PubMed · 9624996
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J Carlowe. Governing the future.. https://doi.org/10.7748/ns.12.29.12.s33
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Taking time to develop key strategies and implement our model enabled team members to deliver excellent patient care through shared governance and team empowerment. The benefits of using this model are medical and nursing staff members working together and having ownership in what they do. A sense of accomplishment will be evident, and team members likely will achieve the team's goals and those of the organization. Nurses frequently practice traditional shared governance. To achieve our goals, however, we must take the opportunity that working with medical team members offers. Ensuring that we remain interested and committed to our team model is the next major challenge the team members face. We must continue to be vibrant and open to change. Educational programs, seminars, journal clubs, social activities, and challenging team members for ideas help maintain interest and focus. As managers, we must allow the team to grow and develop by promoting a climate in which learning and mastery is valued, making it clear that there is no failure, only mistakes that provide feedback. We can facilitate this by trusting, believing in, and supporting team members to provide excellent patient care while achieving their goals and those of the organization.
Forecasting the future of health care is difficult. However, we argue that this future will include the movement of health care through process improvement (enhancement) toward the objective of mass customization. This article discusses how mass customization might apply to specific portions of client-centered health care.
Health care financing and care delivery systems are changing at almost warp speed. This requires new responses and new capabilities from contemporary nurse executives and calls for new approaches to the preparation of the next generation of nursing leaders. The premise of this article is that, in these highly unstable environments, the nurse executive faces the need to make high-impact decisions in relatively short time frames. A standardized process for objective decision making becomes essential. This article describes that process.