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:

In an era of rapidly shifting resources and changing models of care, healthcare providers must demonstrate quality and cost-effective patient care. Historically, quality of care has been described using administrative variables such as mortality, morbidity, length of stay, readmissions, and cost. Methods have not been readily available to define quality in terms of the effect of care delivery on the health of patients. Combined administrative and health-related databases are foundational to outcome infrastructures evolving with the electronic medical record. Nursing leaders in a large health maintenance organization sponsored the development of the Health Status Outcome Dimensions (HSOD) instrument. The HSOD instrument includes measures of functional status, knowledge, and engagement in healthcare and the patient and family psychosocial well-being. This article describes the processes used and the challenges faced in the development of the HSOD instrument. The current status of the HSOD instrument is described, as well as its planned future development.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The authors present a leadership profile of employed nurse executives(NEs). Interviews and survey data show that the typical NE is a married, middle-aged woman who has a masters degree in clinical nursing and extensive clinical experience. When comparing NEs' and influential colleagues' perceptions of the effectiveness of NEs' leadership skills, the former rate themselves higher than the latter, and both groups perceive that NEs' leadership styles are more "task motivated" than "relationship motivated." The authors apply these findings to the career planning of NEs, chief executive officers, and educators in healthcare fields.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Last spring, the Red River Valley of North Dakota and Minnesota was devastated by an unprecedented flood. Flooding caused foundations to collapse and houses to float away or become severely damaged by the raging, sewage-filled water. The river displaced people from their homes, and caused significant disruption of services including water, power, and medical care for 18 days.Find out how a medical contingency plan enabled staff members at the only trauma center and the largest clinic in the region to evacuate safely and effectively nearly 1,000 patients and senior residents in 36 hours, while setting up critical services across the region to care for the 50,000 displaced residents of the flood disaster.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The downsizing of the acute care sector of healthcare is providing hospital nursing staff with fewer alternative employment options in the areas in which they currently work. This greater employment uncertainty is likely to affect the variables that organizational behaviorialists have found to both enhance or detract from the organizational commitment that staff members feel toward the organization. The author analyzes the latent effects of the progressive changes being sustained in acute care work markets that influenced nurses' perceived levels of organizational commitment in earlier times. The research conducted in this field by both nursing and other disciplines is reviewed, and implications are proposed.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Two concepts from Bowen's family systems theory are differentiation of self and triangles. These concepts are presented and recommended as useful tools for the nurse administrator. By using the principles from differentiation of self, nurse administrators may improve the work environment by distinguishing between their own thoughts and feelings. Once a nursing administrator identifies and changes triangulation processes, healthy relationship patterns may occur and staff absenteeism and low morale may be improved.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The increasing incidence of child abuse is a national disaster. One proposed intervention is prevention through a public health nurse home visitation program developed and extensively researched by David Olds. Selected components of the conceptual model of community collaboration developed by Polivka are applied to the implementation process. The role of the public health nursing administrator in collaboration, human resource management, and delegation is discussed.

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