摘要:

The concept of nurse-physician collaboration has significance in today's changing health care environment. Two camps' views concerning nurse-physician collaboration are presented. Camp I supports nurse-physician collaboration using four indicators: (1) mutual power-control, (2) separate and combined practice spheres, (3) mutual concerns, and (4) common patient goals. Camp II takes a totally different approach and describes the structure that must be present before collaboration may exist. The literature supports the use of both camps' views in developing measures for the concept of collaboration. Once these aspects of collaboration can be accurately measured then recommendations can be made concerning changes needed in health care delivery systems to effect outcomes.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Practical experiences and examples in redesigning the professional nurse's work environment are shared. A collaborative interaction model where each nurse was an active participant in decision making was developed to convert a nursing unit to a shared governance structure. The implementation strategy consisted of self assessment for all levels of nurses involved, team building, communication, and change. Resulting role transitions that leaders and staff experienced are discussed.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The role of the nurse manager is pivotal in creating a work environment in which nurse-physician collaboration is the expected norm. It is the nurse manager who clarifies the vision of collaboration, practices as a role model for collaboration, and inspires others to achieve this difficult goal. In addition, the nurse manager manipulates the environmental resources and facilitates self-confidence of staff. The management paradigm that unites the work environment with individual ability is most likely to facilitate collaborative practice.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A shared governance model in a nursing division, incorporating a total quality management approach, indicates positive outcomes. The model is illustrated in the emergency department. The approach to developing the shared governance model and a leadership development model are described.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The purpose of this research was to investigate the nature of nurse-physician collaboration using four indicators (power-control, practice spheres, concerns, and goals) in a random mail survey of registered nurses (N= 59) and physicians (N= 67) in a midwestern metropolitan county. Subjects completed a nurse or physician communication scale, an adaptation of the Weiss and Davis Collaborative Practice Scales, a practice spheres, and a goals checklist. Nurses and physicians were homogenous on the power-control indicator, (χ2= .33,p= .98) and concern indicator (X2= 7.24,p= .13). Nurses and physicians were inconsistent in their perceptions of responsibilities for practice spheres and patient goals. Relationships of demographic variables to collaboration indicators supported profiles of nurses and physicians who may be less collaborative.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A questionnaire was mailed to nruse transport coordinators at the 76 United States pediatric training programs listing 35 pediatric residents or more, and a related but different questionnaire was mailed to chief pediatric residents at the same centers. Comparisons of responses to a series of questions on the role of the nurse on transport suggest that the pediatric emergency transport team offers an excellent opportunity to implement collaborative practice strategies between nurses and residents. Both groups stated the value of professional discussion and consultation to derive mutually satisfactory resolutions to patient care issues. Physician respondents indicated a genuine respect for the nurses' skill and expanded role in the care of critically ill children during transport. The transport experience offers a window of opportunity for nurses and physicians interested in developing research and practice models aimed at fostering collaboration between nurses and physicians-intraining.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Interactive television (ITV) is being used by increasing numbers of nursing schools and hospitals to provide educational access to geographically diverse learners and nurse employees. ITV-related research suggests that learner outcomes and satisfaction with such distance education courses are similar to those associated with the traditional classroom. The authors conducted an evaluation of a major nursing school's nursing telecourse program (NTP) to assess collaborative efforts with hospitals and regional campuses. The respondents, 15 site coordinators, were generally satisfied with the operational aspects of the NTP. Concerns raised by respondents included classroom space availability, operational costs, library resources, and communication equipment and processes. These stakeholders' perspectives were viewed as valuable in identifying problems and making improvements in the school's NTP.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

An urban school of nursing and a 631-bed acute care teaching facility, two independent organizations, created a faculty-practice program in 1990 modeled after one at Cedar Crest College, Allentown, Pennsylvania. Currently there are two full-time faculty joint appointees on 12-month contracts: an Associate Director for Nursing Research/Clinical Nurse Researcher (CNR) and an Associate Director for Nursing Administration. The benefits and challenges of the faculty-practice appointments are explored from three viewpoints: those of the (1) Chief Nurse Executive of the medical center, (2) the Dean of the School of Nursing, and (3) the Joint Appointee, Associate Director for Nursing Research. The joint appointee also describes the roles and functions inherent in the joint appointee role, for example, researcher, teacher, consultant, collaborator, and grant writer. Position descriptions for each joint appointment are included.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The culture of organizations is described based on their goal directedness, human resource perspective, political interests, and values and beliefs of the members. Based on these descriptions, a generic process for building multidisciplinary teams in any hospital setting is discussed. The process includes an in-depth organizational analysis and six-step action plan.

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0887-9311    

出版商:OVID    

年代:1994

数据来源: OVID