ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Providers and regulatory agencies are increasing their demands for hospitals to document clinical quality and customer satisfaction at a decreased cost. Nurse leaders search for ways to meet these requirements while retaining their most valuable resource: healthcare workers (especially nurses). First-line leadership struggles with balancing quality, cost-effectiveness, and staff retention. The author discusses the planning, methodology, implementation, and outcomes of a staff driven process improvement initiative.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

The current focus on staffing ratios as a means to assure appropriate care for patients ignores the very real differences among patients in their needs for nursing care. Implementing a system that identifies these needs provides a more accurate indication of staffing requirements. In addition, storing the raw data from the system at their most basic level provides opportunities for more extensive analyses and informed, data-driven decision-making related to resource allocation, performance improvement, and productivity enhancement.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

A patient-centered model of care has profound implications for the way that care is planned, delivered, and evaluated. Although most leaders in healthcare organizations today embrace the basic tenets of a patient-centered philosophy, they often find that moving toward a patient-centered model requires an unanticipated level of commitment and significant adjustments in organizational structures. In this article, the authors describe how patients and families have been integrated into the care delivery model by involving them in planning, decision-making, and improvement processes at all levels of the organization.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Although telephone advice nursing is the fastest-growing nursing specialty, useful information to guide managers’ decisions about how best to structure and support advice services to achieve desired outcomes is unavailable. We identified issues and variables relevant to outcomes of telephone advice from the perspectives of callers, nurses, and the system. Subsequently, we derived a model for studying factors affecting nursing advice outcomes that will help managers identify modifiable factors to improve outcomes of care.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

ObjectiveCollaborative governance is the decision-making process that places the authority, responsibility, and accountability for patient care with the practicing clinician.BackgroundCollaborative governance was introduced as one of nine structures within the patient care services’ professional practice model to facilitate communication and optimize staff participation in decision-making across disciplines. The concept of empowerment was used to evaluate the impact of the collaborative governance structure on members.MethodsThe purpose of the current study was to compare empowerment and power scores for both members and nonmembers of collaborative governance over a 3-year period.ResultsInitial survey data (baseline) from 136 staff from across disciplines was returned prior to beginning work on a committee. Study results were based on survey returns from 657 staff over a 3.5-year period. There were no significant differences between collaborative governance members and nonmembers on some demographic variables such as age, but there were significant differences on variables such as work status and education. All empowerment scores were significantly higher at the 2nd and 3rd measurement periods for collaborative governance members as compared to nonmembers.ConclusionsFindings suggest that membership on a collaborative governance committee increased staff sense of empowerment and fostered self-growth and organizational development.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

This is Part 1 of a 2-part article on the new and emerging characteristics and elements of leadership for changing, fast-paced organizations. As we leave the 20th century workplace and are increasingly driven by innovation and technological transformation, new roles are demanded from everyone. Leadership expression now calls for a different emphasis and skill set from those that predominated in the past century. The first article focuses on the context of leadership affecting what leaders do and how they must now behave. Part 2 will center on the activities of leadership and the new learning and skill set development that will increasingly be required of leaders in a fundamentally altered work environment.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

High turnover of nurses compromises patient care and adds to the cost of healthcare. To determine why nurses changed positions or left a midwestern health system, the authors surveyed registered nurses who voluntarily terminated or changed their employment status to as-needed (PRN) within a 9-month period. They discuss the most frequent reasons given for these changes and suggest solutions for retention.

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