摘要:

Market-leveled changes occurring in the health care industry require new and creative models of organization, management, and service delivery. One of today's primary management challenges is the development of organizational cultures that value innovation, change, and creativity. The adoption of an ethic of innovativeness allows the organization to stretch the limits of individual and collective knowledge, skill, and ability to meet complex consumer needs. Creativity within organizations is influenced by management practices in conjunction with creativity-relevant work group skills. A common wisdom exists that professional nurses are creative in finding solutions for complex patient care needs. The expansion of this creativity within organizational systems will allow for the evolution of professional nursing practice, improvement in care delivery, and organizational performance.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The proliferation of managed care has introduced conflicts of interest in health care that can create tension in the traditional care provider–patient relationship. In order to address the emerging trends and potential ethical dilemmas presented by managed care, health systems must develop a framework for intentional ethical reflection. The article outlines the essential elements of a caring ethical framework and describes how one integrated health system created a framework of ethical guiding principles and an ethical organizational structure to facilitate integration of those principles throughout the organization.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Inova Health System found a change strategy that supported redesign of our patient care delivery to improve the patient experience while changing the culture of the organizations, ensuring system integration and reducing costs. Using the large group intervention of the Conference Model we involved staff and physicians from the entire system to create a model of care to meet the needs of the future. This methodology allowed us the opportunity to tap the intellectual capital of the organization's and build capacity among a wide range of our staff. The adventure is outlined in our On the Scene.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This article describes the collaboration of two researchers and two clinicians at one rural medical center to develop and implement Phase I of a project that was part of the Quality Indicator Initiative of the American Nurses Association (ANA). Changes in the health care environment led the researchers to develop educational programs that eventually evolved into a pilot research project to explore the feasibility of data collection on ANA Quality Indicators. Collaboration between the researchers and clinicians led to outcomes that relate to future efforts for collecting and analyzing data on clinical outcome indicators.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

As organizations find themselves having to respond to quick changes in rapid succession, at some point the question of whether or not the pace is too much to sustain comes into play. At Sarasota Memorial Hospital, early cultural assessment led to implementation strategies that helped to overcome some of the barriers of major change.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Nursing administrators facing reorganization understand the difficulties and resistance that accompany organizational change. This article discusses resilience, a critical character trait for successfully managing change. Understanding the change process can assist those charged with the challenge of leading organizational change to manage the journey more effectively.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

In order to perform at peak efficiency and effectiveness, health care organizations must be change-adept. Increased scrutiny by consumers, payers, and regulatory agencies is but one of the drivers necessitating change. This article discusses methodologies for improving performance and promoting continued success in an academic medical center.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

A retrospective of Joint Commission changes from its early days to the present is provided in this column. How the Joint Commission on the Accreditation of Healthcare Organizations evolved from the American College of Surgeons initiative to standardize hospital systems and equipment is discussed. Structural standards developed into important functions that crossed departments within an organization. Discussion of the current initiatives and future challenges to improve care to the public is included.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

In an industry in which the only constant is change, information technology is increasingly becoming the means by which health care organizations manage the constant volatility they face. This article discusses the emerging managed care trends that are driving the move to open systems and increased technological flexibility. In addition, it explains how changing models of care are fueling the evolution of a new breed of clinical information systems that are interdisciplinary, interoperable, and outcomes focused.

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:1999

数据来源: OVID