Evaluating quality of nursing care - The gap between theory and practice
Evaluating quality of nursing care - The gap between theory and practice
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DOI：
10.1097/00005110-200207000-00009
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发表时间：
2002-07-01
影响因子：
2
通讯作者：
Rubenstein, LL
中科院分区：
文献类型：
--
作者：
Chang, BL;Lee, JL;Rubenstein, LL
本文的目的是确定护士同行评审员判断的护理实践是否因医院类型或地点而异，并评估实践的哪些方面往往与护理理论最不一致。本文提供了一个基于先前研究的持续质量评估和改进的框架。训练有素的护士同行评审员进行结构化隐式评审，利用他们的专业判断来评估因心力衰竭或脑血管意外入院的急性医院患者的护理过程。研究结果显示护理质量存在显着差异，并支持持续发展护理质量评估和旨在缩小护理理论与实践之间差距的改进举措。
The purpose of this article is to determine whether nursing practice, as judged by nurse peer reviewers, varies by type or location of hospital and to assess which aspects of practice tend to be most at variance with nursing theory. This article provides a framework of continued quality assessment and improvement that is based on prior research. Trained nurse peer reviewers carried out structured implicit review, which utilized their professional judgment to evaluate the process of nursing care for patients admitted to acute hospitals with heart failure or cerebrovascular accident. Findings show significant variations in the quality of nursing care and support the continued development of nursing quality assessment and improvement initiatives directed at reducing the gap between nursing theory and practice.