摘要:

Change is becoming the norm in health care environments. Nurse executives in leadership positions are an essential part of an institution's ability to adapt successfully and flourish with change. It is important for the nurse executive to have a clear concept of leadership, the change process, and organizational cultures. This will allow the nurse executive to create an environment within the organization where change is seen in a positive manner and staff are empowered to meet the challenges of health care today.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A nursing administrative group recognized the critical value of staff participation in the formulation of a restructuring project and guidance throughout the project. Using a team approach, a task force of three staff nurses, two assistant nurse managers, a nurse clinician, a nursing practice specialist, and a representative from nursing administration came together. They were given responsibility for researching and setting the course for restructuring change. A unit-based team including a unit secretary, a nursing attendant, licensed practical nurse (LPN), and six staff nurses was formed from volunteers from the 40-bed medicine unit to develop that unit's plan for restructuring. The unit-based team analyzed patient care needs and staff member roles. They created a new patient care technician role as well as a nurse care coordinator role. The role of the LPN was envisioned as providing technical support. Staffing mix was also determined by the unit-based team. Both the task force and the unitbased team continue to evaluate, troubleshoot, and take every opportunity to sell their vision to solidify it further as the foundation for the future of patient care services at the hospital. The process will soon move forward to a large surgical unit.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

In response to a dynamic health care environment and influenced by fiscal pressures, “business as usual” on the postsurgical unit at University of Nebraska Medical Center required examination. Both internal and external factors prompted a staff-driven task force to plan and implement changes. The task force consisted of representatives from staff and management to redesign current practices collaboratively. Issues addressed were nursing workload, responsibilities, scheduling, patient satisfaction, job satisfaction, and professional development. Expected outcomes of changes in the work design on the unit centered on increased efficiency of nursing time, cost effectiveness, and increased satisfaction of patients and nursing staff. The task force proposed and implemented innovative changes in the report and documentation system, utilization of nonprofessional staff, and redesign of work hours. The article presents these changes in the work environment and focuses on a written report system and a clearly defined role for nonprofessional staff.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The Vermont Nursing Initiative is building integrated systems of care within hospitals, establishing new models of collaboration among hospitals, and providing a forum for nurses to change the status quo.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

In 1987, nursing administrators effected radical changes on a pediatric psychiatry ward: A bachelor's degree in nursing science became mandatory for nursing staff, family systems nursing was introduced, and postdischarge nursing follow-up was instituted. To convey how they accomplished the changes, a case history of change on the ward is presented. It suggests that there were many driving forces. Factors most important to nursing's success included a strong vision of nursing, sufficient pain or discomfort to motivate change, the ability to recognize and seize opportunities, and the linking of change to existing institutional practices, policies, and values.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

In today's changing health care economic climate, attaining increased productivity of staff nurses without increasing costs is desirable. Employing a management style conducive to staff nurse job satisfaction may be one method. The article describes the findings of a research survey on perceived and desired nurse management styles and their relationship to staff nurse job satisfaction. A positive correlation (r=.48,p=.0001) was found between perceived management style and staff nurse job satisfaction. The closer the management style was to the participative group management style, the higher the level of staff nurse job satisfaction.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

Just as there exist many forces driving the need for change on many fronts in health care, there are corresponding forces, some equally strong, that resist the change. The article presents a model for nurse executives to help them understand the predominant forces of change. The article also emphasizes the importance of organizational politics in the change process.

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0363-9568    

出版商:OVID    

年代:1994

数据来源: OVID