Staff role of nurse executives: suicide or survival strategy?
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Biomedical subjects
Publications and source records attributed to L C Weeks.
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Productivity is uppermost in the minds of most nurse executives. To protect patient caregivers, nurse educator and clinical specialist positions are being cut. Thus, for hospital nursing educational departments to survive, it is essential that the educational process be defined and include the expectations of the organization and employee as well as the means by which these outcomes can be measured. This article briefly analyzes the factors that have helped to create the current crisis, and then reviews the methods by which nurse administrators can provide some solutions without decimating their educational support services.
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Eight years of experience with primary nursing in a 750-bed acute care teaching hospital revealed several persistent problems: isolationism among nurses, communication problems between nurses and physicians, inadequate documentation, and insufficient time for patient and staff education, resulting in frustration for the nursing staff. By combining the basic elements of primary and team nursing, a 3-month pilot in one unit resulted in improved job satisfaction for professional staff, improved quality assurance scores, and increased physician-nurse communication.
Few nursing divisions can withstand the continuation of practices known to be ineffective and costly, and of questioned benefit. Our hospital's critical survey of policies and procedures regarding nursing documentation has resulted in significant cost savings and improvement in satisfaction and quality.
Career development programs are increasingly recognized as the answer to retaining nurses in nursing, and more important, at the bedside. In the face of economic constraints facing health care, it is imperative that such programs benefit both the nurse and the hospital so that the ultimate goal of improved patient care delivery can be met in a cost-effective and creative way. PACE, Practice Alternatives for Career Expansion, a successful career development program designed to achieve these results, is described in this article. It has some unique features which benefit both the nurse and the hospital.
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