Biomedical subjects
Publications and source records attributed to D S Havens.
Chief nurse executives from acute care general hospitals selected the "most professional/innovative" nursing unit in their institutions and indicated which level in the nursing hierarchy was responsible for selected activities and decisions about the content and context of practice on that unit. Responses from 220 executives raise interesting issues regarding the sharing of governance between administrators and staff registered nurses.
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The integration of nursing into organizational governance structures has been advocated to improve practice and enhance the quality of patient care. In 1990, department of nursing involvement in hospital governance occurred primarily through the activities of the CNE. Projections for 1995 suggest that both staff RNs and CNEs will be more involved in governing health care organizations.
Hospitals are searching for means to attract and retain professional nurses. Professionally oriented recognition and compensation programs have been suggested. In 1990 programs relied heavily on basic, time-limited incentives such as educational leave and tuition reimbursement. Projections for 1995 suggest increased implementation of more motivational programs such as gain sharing and salaried compensation.