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Biomedical subjects

C H Smeltzer

Publications and source records attributed to C H Smeltzer.

At least 19 recordsLinked to original sources
PubMed1991

Standard compliance. The process and art of preparation.

The primary purpose of most regulatory agencies is to insure that standards for patient care are defined and adequately supported by policy, procedure, and organizational structure. In addition, the regulatory agency evaluates the effectiveness of the organization in implementing and monitoring the standards for providing safe, quality patient care. The objectives of regulatory agencies do not differ significantly from the major responsibilities of nursing administration. Despite similar accountabilities between the surveyor of the regulatory agency and the nurse administrator of an organization, there may be a great deal of anxiety and stress before an accreditation visit. A method of understanding the standards, developing tools to monitor compliance with the standards, educating staff regarding the standards, and assuring nursing practice is in compliance with the standards is presented. A mechanism for organizing materials and information for the survey that will be effective for ongoing monitoring of standards is also discussed.

Humans↗
PubMed1991

Implementing a strategic recruitment and retention plan.

Nurse administrators were faced with how to staff for a rapid expansion in number of beds in the face of a 15% nurse vacancy rate. The authors discuss how they addressed this issue through their multifaceted strategic plan.

Chicago↗
PubMed1990

Relationship of nurses' education and experience to implementing the nursing process.

In summary, the findings from the study provide partial answers but also raise many new questions that are important to those whose goal is the quality of patient care. This research points to the need for (1) indepth analysis of different types of units to determine the variables that relate to the nursing staff's achievement of the nursing process and quality of care rendered; (2) study of the education and experience levels that best provide quality patient care in the most effective manner; and (3) identification of additional variables that influence delivery of quality patient care.

Clinical Competence↗
PubMed1988

Focus paper: A method for discussing nursing issues.

A position paper can be one avenue or method of providing a framework for discussing nursing issues with peers, colleagues, and health care executives. A position paper/issue paper will frequently focus on one view with subsections, but can raise many other questions as well as touching on additional nursing issues. It should be clear when developing a position paper that the goal of the paper is to provide a framework for discussion--with the major emphasis being on issues being raised, not resolved. The paper should also address how nursing is affected by these issues and how the entire hospital may be affected. Last, a position paper should also articulate your--the nurse executive's--position on the issues under discussion.

Communication↗
PubMed1987

An analysis of emergency department time: laying the groundwork for efficiency standards.

A time and motion study of emergency department (ED) patient waiting time was conducted at the University Medical Center at the Arizona Health Sciences Center in Tucson as a follow-up to a more general study. The time and motion study examined waiting times associated with all phases of emergency care delivery and various levels of patient acuity. The time it took for other departments to provide services and procedures was seen as a significant contributing factor to ED waiting time. Data from this study have already been used to help the medical center identify and correct ED inefficiencies.

Appointments and Schedules↗
PubMed1987

Innovative retention strategies for nursing staff.

The creation of innovative retention strategies will be a major focus for nursing administration as a shortage of nurses recurs and turnover of staff becomes a problem. A recent study provides information on which to formulate retention strategies. The findings suggest that retention strategies, to be effective, need to be targeted specifically to particular conditions of the nursing staff, e.g., educational preparation and the clinical service on which staff are functioning. The authors outline their research findings and the innovative strategies that have been constructed.

Adult↗
PubMed1986

Analyzing patient time in the emergency department.

Inefficiency in hospital emergency departments (EDs), reflected by unduly long patient visits, threatens patient care quality and hospital public relations. To assess its situation with regard to this problem, the University Medical Center at the Arizona Health Sciences Center (Tucson) analyzed ED visits according to time spent in triage, in the examination/treatment room, and awaiting discharge. Patient acuity, laboratory and radiology procedures, consultations, and arrangements for inpatient admission were taken into account. Findings led to corrective actions to increase efficiency and laid the groundwork for further studies.

Academic Medical Centers↗