ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Professional healthcare providers are held responsible for technologic and financial decisions and also for the moral ramifications of their decisions. The authors report the findings of a survey of nurse leaders conducted to determine the key factors that provide help and present challenges as they seek to respond ethically to the dilemmas encountered in the course of their work. Implications for the healthcare industry and the nursing profession are discussed.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

ObjectiveTo determine, within the context of all nursing duties, the amount of time nurses spend on documentation during the implementation of an electronic medical record (EMR) on an intrapartum unit.BackgroundIncreased documentation needs during EMR implementation may necessitate increased staffing requirements in an already labor-intensive and demanding environment.MethodsA work-sampling study was conducted over a 14-day study period, and 18 of 84 (21%) potential 4-hour observation periods were selected. During each period, a single observer made 120 observations and, on locating a specific nurse, immediately recorded that nurse’s activity on a standardized and validated instrument. Categories of nursing activities included documentation, bedside care, bedside supportive care, nonbedside care, and nonpatient care.ResultsA total of 2160 observations were made. The total percentage of nursing time spent for documentation was 15.8%, 10.6% on paper and 5.2% on the computer. The percentage of time spent on documentation was independently associated with day versus night shifts (19.2% vs 12.4%, respectively).ConclusionsDespite charting concurrently on both paper and computer, the amount of time spent on documentation was not excessive, and was consistent with previous studies in which neither electronic nor “double charting” occurred.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Recruiting and retaining an adequate nursing workforce is a priority as well as a challenge, and creating an environment that respects every individual’s unique differences is key. The authors describe a method for gauging organizational readiness to respond to this challenge. The Diversity Competency Model is used to conduct an in-depth assessment of one nursing organization’s diversity initiatives. Leadership commitment, structural linkages, organizational culture, and continuous measurement constitute the Diversity Competency Model assessment. The authors discuss the model and its use.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

This study used a mixed method to test a model of demands on nurses. Factors were identified that affect demands, and a model was tested using structural equation modeling. Teamwork and expertise had significant effects on nurse-sensitive outcomes. Leadership was a strong determinant of stability and expertise. Workload was not a significant predictor of outcomes, but this is likely due to the difficulty in measuring nursing work. These results provide administrators with actionable recommendations that can be used to reduce the demands on nursing staff.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

When pharmaceutical companies market their products to, and through, healthcare professionals in hospitals and private practice, healthcare professionals face ethical dilemmas in their practice and their organizations. Pharmaceutical companies target nurse practitioners with prescribing privileges. The author describes the ethical dilemma faced by healthcare professionals when friendly salespeople offer tempting gifts. The article outlines cultural responses to gift giving and ethical issues surrounding healthcare professionals’ responses to pharmaceutical marketing strategies. Nurse administrators need to acknowledge a growing threat to nursing integrity. Nurse administrators have the power to make and enforce ethical policies that prevent proprietary influences from clouding nursing judgment and contributing to the escalating costs of prescription medications.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

As healthcare processes were reengineered in response to managed care, traditional care delivery models were abandoned, resulting in nursing staff dissatisfaction, increased healthcare error, and eroding clinical outcomes. An aging patient population, chronicity of illness, the proliferation of new medical information and technology, severity of illness, and the focus of acute care to “stabilization and transition” necessitate the creation of systems that address changes in nursing work expectations while maximizing available resources. By evaluating unit-specific structure and process criteria and allocation of provider roles, unique, setting-specific care delivery models can be created to facilitate direct and nondirect patient care functions, resulting in improved financial and clinical outcomes.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID