摘要:

This article explores an inner path of transformative leadership, guided by caring and healing. This fourfold path for visionaries, healers, teachers, and leaders converge with caring-healing practices rooted in nursing's history and its most contemporary theories. Together they serve to remind us about the purpose of our work and how our life can speak through compassionate administrative service. This fourfold path of leading, embedded in the hidden meaning of the wordvocation(Latin for “voice,” as in giving voice to inner calling of caring-healing), may be the primary source of nursing's survival in this 21st century.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

At the dawn of the 20th century, postmodern academics stressed the cultural differences among human beings. Philosophers predicated differing value systems based on these cultural differences, and conflicts have arisen among those who hold distinctly different religious traditions. Many people believe there can be no universal system to explain reality and thus form the basis for norms in human behavior. However, at the close of the 20th century scientists and philosophers had come full circle: physics quite literally becamemetaphysics, and ethical systems made sense. Rush Kidder interviewed two dozen “men and women of good conscience” from around the world and asked them if there is a single set of values that wise people use to make decisions. They answered with a resounding YES! Thus, in addition to the customary principles of beneficence, nonmalfeasance, honesty, and so forth, the author proposes a set of ethical principles based on those universal values, adapted to fit nursing administrators' dual responsibilities. Ethical decision making and behavior, the author contends, help to reconcile perspectives and interests and to keep values and mission uppermost in one's mind. In the process, ethical behavior establishes long-term relations of trust and cooperation, which in turn promote consistency and stability in an unstable world.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This article projects some of the impacts of the almost overwhelming expansion of all forms of science on the health care system as cues to the type of education and professional careers that will be needed by nurses to keep in step with the surging change. With everyone being in a state of instant obsolescence, nurses will have to be open to rapid change (as will all other types of clinicians) to utilize this unending flow of new science, both physical and behavioral, to the benefit of each individual patient in the most sophisticated format for each. It is as strong an ethical issue as can be faced because it demands internal commitment.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Health care has been in a state of perpetual change over the past decade. The swirl of activity includes: mergers and acquisitions, downsizing, shortages of nurses, unionizing of physicians, health care cost increases, escalation of pharmaceutical prices, consumerism, managed care, high-tech–low-touch services, the Balanced Budget Act of 1997, declining reimbursement, alternative medicine, Web-based shopping for health care, medicine moving into cyberspace, nanotechnology, advances in digital technology, and a diagnostic boon in high-tech imaging. What this demonstrates is that the broad-based landscape of changes affecting health care in the United States is extensive and incredibly complex. This article provides a perspective of health care in the past, discusses issues and concerns impacting health care today, and articulates some of the challenges and opportunities that are and will continue to shape the future of our health care system in the new millennium.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The millennium brings with it an opportunity to see the world within the terms of reference into which it is going. The demand for leadership is to be able to see and translate the future of health care within the framework of the new age. The obligation of leadership is to be able to embrace the challenges a new age brings to health service and to embrace what it requires the leader and the provider to become.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The relationship between nursing education and nursing practice has been the topic of discussion throughout the history of the profession. The rate of change at the turn of this new century is unfolding more rapidly than ever. In this article the London underground is used as a metaphor to examine transition issues related to nursing education and care delivery. Commuters entering the underground are met with signs and announcements warning travelers to “mind the gap” (the gap is the opening between the train and the platform). The purpose of the underground is to safely transport people from one destination to another. One wrong step and travelers can find themselves in a potentially fatal situation.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Consumers want a range of services and care available for them if and when they may need them. They want long-term care that addresses six areas of concern: community-based services, continuity, coordination, caring, convenience, and cost. To develop new perspectives and new ways of providing the needed long-term services, it is time for health care leaders to work cooperatively with consumers to redesign long-term care, both community-based and institutional. Consumers and consumer advocates, working cooperatively with health care leaders, could reinvent home health care, nursing home care, and other long-term services such as “aging in place” for older people.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Health care providers who want to make a difference in today's health care environment must support the idea of collaboration. To address the concerns of a university, a major medical center, and the community, a collaborative group shared their vision and developed creative strategies to serve the community. The critical components of this project included gaining the services of a nurse practitioner and nurse case manager, establishing physician liaison, assessing congregational health care needs, providing for both primary health and continuity of care needs, and maintaining the spiritual component of the faith community. Essential to the success of this program was the achievement of pastor and congregational support, enthusiasm, and involvement.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The 21st century needs to be dedicated to the broader vision of building healthy communities. The challenge for us as leaders in the communities in which we live and work will be to develop a nondisparate shared vision of health that serves all populations from birth to death. Disparity benchmarks and indicators will be key in order to achieve the U.S. Surgeon General's commitment to eliminate the disparities in health in this new century. Florence Nightingale's 19th century vision of creating an environment of healing—together with the Mayo brothers' primary value that the needs of the patient come first, which were set forth during the same time period—needs to guide us as we embark upon our 21st century journey.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The widespread application of outsourcing has been fueled by the changing nature of the work contract between employers and employees. The large-scale corporate downsizing that began in the late 1980s inspired a trend away from employer loyalty. This fact, coupled with today's tight labor market, has created a “guerrilla” work force comprised of deal-hungry professionals conditioned to signing bonuses, stock options, and higher-than-scale salaries.

ISSN:0363-9568    

出版商:OVID    

年代:2000

数据来源: OVID