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Biomedical subjects

R J Schaffner

Publications and source records attributed to R J Schaffner.

4 recordsLinked to original sources
PubMed1992

Increasing the impact of the clinical nurse specialist through activity in a shared governance organization.

For the CNS frustrated by traditional placement in an organization, participation in a shared governance organization increases opportunities to improve nursing practice and staff satisfaction. CNSs provide nursing expertise and leadership skills for specific committees as they assist staff nurses in meeting committee objectives. The authors also propose the use of a shared governance organization committee structure as a mechanism for CNSs to increase meaningful interaction with staff nurses and influence their professional development. Their model displays four pathways for CNS-staff nurse interaction through shared governance organization activities: examination of the goals of the profession, evaluation of personal needs and goals, assessment of the characteristics of one's work, and transmission of information. The support provided by the CNS in dealing with these issues increases the staff nurses' sense of a "professional self" and, it is postulated, enhances job satisfaction, decision making, and commitment to the organization's goals.

Decision Making, Organizational↗
PubMedDate not supplied

Demonstrating APN value in a capitated market.

To be acknowledged as powerful resources in health care reform, APNs must demonstrate their capability to discern and implement cost-effective care. APNs are typically associated with services that do not generate revenue. Therefore, they need to document their value in terms of improved outcomes, reduced costs, improved patient satisfaction, enhanced institutional image, and better health care team efficiency. The savings generated by APN consultation and followup for patients referred for home TPN was examined in Rochester, NY, using a simplified cost analysis and forms. Collection of data does not need to be elaborate. Costs can be bundled and examined within the period, simple data collection methods can be constructed for details of consultations, and community surveys can provide market prices. It is suggested that the analysis follow basic steps: list items, examine costs, collect or estimate costs, list all assumptions, then calculate total month and daily costs.

Capitation Fee↗