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:

Critical care has enjoyed unobstructed growth during the past two decades; however, to remain viable, process and role changes are pivotal to ensuring continued quality, cost-effective, and efficient care. In this article, the second in a two-part series, the authors describe restructuring efforts, inclusive of their measurement and evaluation strategies, within four critical care units at an acute care, tertiary institution. Special emphasis is placed on the process, the authors' observations, and lessons learned to date. Part 1 (September 1998) presented evaluation data of the effects of hospital restructuring on patient and nurse satisfaction, costs of care, and clinical quality in four medical-surgical units.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The authors determined whether a home health agency could use Outcome Assessment and Information Set (OASIS) items and the Outcome-Based Quality Improvement (OBQI) model to enhance outcomes for health maintenance organization (HMO) patients. After an initial baseline period and four quarters of quality improvement activities, Improvement and Stabilization scores showed few significant changes. When the results were reviewed, investigators considered both the HMO authorization patterns and challenges encountered in using the OASIS-OBQI paradigm.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Nursing practice models (NPMs) described the structural and contextual features of nursing practice environments. They offer direction in the design of information systems. Eleven factors describing NPMs emerged from a modified Delphi process: continuity of care, participation in management, collaboration, leadership, learning environment, nurse's role, staffing, communication, specialization, orientation of temporary staff, and group commitment. These factors provide nurse administrators with specific features of the clinical practice environment that IS applications should support.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Clinical ladders help maintain expert, motivated, and effective nurses in direct patient care roles. While many institutions were phasing out clinical ladders for registered nurses, Miami Valley Hospital was proactively evaluating the original version. The authors describe their clinical advancement program, based on Benner's model, with program evaluation results. The program participation rate has increased overall. Participants perceive their work and environment more positively than nonparticipants.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Social, economic, and political pressures demand that hospitals focus on ways to provide cost-effective, population-based care. As a member of the hospital executive staff, nurse administrators need to have a method for analyzing, planning, implementing, and evaluating prospective programs and be able to articulate their potential and relative worth in terms of cost, quality, and value. The author presents a template model for integrated population-based program planning. Children's Home-Based Asthma Management and Prevention Service (CHAMPS) is presented to illustrate application of the model.

ISSN:0002-0443    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

The authors describe a new approach that designs optimal patient placement rules and staffing-to-demand scheduling schemes. The placement rules enable care teams to deliver care at census levels that maximize the productivity of current care models across aggregated units and reduces the number of units experiencing census variation. The scheduling schemes ensure that staff is available to meet patient needs so that work schedules become predictable and premium pay virtually is eliminated.

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