Biomedical subjects
Publications and source records attributed to P Ethridge.
Carondelet's preliminary data on their Community Nursing Organization indicate that members are satisfied; hospitalizations, length of stay and home health visits are down; client participation in health screening and health education activities is up; health problems and concerns are resolved and early intervention is effective.
This article explicates the concept of community as the relational processes that constitute a coming togetherness and explores the role of advanced practice nursing in community. Community as process and health as process are described from the theoretical perspectives of Parse's nursing theory of human becoming and Newman's theory of health as expanding consciousness. Advanced practice nurses, in engaging with community, participate in a nurse-person-community-health process. This engagement occurs in the reality of managed health care. The focus of advanced practice nursing in community is health, wholeness, and quality of life. To participate with presence in the nurse-person-community-health process is viewed as nursing's opportunity.
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St. Mary's Hospital and Health Center, Tucson, AZ, responding to changes in health care reimbursement and the need to maintain quality, developed a comprehensive program to improve nurses' professional accountability. The project was based on the assumption that increased job satisfaction and decreased job stress for nurses in an acute care facility would improve retention and recruitment and facilitate decentralization of care delivery. The plan included the following components: Identify and enhance qualifications of nurses through a credentialing mechanism. Restructure nurses' employment terms to professional salaried status. Implement a spiritual, holistic framework for nursing. Identify programs to extend nursing's sphere of influence to activities that promote a continuum of care. Use the patient classification staffing tool as an acuity billing system. Decentralize the nursing organization and move it into the community. Promote an environment conducive to two levels of nursing practice--professional nurse case managers and associate registered nurses. The program's effectiveness was evaluated by measuring nurses' job stress and job satisfaction in 1983 (before the program's implementation), 1985, and January 1987. In 1985, compared with 1983, job stress was significantly lower in several areas measured, while job satisfaction was higher in four of six areas measured. Turnover rate of nurses decreased from 15.2 percent in 1983 to 5.4 percent in 1986. Financial savings from the program also hve been substantial: more than $500,000 for the last two fiscal years.
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Phyllis Ethridge, MS, RN, FAAN, CNAA, is vice president, patient care services, Carondelet St. Mary's Hospital & Health Center, Tucson, AZ. In this interview she discusses challenges for nurse executives, a nursing HMO, chronic patients, and team work.