ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The purpose of this qualitative study was to explore staff nurses' perceptions of how turbulence in the internal environment affected their ability to provide patient care. The themes that emerged from the data point toward multiple factors impinging on a staff nurse's ability to provide quality care in today's healthcare environment. The authors discuss these factors, the consequences for staff nurses, patients, and the organization, and the implications for nursing administrators and their colleagues in hospital administration.

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Palliative Care Teams (PCTs) could be an answer for providing care for the hopelessly ill patient without accumulating high costs. The authors discuss their examination of the relationship between the implementation of a PCT and patient charges. Data indicated that daily charges were reduced significantly after the implementation a PCT.

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The unmanageable nursing unit is one that has the reputation of being wastefully over budget, not using nursing resources well, not cost effective, and certainly not well managed. Serendipity led us to discover ways to understand the unmanageable unit in one institution. The nurse manager knew the unit was not working well, but had no way to describe this in clinical management terms that would be understood by others. When data from before and after major structural and system redesign initiatives became available, they showed a situation in which decisions were made without data that worked. How much better might it have been had the data that was now accessible been used? We suggest a design for using standard hospital data to define alleged problems of inefficient nursing units; the design is also the structure for monitoring the effects of management changes.

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Nurse managers have a large responsibility in implementing healthcare organizational change. To be effective, they need support from healthcare executives. The authors report on a study in which nurse managers described behaviors that facilitated the quality of their work life. Nurse managers in a large (700+ bed) hospital undergoing organizational change were asked to rank behavior of healthcare executives perceived as supportive to a successful transition process and related to maintaining quality of work life. The nurse managers in this study ranked frequent communication about the goals and progression of the organizational change by healthcare executives as most important during a time of organizational change. High visibility and verbalized commitment to the organizational change being implemented were indicated as important by the managers responsible for the operation and realization of the desired vision and goals. Behaviors exhibited by healthcare executives during a time of organizational change may be supportive to nurse mangers.

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Risk management and quality improvement measures assume that staff recognize and report individual hospital incidents. A survey of nurses working in acute care hospitals in 15 localities across a south-eastern state was conducted to explore nurses' hospital incident reporting behaviors and supervisors' beliefs about and use of incident reports. Nurse managers may have reason to be concerned about this quality measure: the number of incidents documented may represent only a portion of all incidents.

ISSN:0002-0443    

出版商:OVID    

年代:1997

数据来源: OVID