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Biomedical subjects

M Koloroutis

Publications and source records attributed to M Koloroutis.

5 recordsLinked to original sources

Assessment: the first step in creating a more integrated system-wide approach to nursing practice.

As complex healthcare systems are created, professional nurses in these systems must address the integration of nursing practice. To facilitate the transition to a more common system-wide approach to professional practice, leaders at one health system began by conducting an assessment of their current reality of nursing practice. The authors describe the assessment process, including the staff survey questionnaire and recommendations to strengthen nursing practice and make the transition to a more common system-wide approach to professional practice.

Delivery of Health Care, Integrated↗

An ethics framework for organizational change.

The proliferation of managed care has introduced conflicts of interest in health care that can create tension in the traditional care provider-patient relationship. In order to address the emerging trends and potential ethical dilemmas presented by managed care, health systems must develop a framework for intentional ethical reflection. The article outlines the essential elements of a caring ethical framework and describes how one integrated health system created a framework of ethical guiding principles and an ethical organizational structure to facilitate integration of those principles throughout the organization.

Delivery of Health Care, Integrated↗

High-tech, high-touch perinatal home care.

Perinatal home care for women experiencing a high-risk pregnancy often requires the use of technologies for safe home management. Home care professionals need to integrate high technology with high touch to ensure the best results.

Community Health Nursing↗

Hospital-based perinatal home-care program.

In recent years, hospitals have established home-care programs to provide care on a continuum, meeting needs in the hospital and home setting, whichever is most appropriate and efficient in response to defined patient needs. Hospital-based home-care programs with specialization in perinatal nursing have been established to meet the care needs of patients and their families during antepartum, postpartum, and neonatal periods. One of the greatest advantages of a hospital-based program is the internal availability of highly knowledgeable and skilled nursing staff. Physicians are more likely to refer patients to a program that is staffed with nurses they know and trust from the hospital setting. More cost-effective and coordinated care is achieved through the appropriate use of resources across the continuum.

Community Health Nursing↗