From QA to QI in a home health agency.
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Biomedical subjects
Publications and source records attributed to E K Singleton.
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Two seemingly unrelated events--decentralization of the nursing organization and promotion of nurse executives into patient care services vice presidencies with authority over many departments--prompt the authors to ask the question, "Who is leading the nursing department?" The authors discuss the impact of these trends on the nursing organization and make suggestions for ensuring strong nursing leadership.
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As a nurse administrator, you want to attend, or perhaps have already been invited to attend, meetings of your hospital's board of directors or trustees. What personal and professional strategies can you use, outside the board room, to foster your image as a powerful and competent administrator? Once in the board room, what is appropriate board etiquette? How can you contribute most effectively to board deliberations? The authors present strategies for establishing yourself as an influential, powerful, and valuable contributor to the executive management team as well as the board of directors.
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Many acute care hospitals are establishing new services as a strategy to remain solvent. The nurse administrator can play an important role in determining, planning, implementing, and evaluating these services. Guidelines are presented to help the administrator accomplish each of these activities for new services that are offered within the hospital or those that are offered as outreach efforts.
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Before autonomy in nursing practice can become a reality, nurses must clearly identify their roles. This role identification is no easy task given the impact of significant changes taking place in acute care hospitals and the various levels of nursing practice found in most institutions. The authors advocate using middle managers and a committee of nurses with various interests and educational preparations to study the issues and reach a consensus as to the role of nursing. As the work of different hospital groups is shared with others, autonomous nursing practice will be a step closer to reality.
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With the increase in for-profit, multi-hospital, corporate systems, a new nursing role has evolved: that of corporate nurse consultant. This article discusses how the role and functions of this consultant differ from those of an independent consultant. It also describes the corporate nurse consultant's responses to integrating corporate imperatives with the needs of individual institutions. Suggestions are offered for enhancing the relationship between the corporate nurse consultant and an institution's nurse executive.
What are the pros and cons of your hospital cooperating with a school of nursing by providing clinical experiences for students? This article discusses the human and material resources that must be available to provide the student with the maximum benefit from the experience. In addition to certain costs inherent in providing this type of support, the authors explore the advantages of having students in terms of recruitment potential, continuing education of staff, and staff satisfaction. Guidelines presented here will help you make a decision about starting a student clinical experience or enhance your management of an existing clinical experience program.
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