摘要:

Health care is being reformed in the United States. However, rather than the reform taking the course of the rejected Clinton health care plan, the invisible hand of the free market is reshaping America's health care sector through the spread of a system known as capitation. This article looks at capitation and its effect on hospitals, which are rapidly adopting this practice. Then it explores the implications for both nurses and nursing administration as hospitals seek to transform themselves into health care delivery systems. It is suggested that hospitals bring nurses and nurse administrators to the forefront of their concerns in setting up such capitated systems.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Widespread restructuring of health care organizations often results in corporatization and associated cultures to which nurse administrators must adapt. Acculturation may be facilitated through understanding key aspects of traditional and emerging corporate cultures. One of these aspects is trust, which is requisite for persistently successful organizational performance in dynamic environments. This article defines trust, assesses its significance within organizational settings, delineates specific ways in which it affects organizations, and discusses the implications for nurse administrators of varying levels of trust associated with organizations

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Although work empowerment is a common theme in the current nursing systems literature, few systematic programs of research have studied the phenomenon from an explicitly theoretical framework. The author summarizes the results of a series of studies in a program of research designed to test Rosabeth Moss Kanter's Structural Theory of Organizational Behavior in the nursing population. Future directions for theory and research are proposed

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Mergers and acquisitions, multibillion dollar profit margins, and hospital chains that boast more than 400 sites all reflect the fact that health care is no longer a cottage industry but a corporate giant. The forms and structures that will provide care will continue to disintegrate and then evolve as we face a crisis in Medicare funding and as the ranks of uninsured continue to grow. The challenge for nursing leaders is to stay centered on the core product and the core process of our industry—caring for patients. Integration is the key strategy that must be applied to achieve that end. We must strive for integration in three levels: within ourselves, between persons, and within our organization. Only then wil I nursing leadership be able to bring wholeness and influence to the corporate health care world through our individual roles and collectively through our profession

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

This article describes one of the changing roles of the executive nurse. It attempts to sketch the environment, the changing politics, possible role expectations, and perceived barriers of the system role. A brief list of additional skills that may be helpful in assuring greater success is also detailed. This article is an account of “a” perspective and experience.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The emergence of integrated delivery networks provides an opportunity for leaders of patient care services to reach into our tool bags and refine the key leadership skills of strategist, facilitator, coach, and mentor. Shifting the focus from management to leadership is the hallmark of our success. As patient care leaders we will facilitate the achievement of the organization's strategic initiatives to improve clinical care delivery while decreasing cost. This article will explore the role of the patient care executive as part of the leadership team developing an integrated/organized delivery network.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Clinical integration, a Mercy Health Services (MHS) system-wide priority, addresses MHS'sability to provide appropriate, effective clinical care across the continuum and to improve care outcomes. MHS chartered a Clinical Integration Priority Team (CIPT) that developed a common language for clinical integration; began to build the infrastructure for coordinated systems of care in such areas as information systems and pharmacy; improved methods and technology for clinical decision making and care delivery; and educated clinicians to improve care processes, manage care for populations, and measure outcomes. Clinical professionals in corporate staff roles have supported clinicians' efforts across the system by providing direction, coaching, educating and supporting in activities to improve patient care.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The nurse executive at the corporate level is in a pivotal position to provide balance between the provision of integrated patient care and success of the corporate mission. In this role, the nurse executive shifts the spotlight from a solely nursing perspective to the systems approach in support of patient care. The response that follows is often a redoubling of the efforts of health care providers to render more efficient and cohesive ts. In the end, success is an outgrowth of strong teamwork combined with the ability of the executive to connect the corporate business strategy with the provision of patient care wherever it is delivered.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Today's turbulent, chaotic health care environment necessitates dramatic changes in roles of nurse executives. These role changes are rapidly being cast upon individuals who are pressured to react, accept, and adapt quickly. Previously successful leadership styles no longer will serve nurse executives as they assume nonoperational roles without line authority and power. No prescriptive strategies will be effective to assist nurse leaders in their new roles. One nurse executive's story of her own journey will be shared to illustrate how she is creating a successful transition.

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:1996

数据来源: OVID