护理的未来 2020

购买长期护理保险，预防未来护理需求 #生活知识# #生活规划# #保险规划#

Full text

The prepublication of the new report on the future of nursing, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, has been released.1 This report is the third report on the future of nursing that the National Academies of Medicine (previously known as the Institute of Medicine) has created with sponsorship of the Robert Wood Johnson Foundation (RWJF). The first report from 2011, The Future of Nursing: Leading Change, Advancing Health,2 had recommendations that focused on the nursing workforce, including education and nursing's role in improving health care for families and communities. A second report, published in 2016, Assessing Progress on the Institute of Medicine Report The Future of Nursing,3 discussed progress made since the first report and progress that needed to occur, including “the need to build a broader coalition to increase awareness of nurses’ ability to play a full role in health professions practice, education, collaboration, and leadership; the need to continue to make promoting diversity in the nursing workforce a priority; and the need for better data with which to assess and drive progress.”3

The vision of the Committee on the Future of Nursing 2020-2030, is “the achievement of health equity in the United States built on strengthened nursing capacity and expertise.”1 This report calls on all nurses to take more “definitive action on eliminating systemic racism, whether in schools, institutions, or the profession and its associations.”1 We now have a better understanding of the effect of generations of inequity “associated with racism and bias, socioeconomic status, disabilities, financial poverty, and living in areas with decreased health care access.”1 This has culminated in many Americans dealing with compromised health conditions. The experience with the coronavirus disease 2019 (COVID-19) pandemic brought these inequities to the forefront. I will not summarize and distill the entire report for you in this editorial; the report is 503 pages. My hope is to introduce the topic and persuade you review the report, which is easy to access. The Editors plan to delve more into detail in future editorials. See Box 1 for a listing of the chapters to pique your interest.

In the Summary chapter, the committee envisions 10 desired outcomes that position nurses to contribute to achieving health equity. All 10 outcomes are equally important. However, I point out three outcomes that we can begin to focus on as perianesthesia nurses (highlights are mine)

As an organization, ASPAN leaders and members can commit to reading the report to envision how they can make a difference in addressing health inequities. We can determine how to add information surrounding health inequities in our continuing education programs; those of us in academia will also focus on the addition of information for our students. We all need to understand the Social Determinants of Health (SDOH) and how they intersect and affect our perianesthesia patient outcomes. Examples are education, employment, health services, housing, income and wealth, the physical environment, public safety, the social environment, and transportation.1 We can add into our continuing education information that assists the perianesthesia nurse in looking at the perianesthesia patient from a community perspective; distilling our own biases; working with culturally diverse colleagues.

As a national nursing organization, ASPAN can reflect an “orientation of diversity, equity, and inclusion” within and across our organization. Perhaps that means a diversity and inclusion officer at the national office; maybe it means that one of the Board members picks up the challenge to move forward in this area. How do we strategically move forward with making a concerted effort to expand diversity and inclusion? Maybe we have to strategically assist with the nursing profession as a whole as we struggle to include diversity and inclusion in our nursing programs, so that we then have a stream of diverse nurses who seek perianesthesia nursing.

The topic of nurse well-being speaks for itself. We have seen through the pandemic that nurses in general did not have the support or equipment needed to maintain well-being, not to mention the stress of dealing with patients who had a potentially deadly disease. We know that some perianesthesia nurses were pulled to other roles in the facility or to intensive care units to assist in care for COVID patients. Individually we experienced stress as we tried to keep our families safe and provide social support for our children. ASPAN has the opportunity to strategically plan how to assist with the well-being of our own members, whether through education or other resources.

Dr Susan Hasmiller, PhD, RN, FAAN, RWJF Senior Advisor for Nursing and Senior Scholar-in-Residence for the National Academy of Medicine, distilled the new report into four key messages. 

Education for nurses needs to include understanding complex factors that affect health, adapting to new technologies, collaboration with other professions, and how to function in a policy environment. We need to address structural racism within nursing by cultivating an inclusive environment and ensuring we are all aware of our biases.4

The American Academy of Nursing held an Institute for Nursing Leadership (INL) conference in October 2020 that focused on health equity and racism. This institute featured leaders in diversity, equity, and inclusion who discussed systemic racism that exists within health care and how it prevents us from achieving true health equity.5 The meeting ended with calls for action for clinical practice, research, academia, policy, and future conversations. See Box 2 for some condensed points for clinical practice and future conversations that may be applicable to perianesthesia nurses.

As a final thought from the INL conference, Julie Fairman, PhD, RN, FAAN, chair of the INL's National Advisory Council, noted, “I have seen the long history of racism and unequal treatment in our health systems, our education and academic systems, and our health policy. It is my sincere hope that this critical conversation … will create the necessary call for each of us to put in the hard work to change policies and practices that promote bias, and ultimately achieve equitable care in all entities.”5 I think we can all agree that it is important have these crucial conversations that will assist us to move toward a more equitable system for all.

全文翻译（仅供参考）

关于护理未来的新报告《护理的未来 2020-2030：制定实现健康公平的道路》已经发布。1本报告是美国国家医学院（以前称为医学研究所）在罗伯特伍德约翰逊基金会 (RWJF) 的赞助下创建的关于护理未来的第三份报告。2011 年的第一份报告《护理的未来：引领变革，促进健康》2提出了侧重于护理人员的建议，包括教育和护理在改善家庭和社区医疗保健方面的作用。2016 年发表的第二份报告，评估医学研究所的进展报告护理的未来，3讨论了自第一份报告以来取得的进展以及需要取得的进展，包括“需要建立一个更广泛的联盟，以提高对护士在卫生专业实践、教育、协作和领导中发挥全面作用的能力的认识；需要继续将促进护理人员的多样性作为优先事项；以及需要更好的数据来评估和推动进展。” 3

护理未来委员会 2020-2030 的愿景是“在加强护理能力和专业知识的基础上实现美国的健康公平”。1本报告呼吁所有护士采取更多“坚决行动，消除系统性种族主义，无论是在学校、机构，还是在专业及其协会中。” 1我们现在对“与种族主义和偏见、社会经济地位、残疾、经济贫困以及生活在医疗保健机会减少的地区有关”的几代不平等的影响有了更好的理解。1这导致许多美国人面临健康状况不佳的问题。2019 年冠状病毒病 (COVID-19) 大流行的经历将这些不平等现象带到了最前沿。我不会在这篇社论中为你总结和提炼整个报告；该报告有 503 页。我希望是介绍一下这个话题，说服你看一下这个容易上手的报告。编辑们计划在未来的社论中深入研究更多细节。

在总结一章中，委员会设想了 10 项预期结果，使护士能够为实现健康公平做出贡献。所有 10 个结果都同等重要。但是，我指出了我们作为麻醉护士可以开始关注的三个结果。

作为一个组织，ASPAN 的领导者和成员可以承诺阅读该报告，以设想他们如何在解决健康不公平问题方面发挥作用。我们可以决定如何在我们的继续教育计划中添加有关健康不平等的信息；我们这些在学术界的人也将专注于为我们的学生增加信息。我们都需要了解健康的社会决定因素 (SDOH) 以及它们如何交叉并影响我们围麻醉期患者的结果。例如教育、就业、卫生服务、住房、收入和财富、自然环境、公共安全、社会环境和交通。1我们可以在我们的继续教育中添加信息，以帮助麻醉周围的护士从社区的角度看待麻醉周围的患者；提炼我们自己的偏见；与不同文化的同事一起工作。

作为一个全国性的护理组织，ASPAN 可以反映我们组织内部和整个组织的“多元化、公平和包容的方向”。也许这意味着国家办公室的多元化和包容性官员；也许这意味着其中一位董事会成员接受了在该领域向前发展的挑战。我们如何战略性地向前推进，共同努力扩大多样性和包容性？也许我们必须战略性地协助整个护理行业，因为我们努力将多样性和包容性纳入我们的护理计划，以便我们拥有一批寻求麻醉周围护理的多样化护士。

护士福利这个话题不言自明。我们在大流行中看到，护士通常没有维持健康所需的支持或设备，更不用说与患有潜在致命疾病的患者打交道的压力了。我们知道，一些麻醉周围的护士被拉到机构或重症监护室担任其他角色，以协助护理 COVID 患者。在我们努力保护家人安全并为孩子提供社会支持时，我们个人经历了压力。ASPAN 有机会战略性地计划如何通过教育或其他资源来帮助我们自己成员的福祉。

Susan Hasmiller 博士、RN、FAAN、RWJF 高级护理顾问和美国国家医学科学院高级驻院学者，将新报告提炼为四个关键信息。

护士教育需要包括了解影响健康的复杂因素、适应新技术、与其他职业的合作以及如何在政策环境中发挥作用。我们需要通过营造包容的环境并确保我们都意识到自己的偏见来解决护理中的结构性种族主义问题。4

美国护理学会于 2020 年 10 月举行了护理领导力研究所 (INL) 会议，重点关注健康公平和种族主义。该研究所的特色是多样性、公平性和包容性方面的领导者，他们讨论了医疗保健中存在的系统性种族主义以及它如何阻止我们实现真正的健康公平。5会议结束时呼吁对临床实践、研究、学术界、政策和未来对话采取行动。有关临床实践和未来可能适用于麻醉周围护士的对话的一些简明要点。

作为 INL 会议的最后一个想法，INL 国家咨询委员会主席 Julie Fairman 博士、注册护士、FAAN 指出：“我在我们的卫生系统、教育和学术系统中看到了种族主义和不平等待遇的悠久历史。，以及我们的健康政策。我真诚地希望这次重要的对话……将发出必要的呼吁，让我们每个人努力改变助长偏见的政策和做法，并最终在所有实体中实现公平护理。” 5我想我们都同意，重要的是进行这些关键的对话，这将有助于我们朝着对所有人更公平的体系迈进。

原文链接：

https://doi.org/10.1016/j.jopan.2021.06.099

THE

END

本文由“健康号”用户上传、授权发布，以上内容（含文字、图片、视频）不代表健康界立场。“健康号”系信息发布平台，仅提供信息存储服务，如有转载、侵权等任何问题，请联系健康界（jkh@hmkx.cn）处理。

网址：护理的未来 2020 https://www.yuejiaxmz.com/news/view/234492

相关内容

2020年中国衣物清洁护理行业市场现状及发展前景分析 未来千亿市场规模指日可待
2020届毕业生心理调适指南来啦！
2020年主管护师考试《社区护理学》试题及答案(2)
2020家居生活新生态：国潮美好家居，未来已来
2020中国厨卫产业创新发展峰会召开：场景重构、智启未来
2020
未来居
2020年我国家用清洁产品市场竞争格局与未来发展趋势，线上渠道表现亮眼「图」
2024年衣物护理机行业竞争状况及未来市场趋势展望
绿色+智能=未来

随便看看