摘要:

ABSTRACT:The CLER model is presented to nursing professionals as a model for planning and implementing change in interpersonal, institutional and cultural settings. It is useful for generating other models by modeling reality as actually encountered by change agents and adopters. The CLER model is related philosophically to systems thinking (that there is interdependence among social entities), dialectical thinking (that there is mutual shaping among social processes) and constructivist thinking (that human beings take part in creating their own reality).

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

ABSTRACT:Use of assistive nursing personnel generates fear, uncertainty and lack of trust in many RNs, yet most agree that “help is needed.” The nursing profession must develop minimum standards, a code of ethics and appropriate preparation for nursing assistants. They are here to stay!

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

ABSTRACT:The concept of clinical standards of care is not new, but it is one that often is difficult for nurse managers to implement and maintain as part of the daily practice within their Nursing Service. Written clinical standards of Nursing Service were reorganized and streamlined to respond comprehensively to JCAHO, legal, and professional practice requirements and to decreased professional nursing resources. The documentation system developed fulfills medical center requirements and uses non-repetitious, easily understood forms which clearly reflect role differentiation.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

ABSTRACT:A shared governance model has been developed and implemented in an intensive care unit of a 290-bed community hospital. This resulted from a large staff turnover due to job dissatisfaction stemming largely from lack of autonomy. Scheduling and floating were major factors. Under the unit manager's leadership, four committees of staff nurses designed an appropriate model of participative management. Surveys at 18 and 30 months indicate significant support of the shared governance system, with improved collegiality, enhanced professional growth and a turnover rate of less than 1 percent.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

ABSTRACT:A 15-site health maintenance organization (HMO) implemented a mass influenza vaccination program to heighten awareness of the vaccine and immunize more “at-risk” members. Successful interventions conducted over a two-year period included: a direct mail leaflet, pharmacy bag reminders, posters at each medical center, articles in the HMO member newsletter, staff education, standing orders for nursing and, most important, the availability and access to vaccination through walk-in clinics. Immunization rates were examined for patients considered “at risk.” In addition, assessments were made to determine program effectiveness and patient and staff satisfaction.

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