Health Care Policy and Practice: Promoting Environments for Quality Care

说明(由申请人提供)：卫生保健政策和实践：促进优质护理的环境-医学研究所的报告《确保患者安全：改变护士的工作环境》强调了护士在确保患者安全方面发挥的关键作用，并列出了保护患者安全的八个工作环境特征(佩奇，2004年)。发展和维持安全文化所需的组织变革显然与公认的医疗保健人员短缺有关。我们正在提议一天的领导权 会议，卫生保健政策与实践：促进优质保健环境。会议的目的是仔细审查需要安全文化的力量造成的紧张局势，以及迫在眉睫的劳动力问题造成的紧张局势，考虑战略应对措施，并制定研究议程，以促进国际移民组织委员会建议的迅速实施。 我们建议召开一次会议，将护理领导和他们的跨学科同事聚集在一起，以扩大国际移民组织护士和患者安全工作环境委员会的工作。这次为期一天的会议将提供机会讨论委员会建议的影响，特别关注受护理短缺最直接影响的五个具体领域的实施：领导力和循证管理结构和程序；有效的护理领导力；充足的人员配备；对持续学习和决策的组织支持；支持跨学科合作的机制。 会议的目标是： 1.针对劳动力短缺的挑战，分析国际移民组织委员会关于护士工作环境和患者安全的建议的影响； 2.为迅速执行国际移民组织护士工作环境和病人安全委员会的建议确定切实可行的战略建议； 3.在护理人员短缺的背景下，综合现有关于工作环境和病人安全的文献，提出研究议程； 4.向护理研究人员、护理教育工作者、卫生保健专业人员、政策制定者和公众传播综合、分析和建议。 每位演讲者将提供一份12-15页的手稿，以备同行评审。这些论文将构成将在一流期刊上发表的增刊的基础。在发言过程中，每位发言者将在各自的论文中总结主要观点。每个小组的答复者将有15分钟的时间发表评论。在主旨发言之后和每个小组会议之后安排了另外15分钟，为与会者提供机会，他们也带来了重要的专门知识，进一步阐述了受邀发言者/小组成员提出的观点，并确定了新的议程。这些讨论时段将被录音并汇总，以列入已出版的补编。关于组织观点和最后评注的介绍也将在已出版的补编中加以总结。

DESCRIPTION (Provided by the Applicant): Health Care Policy and Practice: Promoting Environments for Quality Care - The Institute of Medicine report Keeping Patients Safe: Transforming the Work Environment of Nurses underlines the critical role played by nurses in assuring patient safety and delineates eight work environment characteristics to protect patient safety (Page, 2004). The organizational change that is needed to develop and sustain a culture of safety is decidedly linked to the well recognized shortages in the healthcare workforce. We are proposing a one-day leadership conference, Health Care Policy and Practice: Promoting Environments for Quality Care. The purpose of the conference is to scrutinize the tensions generated by forces requiring a culture of safety and those derived from looming workforce issues, consider strategic responses, and set the research agenda to enhance rapid implementation of the IOM committee recommendations. We propose a conference that brings together nursing leaders and their interdisciplinary colleagues in order to extend the work of the IOM Committee on the Work Environment for Nurses and Patient Safety. This one-day conference will provide opportunities to engage with the implications of the committee's recommendations, with particular attention to implementation of the five specific areas most directly affected by the nursing shortage: Leadership and evidence-based management structures and processes; Effective nursing leadership; Adequate staffing; Organizational support for ongoing learning and decision making; Mechanisms that support interdisciplinary collaboration. The objectives of the conference are to: 1. Analyze implications of the recommendations of the IOM Committee on the Work Environment for Nurses and Patient Safety in light of workforce shortage challenges; 2. Identify practical and strategic recommendations for the rapid implementation of the recommendations of the IOM Committee on the Work Environment for Nurses and Patient Safety; 3. Synthesize the current literature on work environment and patient safety in the context of the nursing shortage and advance a research agenda; 4. Disseminate the synthesis, analysis, and recommendations to nurse researchers, nurse educators, health care professionals, policy makers, and the public. Each speaker will provide a 12-15 page manuscript that is ready for peer review. These papers will constitute the foundation of a supplement to be published in a leading journal. During his or her presentation, each speaker will summarize the main points in their respective papers. Each panel respondent will have fifteen minutes for his or her comments. An additional fifteen minutes is scheduled after the keynote and following each panel to provide opportunity for the conference participants, who also bring important expertise, to further develop the points raised by the invited speakers/panel members and to shape the emerging agenda. These discussion periods will be tape recorded and summarized for inclusion in the published supplement. The presentations on organizational perspective and final commentary will also be summarized in the published supplement.