ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The current trend in the health care environment is to redesign the delivery of services to make them customer friendly as opposed to hospital convenient. This paradigm shift meets and exceeds customers' expectations by bringing the points of service to the patient. Preadmission testing is accomplished by specially educated, registered professional nurses, who complete the nursing assessment, laboratory work, electrocardiograms, social and rehabilitative services referrals, and patient teaching in a primary care framework. This redesign results in a cost savings for the institution, increased patient and physician satisfaction, and decreased idle time for patients and staff.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The ability to understand medication and consistently follow a prescribed medical regimen varies among the general population. The Department of Nursing at Mohawk Valley Psychiatric Center developed a medication self-administration program to help consumers gain knowledge and/or improve their ability to participate in medication and symptoms management. Results have demonstrated that consumers can learn at least one more piece of information about their illness and/or medication despite their level of cognitive functioning, can learn to self-administer medications with minimal supervision before leaving the hospital, and can make an easier transition into the community setting.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This article describes the implementation, monitoring, and evaluation of a clinical practice guideline for managing pediatric patient pain. The standard of care used was the Agency for Health Care Policy and Research acute pain management guideline. It was used to assess current levels of care and to make recommendations for improvements. Information was gathered from a sample of 240 pediatric patients aged 1 week to 14 years. Recommendations for improving care are given. The guideline was found to be clinically useful as a general standard of care, but more work needs to be done to individualize care for specific populations, age groups, and cultures.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Outcries for health care reform and more cost-effective patient care have motivated many organizations to examine routine unit activities. The article reports a study that used a descriptive design to examine nursing utilization of and satisfaction with nurse call systems in two large metropolitan hospitals. Findings revealed that nurse call system features such as the ability of unit secretaries to receive and screen patient calls reduced unnecessary nurse interruptions, saved actual nursing time, and enabled some nurses to begin preparing to meet patients' needs before entering their rooms. Problems with the nurse call system identified from the data were the sound quality of the transmission, inability to locate the nurse, inability to prioritize and confirm calls, and inability to speak directly to patients and staff.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

The importance of maintaining and improving quality is well understood in most health care organizations. This work becomes more challenging as internal and external conditions rapidly change. A quality improvement framework was developed to help clinicians and administrators organize intergrated, multifaceted quality programs that have the flexibility necessary for success in today's fast-paced health care environment.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Seclusion and restraints have traditionally been major interventions for controlling patient aggression. The implementation of less restrictive measures may or may not be an option in managing individual cases of psychiatric emergencies. Improvement in patients' knowledge of alternatives and the need to reduce the use of restraints have led to the development of new tools to enhance prevention of high-risk interventions. At one institution, an anger management assessment tool and “Triangle of Choices” have assisted patients in identifying and managing feelings of frustration and anger. Since their inception 1 year ago, the implementation of documented alternatives to restraints has increased, and use of most restrictive measures has decreased.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Nurse practitioners in ambulatory care settings must begin using quality improvement strategies to enhance patient outcomes and to improve patient follow-up. The article highlights the development and beginning stages of implementation of one such quality improvement program and discusses the actions that were taken to increase timeliness of key patient processes. An example of a quality improvement educational program, outlines of the plan, and scope of services are also provided.

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1057-3631    

出版商:OVID    

年代:1997

数据来源: OVID