DE., Alexandrov AW; University of Tennessee Health Science Center, College of Nursing, Department of Acute and Tertiary Care, Memphis, TN., Sorce LR; Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Nursing, Chicago, IL., Kalvas LB; University of Pennsylvania School of Nursing, Department of Family and Community Health, Philadelphia, PA., Hooper VD; Ascension, Nursing and Evidence-Based Practice, St. Louis, MO., Balas MC; University of Nebraska Medical Center, College of Nursing, Omaha, NE., Vollman KM; Advancing Nursing LLC, Critical Care Consultant, Northville, MI., Carr DS; Maine Medical Center, Nursing and Patient Care Services, Portland, ME., Good VS; American Association of Critical-Care Nurses, Chief Clinical Officer, Aliso Viejo, CA., Latham CL; California State University, Fullerton School of Nursing, Fullerton, CA., Carrington JM; University of Florida, College of Nursing, Department of Family, Community, Health Systems Science, Gainesville, FL., Hardin SR; University of Texas Health Science Center at San Antonio, School of Nursing, San Antonio, TX., Odom-Forren J; University of Kentucky, College of Nursing, Louisville, KY.
Jazyk: angličtina
Zdroj: Nursing outlook [Nurs Outlook] 2024 Sep 12; Vol. 72 (6), pp. 102271. Date of Electronic Publication: 2024 Sep 12.
DOI: 10.1016/j.outlook.2024.102271
Abstrakt: Herein, we propose a blueprint for action to completely measure and recognize the care provided by acute and critical care nurses to be incorporated into policy that shapes and supports practice. We address the nature of nurses' work by identifying nine practice domains, hospital practice environment assumptions, and expected outcomes. Nurses' work, as a cross-system process, needs to be included in hospital-based core measures to fully reflect nurses' impact on patient care. We call for a balanced measurement portfolio focused on patient/family-, unit-, and systems-level outcomes. We focus on what nurses do and what patients and their families can expect rather than only on the elimination of select adverse events. We provide a way forward to allow measure development and implementation with incentives for their use. This approach to making nurses' contributions and impact on outcomes visible will enhance acute and critical care nursing practice and benefit patients and their families.
Competing Interests: Declaration of Competing Interest Lauren R. Sorce is an elected member of the Executive Committee and serves as President of the Society of Critical Care Medicine (SCCM) 2024 to 2025. The views presented are those of the author and are not intended to represent the views of SCCM.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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