RESUMO
Professional practice models (PPMs) provide the conceptual framework for establishing professional nursing practice. Integrating a PPM requires complex organizational change. One strategy for integrating a PPM is to directly link the PPM with performance expectations to ensure that underlying beliefs are integrated into everyday practice. This article describes the development, implementation, and successful outcomes of a clinical advancement system that was aligned with a PPM.
Assuntos
Mobilidade Ocupacional , Difusão de Inovações , Modelos de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/organização & administração , Competência Profissional , Centros Médicos Acadêmicos , Chicago , Governança Clínica , Avaliação de Desempenho Profissional , Prática Clínica Baseada em Evidências , Humanos , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem Hospitalar/educação , Recursos Humanos de Enfermagem Hospitalar/psicologia , Objetivos Organizacionais , Avaliação de Processos e Resultados em Cuidados de Saúde , Assistência Centrada no Paciente , Filosofia em Enfermagem , Desenvolvimento de Programas , Avaliação de Programas e Projetos de SaúdeRESUMO
The purposes of this study were to determine the incidence and characteristics of pain in hospitalized patients and to explore the type and perceived effectiveness of pharmacologic and nonpharmacologic therapies. Three hundred and fifty-three randomly selected patients reported experiencing pain during this hospitalization; 58% of these patients experienced excruciating pain. Fewer than half of the patients with pain had a member of the health care team ask them about their pain or note the pain in the patient record. The methods perceived as most effective in decreasing pain were analgesics, sleep, immobilization and distraction. As in earlier studies, the dose of analgesic administered over a 24-h period was less than a quarter of the amount ordered. This study concluded that (1) pain in hospitalized patients is more prevalent than has previously been reported, (2) patients with pain continue to receive inadequate dosages of analgesics, and (3) the identification and treatment of patients with pain remains a significant health care problem.