Biomedical subjects
J Dunham-Taylor
Publications and source records attributed to J Dunham-Taylor.
Leading the research initiative: the role of the nurse manager.
Outcomes research, an integral part of the nurse manager role, is important because it examines the end result of care and stimulates changes in nursing practice. Without outcomes research, the nurse manager lacks knowledge of what interventions have been tried or their resulting effectiveness. The move from episodic to a continuum of care emphasizes the need for continued research across all organizational boundaries. This paradigm shift questions traditions and requires finding new ways to plan and implement care. Nurse managers assure that they provide the leadership to develop and implement outcomes data to strengthen nursing's role on the health care team and to achieve positive patient outcomes.
Identifying the best in nurse executive leadership: Part 1, Questionnaire results.
Further analysis of a previously reported transformational leadership study indicated that the study's 81 excellent nurse executives can be further delineated into four groups based on the difference between the scores of nurse executives and staff for transformational and transactional leadership. Part 1 reports questionnaire results, indicating that staff identify two groups as more highly transformational. Part 2 will identify further characteristics of these groups based on interview data results.
Nurses cut health care costs.
Nurses are a value-added and cost-savings component of health care, yet others frequently impede nurse efforts. Nurses, coupled with business, can contribute to cutting health care costs by (a) increasing dialogue with business leaders on effective cost-cutting measures across health care, (b) supporting nurse leaders who are capable of administering key community positions, (c) involving whole communities in wellness/health promotion and/or disease prevention programs, (d) encouraging more home health care alternatives; and (e) supporting nurse-related entrepreneurial efforts.
Identifying the best in nurse executive leadership: Part 2, Interview results.
Interview data from four groups of nurse executives further define transformational leadership. In Part 1 (June 1995 JONA), the group that received the highest staff mean scores were more balanced in their leadership style. The second group, which also received high scores in Part 1, were analytic and enjoyed moving in to "clean up" situations. In the groups receiving lower scores, one relied on common sense in dealing with issues and the other influenced others on a situational basis. The author provides further definition on the composition of excellent nursing leadership.
Quality oversight: how much is too much?
Concern for quality, which has created $1 billion/year quality oversight businesses, has affected health care organizations financially in different degrees. The most costly is the JCAHO accreditation process. Health care organizations have the power to control these businesses and expenditures.
Experiences, events, people. Do they influence the leadership style of nurse executives?
Nurse executives play a key role in healthcare organizations. This study asked nurse executives whether there were particular experiences, events, or persons that influenced their leadership style. The answers to this question provide guidance for nurses who aspire to this role. Nurse administrators, leaders, and educators are in pivotal positions to influence the development of leadership in others.