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E Cappell

Publications and source records attributed to E Cappell.

5 recordsLinked to original sources
PubMedDate not supplied

The implementation of theory-based nursing practice: laying the groundwork for total quality management within a nursing department.

Total Quality Management (TQM) is a management philosophy that has had great success in increasing quality and productivity in the private sector. Health care executives are interested in adapting this approach to a health care environment. This article discusses the implementation of theory based nursing practice as one initiative that lays the groundwork for the successful utilization of TQM in a nursing department. The barriers to quality are usually processes not people. Implementation of Jean Watson's nursing theory emphasizes that nurses are co-participants in the processes of health care which results in better outcomes. Nurses are viewed as knowledge workers. Treating them as such, removes barriers to pride of workmanship and renews their commitment to the pursuit of excellence in their care.

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[Determining the extent of nursing care need according to the nursing care insurance law in an interdisciplinary comparison].

The quantifying of care needed is an important issue of the long-term care insurance act in Germany. In the last three decades limits of self-sufficiency have been defined in the context of law, medicine, social science and nursing science. Following these approaches this study distinguishes between determining the limits of self-sufficiency and determining the care needed. On that basis the procedure for determining in the long-term care insurance is analyzed and numerous problems are shown. Arriving at non-optimal results can only be understood in terms of briefly explained background material. One solution could lie in the use or further development of existing models which determine the limits of self-sufficiency on the basis of ADL scales.

Activities of Daily Living↗