ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

There is no patient care without clinical practice. To improve the quality of health care, organizations must build a finely tuned and resilient clinical enterprise, one founded on clear role accountability and decision authority within the team. The author views scope of practice and professional standards as the foundation for practice accountability and decision authority. A case is made that an interdisciplinary, professional practice model is an appropriate delivery model in today's health care environment; a model that places the professional role in its rightful place as decision maker and supports the role's inherent accountability to evaluate and monitor practice performance. The importance of measuring professional practice performance is seen as a key link toward better understanding ways to reduce error and ensure patient safety.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Health care does not always attract change agents. As a result, norms, values, and rules become ingrained. Attempting to change this is difficult. This article will discuss how unique and personal skill sets of a leader complement elements of traditional change theory, resulting in moving organizations from minimal existence to national recognition.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The biggest failure we face today is that we argue about the effects of poverty and the benefits of welfare rather than abouthow to sustain a reasonably cohesive and integrated community that optimizes human development for everybody. Yet that is exactly what must happen if we are to integrate our recreational, educational, health care, and health promotion systems and employment policies to create a healthier population. Care of the sick and the elderly is not a primary wealth- (or health-) producing social function; it is a derivative activity. If a societyoverinvestsin it, it mayunderinvestin the real economy…which then will not create the jobs, stability, and wealth that support the health of the population. This is not the kind of problem that the health care system alone, or any one sector of society, can actually tackle on its own. The challenge is to create real partnerships with all sectors: employers, labor leaders, educators, police, and governmental groups.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The virtue of courage is often overlooked in distinguishing successful leaders. This void is a reflection of the difficulty in defining just what courage is. Is courage facing risk without fear or overcoming fear to face risk? What are the differences between physical and moral courage? Can leaders develop courage? These and many other questions surround the nature of courage and how it pertains to leadership. It is the author's intent that readers have a general understanding of how courage affects nursing leadership in today's health care environment.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Managed care organizations employ nurses as medical utilization reviewers; however, little is known about the ethical climate of these organizations. This study describes different ethical climates in which utilization review nurses work and the implications of these differences for nurse administrators. The nurse participants, although demographically similar across three managed care organizations, perceived distinct ethical climates across the organizations. Nurses were employed to make complex decisions regarding medical care utilization; however, none of the organizations had an ethics committee to help nurse reviewers in this decision-making process. The need for such committees, as well as clarification of a consistent and deliberate ethical climate by nurse administrators, is discussed.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The purpose of this study was to gain an understanding of nurse leaders' perceptions of both the value of their roles in today's health care setting and their beliefs about how power and gender interface with role worth. Support for the theoretical significance of this research stemmed from Kanter's Structural Theory of Organizational Behavior. Four leaders were recruited at the executive level and 12 at the director/managerial level. The results of the deductive analysis supported Kanter's theory. Eighty-three percent of the nurse leaders validated that access to power, opportunity, information, and resources created an empowered environment, producing a climate that fostered leadership success and enhanced levels of job satisfaction among nurses. This study provided groundwork on the kinds of leadership traits that foster nursing satisfaction and on whether or not gender influences leadership effectiveness. The findings of this study are both timely and relevant for nurse leaders faced with the effects of the current supply-and-demand nursing shortage and with fiscal restraints mandated by managed care and regulatory agencies.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Although numerous studies have focused on conflict management, few have considered the effects of unit technology and intrapersonal, intragroup, and intergroup conflict on team performance effectiveness and work satisfaction. The model was tested using a nonexperimental design. Path analysis using multiple regression was used to test the model. The nonrandom sample consisted of 141 nurses employed on 13 inpatient units at a state-supported, 597-bed academic medical center in a southeastern city. Findings indicated that intrapersonal conflict had a direct negative impact on intragroup conflict and work satisfaction. Intragroup conflict had direct negative effects on work satisfaction and team performance effectiveness. Unit technology had a direct negative impact on work satisfaction. Findings have implications for administrators to implement strategies to decrease a stressful work environment and increase team-building activities.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The causes of nurses' exodus from acute health care delivery practice may lie more in intrinsic factors rather than the heretofore overtly expressed reasons. This article examines bureaucratic factors, issues related to the medical profession and medical/scientific discourse, and factors within the nursing profession itself that may contribute to a nurse's unhappiness and dissatisfaction that causes him or her to leave. Nursing as emotional work and the implications for the individual nurse, and nursing as moral and moral distress are discussed. Suggestions to facilitate retention are made for changing the work environment to feel valued for their skillfully applied humanness.

ISSN:0363-9568    

出版商:OVID    

年代:2003

数据来源: OVID