ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Creating a professional work environment where nurses can develop the skills and expertise needed to be successful leaders is one strategy that can help ensure successful nursing leaders for the future. Understanding which factors influence leadership development is essential to create such an environment. The author considers what those factors may be and how they interact to facilitate the development of leadership skills and expertise among nurses.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Increasingly, hospital restructuring is viewed with skepticism because of a lack of systematic and rigorous evaluation of its impact on quality of care. This first article in a two-part series describes comprehensive evaluation of its impact on quality of care. This first article in a two-part series describes comprehensive evaluation of the effects of hospital restructuring on patient satisfaction, nurse satisfaction, costs of care, and clinical quality on four medical-surgical units at a large tertiary hospital. In addition, early application of the model to critical care is described. A quasiexperimental pre- and post-design combined with concurrent control units for selected measures was the overall strategy. The authors conclude that comprehensive restructuring of hospital-based care can take place in a manner that preserves multiple dimensions of quality while decreasing costs. This only can be ascertained, however, through rigorous and systematic measurement and evaluation. Part 2 will detail application and evaluation of the restructuring model in the critical care environment.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Nurse administrators need methods to evaluate and compare staffing across a variety of hospitals because the degree of reengineering that actually has occurred in their communities can be difficult to assess. Multivariate analysis of factors affecting hospital registered nurse (RN) staffing in western New York revealed that the significant factors were the type of unit, nursing model, rural location, and use of aides and unit secretaries. Managed-care factors and alternative uses of staff did not affect RN staffing. Regional market variations may have significant impact on staffing solutions adopted by nurse executives.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The effects of personal characteristics and perceptions of interdisciplinary collaboration on discharge planning communication were examined for nurses, physicians, and social workers in two hospitals. The model for the study explained 61.7% of the variance in discharge planning communication for nurses. For all 142 health professionals, communication openness with social workers, problem solving between nurses and physicians, and collaboration with social workers were important to discharge planning communication. For nurses, communication satisfaction with patients and families also was important.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The hospital ethics committee's mandates of patient care review, policy formation, and education make them central to nurses and healthcare delivery. In a study examining nurses' communication exchange frequency and perceived effectiveness as members of hospital ethics committees, nurses represented the largest proportion, were moderately active, and rated their participation effectiveness the highest; they are more involved in discussions regarding patients than policy formation and education. Nurse administrators can provide strategies and education for nurses that enhance nurses' participation in all three committee functions. Policies affect patient care; therefore, policy decisions, too, benefit from nurses' participation.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID