摘要:

Development of policy and procedures for best complying with the Patient Self-Determination Act of 1990 involved the efforts of a large multidisciplinary committee. In-service sessions for all personnel, along with availability of awareness-raising sessions for incoming patients, their families and the general public, are showing positive results.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The University of Cincinnati Ambulatory Care Services management tam developed a Quality Assurance (QA) Orientation Manual including forms used to implement their QA program. This QA Orientation Manual was completed in December 1990. At that time, the JCAHO began moving toward the concept of Continuous Quality Improvement (CQI), which was reflected in the Accreditation Manual for Hospitals, 1992. While “thresholds” were developed as part of the QA Orientation Manual, “goals” are more appropriate to the CQI process. With quality assurance, thresholds are determined, and exceptions to the thresholds are reported. Consequently, quality assurance becomes a report of exceptions to the established thresholds. In comparison, in CQI, goals are established and measurements of consistent improvement toward the goals are reported. Thus, the goals become synonymous with the accepted standards of care.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

For 10 years, a group of 19 California hospitals has supported a community-based critical care educational program for entry-level critical care nurses. Program management is rotated every two years. Two courses are offered quarterly: a 32-hour ECG course and a 96-hour Critical Care Nursing course. The community-based approach is very well received because it provides broad-based critical care educational programs in a very cost-effective manner.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Care of patients in a persistent vegetative state raises serious ethical questions. Often misdiagnosed, this “new disease,” which is the result of advancing medical technology, raises such serious issues as the definition of death, nurses' personal ethical and religious convictions, and the ethical integrity of the nursing profession. Conscience clauses that allow nurses to refuse to cause death in non-dying patients vary widely, but few, if any, address the situation of incompetent but non-dying patients.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A new emphasis on primary and preventive care is hailed as long overdue by many in nursing. One effect of this paradigm shift, however, is being experienced in many hospitals. Acute-care facilities are rearranging services (“restructuring”), consolidating programs and eliminating large numbers of staff (“downsizing”) in an effort to position themselves securely for the future. Downsizing can be devastating to those who lose jobs, so nurse managers and administrators can play a key role in planning the downsizing process sensitively. Whenever possible, loss of a traditional job should be balanced by the offer of a new opportunity within the healthcare system.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The Milieu Rating Scale developed at North Star Hospital allows staff to anticipate behavioral problems and respond decisively and immediately. Since a stable community is necessary for effective treatment to take place, the scale ensures superior patient care. Patient anxiety is reduced under a staff that is confident that they have control and are aware of inappropriate and secretive behavior. Use of the scale allows better staffing patterns, justification for acuity, control of expenses, and the opportunity for staff to identify potential problems. The scale also involves the patient community in determining positive and negative re-inforcers.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID