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Biomedical subjects

R N Knollmueller

Publications and source records attributed to R N Knollmueller.

14 recordsLinked to original sources

Reshaping supervisory practice in home care.

Reshaping supervisory practice in home care is not an if but a when issue. We need the best wisdom in how to reshape the practice so that it builds on the experience of the individual and the agency. It is time to deliberately plan to change from the paper-shuffling tendency among supervisors toward supporting more people-oriented activity and to rediscover the pivotal role that supervisors have in keeping a community healthy, staff stimulated, and the agency solvent. Some summary points to consider in reshaping supervisory practice include: (1) redefine supervision to reflect what is desired, needed, and possible, (2) recognize the contribution from change theory and apply it, (3) recapture the commitment and philosophy of supervision from the past, (4) reward the supervisor commensurate with the scope of practice expected, (5) reverse selection of supervisors from preservers of territory to manager as idea entrepreneur, (6) respond to varying and dynamic models of supervisory practice, (7) recharge the supervisor through timely in-service programs, continuing education, and formal academic study, (8) require educational content and practice from colleges and universities that stimulate creative supervisory skills and improve job satisfaction, (9) respect the work of the supervisor and provide appropriate support to achieve success, (10) reconsider current supervisory models and expand opportunities for professional growth among staff, and (11) reshape the supervisory role from one of controller to facilitator and innovator.

Community Health Nursing↗

The role of prevention in home healthcare nursing practice.

Prevention is part of nursing practice, including home healthcare. Two National Health Objectives are highlighted: prevention of breast and cervical cancer. Skilled management, under Medicare, may be one way for home healthcare staff to focus on prevention and health promotion.

Community Health Nursing↗

Thinking about tomorrow for nursing: changes and challenges.

Many changes will be forthcoming in planning and implementing nursing practice in community-based settings in the future. Nursing education will experience major challenges in planning and developing curricula as a response to more mature people becoming nurses for the first time. Clinical practice "without walls," a change from what we have traditionally known, will require creative approaches toward bringing nurse colleagues along who have only practiced in institutions. This article is intended to stimulate new ideas and solutions for nursing to meet new challenges brought on by health care reform.

Community Health Nursing↗