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PubMed · 10451655

Implementing a councilor model: process and outcomes.

K C Richards·P Ragland·J Zehler·K Dotson·M Berube·M W Tygart·R A Gibson
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Abstract

The councilor model of shared governance was implemented at the Central Arkansas Veterans Healthcare System in January 1995. The goal was to reduce, eliminate, and consolidate nursing committees, enhance communication, and increase the decision-making abilities and opportunities of staff members. A study was conducted to determine the perceptions of the nursing staff relative to the culture of the organization after implementation of the model. The authors describe the process and outcomes of the resulting performance improvement processes, organizational redesign, and outcomes of this initiative.

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ArkansasCommunicationDecision Making, OrganizationalHospitals, VeteransHumansModels, NursingNursing Service, HospitalNursing Staff, HospitalOrganizational CultureOrganizational InnovationProfessional AutonomyProfessional Staff CommitteesJournal ArticleResearch Support, U.S. Gov't, Non-P.H.S.

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K C Richards, P Ragland, J Zehler, K Dotson, M Berube, M W Tygart, R A Gibson. Implementing a councilor model: process and outcomes.. https://doi.org/10.1097/00005110-199907000-00009

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Calculating multirace categories and race-specific rates: a cautionary note to rural health researchers and analysts.

CONTEXT: Revised federal standards for racial and ethnic data have resulted in 57 new self-selected multirace categories that cannot be directly compared with traditional "one-race-only" categories. "Bridge methods" are available, but each produces different estimates of single-race populations, raising concern about the potential influence on calculated rates for rural and nonmetropolitan areas. PURPOSE: to examine the potential impact of several bridge methods when calculating race-specific mortality rates. METHODS: Population and mortality data were collected for 75 counties in Arkansas, and race-specific mortality rates were calculated using 3 deterministic bridging methods: (1) Equal Fractions, (2) Largest Group, and (3) Largest Group Other Than White. The mortality rates were compared at the state and metropolitan/nonmetropolitan levels, as well as for 4 rural substate regions. FINDINGS: Variable rates were obtained from different methods. Estimated mortality rates for the largest single-race groups, White and Black, varied only slightly by method at the state and nonmetropolitan/metropolitan levels. The rural substate regions with the smallest Black populations showed the greatest variation between method-estimated rates for Blacks. CONCLUSIONS: The results suggest that the smallest minority race categories are exceedingly susceptible to the impact of bridge method selection, especially in nonmetropolitan substate regions.

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