ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00020.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

The use of the term culture, in the context of health care organizations, has become commonplace in a wide range of literature, however, the exact meaning intended when this word is used is not always clear. This paper questions the current widespread recourse to the concept of organizational culture as a way of explaining all ‘soft’ organizational issues and suggests a greater degree of clarity is necessary if the concept is to retain its explanatory utility. Using three components of the concept as an organizing framework to guide the analysis, its application to health care organizations, and nursing in particular, is examined. This demonstrates how the concept can be effectively utilized without losing an appreciation of its inherent complexity. The dimensions of the concept identified for this purpose are: instrumental; cognitive; and interpretive. It is argued that, when clearly defined and appropriately applied, culture can be a useful concept for nurse managers in that it increases understanding of, and thereby contributes to, the effective management of complex health care organizati

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00021.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper addresses nurse absence as it occurs in health care organizations and as a form of withdrawal behaviour from work. Absence represents a traditional domain of conflict between nursing management and their employees in day‐to‐day practice. The aim of the following discussion is to extend nursing management's understanding of the topic as a precondition for well‐balanced schedules and effective human resource planning. A discussion of planned and unplanned absence thus arises and appropriate types of measurement, taking employee absence behaviour into account, are outlined. The implications of the arguments, developed in detail in the first part of the paper, are applied in the second part using a hypothetical account. In order to illustrate the importance of managing absence by nursing management, a method for calculating schedules is described which investigates the organizational control of planned and unplanned absence. This method proposes a seven stage calculation and highlights the processes that are essential for taking absence into ac

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00022.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Research studies alluding to quality and quality assurance within the health care arena are increasingly utilized to justify management initiatives, particularly in relation to the provision and resourcing of patient services, both within the institutional and community setting. The following paper considers the role and utility of quality indicators and presents a critical analysis of the literature pertaining to the concept of quality as it applies to the provision and organization of health care and the relationship between quality assurance and patient satisfactionper se.The paper concludes with a dual challenge not only to nurses to better understand and articulate the specific contribution of the discipline, particularly in relation to positive patient outcomes, but also to current, narrow focused interpretations of quality assurance and calls for definitions of quality to reflect an appreciation of the particular involvement and role of the patient in determining policy affecting care provision.

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00023.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Striving for high quality care is one of the cornerstones in the management of nursing practice and implementing quality improvement initiatives contributes to this goal. In this paper an account is given of how the implementation of a quality initiative, a redesigned needs and strengths nursing assessment, contributed to an improvement in quality of life for a group of children who have learning disabilities. It is also postulated that the initiative may improve staff morale and lessen the likelihood of burn‐out—a phenomenon which can adversely effect the quality of care provided by nurses. A small pilot evaluation study using questionnaires and observation was undertaken to evaluate the initiative. Findings suggest that nursing assessment is one of the factors which has contributed to an improvement in the quality of interpersonal aspects of nursing care for the children at Oakla

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00024.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper describes the key strategic challenges facing a purchaser of health care services in central Scotland. The paper describes a number of key issues including influencing the health of the local population, the financial constraints, the development of alliances and the involvement of service users in planning. It highlights the importance of organizational development and the management of the external environment. Long‐term challenges associated with the purchase of health care are suggested and the paper concludes that achieving health status targets and the desires of the local population could well conflict. It suggests that health boards/authorities will need to enhance their planning and developmental work for the futur

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00025.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

This paper recounts the author's own experience of mismanaging change and describes the unfortunate outcome. Two theories are introduced and applied retrospectively to the case cited in order to identify how it could have been handled more sensitively and successfully. The first theory relates to the stages involved in the process of change as described by William Bridges. The second refers to the specific relationship between the psychometric instrument, Myers Briggs Type Indicator (MBTI) and the different ways in which individuals are likely, and to a certain extent can be predicted to behave in a time of change.

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00026.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

A result of recent National Health Service reforms is the need to investigate, and possibly change, the culture of the professional working relationship between members of staff and their employer. This is particularly the case in situations of mergers and acquisitions where staff working from different cultural environments must work together. Mergers are becoming a feature of health service provision, perhaps this becomes most obvious with the recent moves by colleges of nursing and midwifery into the higher education sector and amalgamations of some purchasing authorities. Mergers highlight the practical issues of bringing together different organizational and work cultures to deliver a high quality service. This article discusses some aspects of the nature of organizational culture, the human impact of mergers and acquisitions and offers strategies for managing these events.

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00027.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00028.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY

摘要:

Book reviewed in this article:Ethics, Law and Nursingby N. Fletcher, J. Holt, M. Brazier&J. HarrisTheory and Practice in Health and Social Welfareby N. ThompsonEthical Decision‐Making in Nursingby G.L. Husted&G.L. Husted.information Technology for the Caring Professionsby Sydney S. ChellenWord for Windows for the Caring Professionsby Sydney S. ChellenManaging strategic actionby Cynthia Har

ISSN:0966-0429    

DOI:10.1111/j.1365-2834.1996.tb00029.x

出版商:Blackwell Publishing Ltd    

年代:1996

数据来源: WILEY