Quality taken for granted.
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Biomedical subjects
Publications and source records attributed to J Trofino.
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Adopting an open-minded attitude and the willingness to try new ideas are effective ways to cope with change and help reshape health care delivery. The willingness to let go of the relatively stable, nonthreatening situation and embrace a new, ambiguous environment will promote personal and professional possibilities. Keys to organizational success include: accept change; redefine the business of the organization; encourage high-performing, flexible individuals; and foster a sense of team learning and community. The changes in health care delivery, the complexity of patient care and the blending roles all provide new options for nurses.
The creation of Vision: A Professional Model for Nursing Practice followed an evolutionary process of development over a 20-year time span. The nurse/patient relationship was the central theme of this practice model and implies that nursing excellence, driven by knowledge, research, empowerment and accountability, would result in positive outcomes for patient care and create a culture of independent, caring professional nurses.
One of the most important evolutionary forces in transforming health care is the shift from management to leadership in nursing. The transformational leader will be the catalyst for expanding a holistic perspective, empowering nursing personnel at all levels and maximizing use of technology in the movement beyond even patient-centered health care to patient-directed health outcomes.
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In a large, eastern medical center, nurses introduce voice-activated software programs for high-volume patients with similar conditions to economize documentation time and to improve the quality. Early results show remarkable savings in time and energy.
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