ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Productivity standards based upon labor hours or full-time equivalents were acceptable in the cost-based reimbursement environment of the 1960s and 1970s. In the prospective payment environment of the 1990s, however, they do not enable hospitals to manage their labor expense precisely enough. The author describes an alternative productivity system to measure, report, and manage productive labor expense per unit of service.

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

In 1988 the University of Kentucky Hospital implemented a nurse extender model to cope with diminishing RN resources. After a year and a half of operation the model was evaluated in terms of training costs, retention, personnel costs, RN and co-workier satisfaction, and impact on quality of care. The authors conclude that although it has some limitations, the Co-worker Model allowed patient beds to remain open while minimally affecting quality.

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Inner-city medically underinsured adults decribe their preferences for health care and willingness to pay for health care services. The responses of 146 patients attest to the burden of administrative and economic responsibility placed on the public health care sector for indigent patient care. The results of this survey address the information required by the nurse managers who must balance patient needs against administrative pressures to generate revenue from patient fees.

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Reimbursement, budget, and nurse availability constraints no longer support the quality-at-any-cost concept. However, clear definitions of clinical and satisfaction outcomes, nursing responsibilities that contribute to those outcomes, and reasonable time targets for staff contributions can help nurses at all levels analyze and prioritize work load to build new or update existing acuity systems. The author describes specific methods nurse executives and managers can use to involve and guide staff members in (1) determining realistic and compatible standards of care, performance, and resource productivity, (2) integrating quality-based time standards into acuity systems, and (3) using acuity information to manage delivery of a targeted, desired level of ongoing quality care.

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID

摘要:

Nurses spend an average of only 31% of their time with patients. The authors determined how nurses spend their time and suggest three ways to reduce time spent on non-essential nursing functions: delegation of some tasks to support personnel, greater use of pharmacy personnel in a decentralized setting, and greater use of computers, Together these changes may both decrease demand for nurses' time and enable professional nurses to focus their energy on tasks that require professional expertise.

ISSN:0002-0443    

出版商:OVID    

年代:1990

数据来源: OVID