Nakazane so usmeritve razvoja zdravstvene nege v Evropi in v Sloveniji na osnovi analize stanja in SWOT analize. Opredeljene so definicije in pojmi managementa izidov (outcome management) kot ...temeljenga koncepta celovitega in trajnega izboljševanja kakovosti zdravstvene nege in podani razlogi za uvajanje le-tega. Poudarjena je potreba po akcijskem organizacijskem raziskovanju in razvijanju novih instrumentov, pokazateljev ter sodil kakovosti zdravstvene nege, ki bodo mednarodno primerljiva in verodostojna. Za uvajanje tega koncepta je potrebno dopolnilno izobraževanje, preoblikovanje organizacije in spremenjeno pojmovanje vloge zdravstvene nege.
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