Reactions to families as hospital caregivers. A chief nurse officer perspective.
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Biomedical subjects
Publications and source records attributed to M G Nash.
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This study reports on the development and psychometric testing of inpatient and ambulatory patient satisfaction scales designed to measure patient satisfaction using the standards of nursing practice within a medical center. The surveys were administered to patients 4-6 weeks after discharge from the hospital or following a clinic visit. A total of 619 inpatient and 955 ambulatory patient questionnaires were analyzed. Factor analyses suggest there exist four scales for inpatient satisfaction anf five scales for outpatient satisfaction with high reliability and reasonable validity.
With increasing consumer interest in the cost and quality of healthcare, it is imperative that patients' expectations of nursing care be recognized and managed. This concept is critical to the continued viability of any healthcare institution in the current competitive market. The authors describe the process that one hospital undertook in looking at patient satisfaction with nursing care, the modification of a patient satisfaction tool, and the development of a quality model of care.
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During the first planning year, 29 tactics were identified in a 5-year plan. Two 90-day victory calendars in that year resulted in 17 of 29 tactics being successfully implemented. During this time, strong momentum and eagerness to have successful change was evidenced. The second planning year resulted in 30 revised and/or new tactics. Midway into the second year, 6 of 30 tactics have been completed. the overall number of completed tactics was dependent upon factors such as complexity of the tactic, degree of management turnover, and operational priorities. The overall numbers of completed tactics are not as significant as the process itself, which provides mechanisms to quantify and identify quality nursing care. As a result, the nursing environment is perceived, both internally and externally, to demonstrate a nursing environment of excellence. Currently, a third annual strategic planning conference is being developed. We are confident that a planning process is in place that provides for a strong future as we continue to strive for achievement of our vision.
Healthcare delivery systems are experiencing sweeping changes; acquisition and merger activities abound. These activities have the potential to greatly impact employees and their quality of work-life. The authors describe how one nursing organization in a large metropolitan teaching hospital successfully merged two separate nursing departments by dealing with the essence of these organizations' cultures. A conceptual model was developed that will facilitate future organizational field research in the areas of corporate culture and change process.