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Results for “Work Simplification”

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At least 469 records · Page 26Linked to original sources
PubMed1995

Restructuring. An integrated approach to patient care.

As scientific advances in biochemistry shaped the health-care system since World War II, the projected advances in molecular biology will drive the system of the future. With each scientific advancement or new technology there will continue to be the need for efficient organizations to provide acute care to the patients who will benefit most. Despite numerous projections about the viability of the acute care hospital as we know it and vigorous redirection of services to the patient at home in ambulatory settings or in their community, it is crucial for nurses to take a leadership role in developing long-term approaches to patient care delivery systems for the acute care hospital of the future.

Continuity of Patient Care↗
PubMedDate not supplied

An interview with Moira Kelly. Interview by Patricia Patterson Hines.

The cardiac intensive care unit at the UCLA Medical Center was recently involved in a work restructuring process that included the introduction of patient care partners for professional nurses, and the redesign of select core processes, such as documentation. Moira Kelly, RN, a staff nurse on the unit, describes the challenges and rewards of work restructuring, including the relationship between the nursing professionals and the patient care partners.

Coronary Care Units↗
PubMed1993

Doing obstetrics and staying alive.

Many family physicians have a love-hate relationship with childbirth care and struggle to balance their personal and family needs with the need to provide high-quality personal care during labour and birth. Many false assumptions undermine family practice obstetrics. Strategies are presented to simplify obstetric care for women and families while promoting reasoned self-care for physicians.

Adaptation, Psychological↗
PubMed1993

Clerical activities and the nurse manager.

A nurse manager identifies, records and reassigns clerical activities on her two Pediatric Special Care Units. This study shows nurse managers how to reduce their clerical time and free managerial time for improving unit operations.

Humans↗
PubMed1993

Record keeping: directions for the 1990s.

In studies conducted in the late 1980s, managers and direct service workers agreed that their biggest record-keeping problems were caused by lack of time. This article describes how 114 agencies in 20 states tried to resolve this problem Agencies were more successful when they simplified recording and allocated new resources to the task. This article outlines the techniques these agencies used and contrasts those that were more successful with those that had mixed or poor results. The findings suggest directions for record keeping in social services agencies in the 1990s, when agencies will face critical choices about how to use limited resources.

Forms and Records Control↗
PubMed1996

[Psychophysiological correlates of increasing the work ability of human operator owing to the programmable correction of the functional status].

There has been studied application of a complex approach to development of automated ways to gain contactless psychophysiological correction of functional status and improvement of performance of working up operators. The psychophysiological support of operator consisted in combined presentation of functional music, surf noise and pulsed dynamic green lighting under a special program built-up on the principle of biological feedback of heart and respiration rates. The individually adaptable audio and visual pulses on the programme showed a rather high efficiency as was confirmed by the change in the set of psychophysiological indices (heart rate, arterial pressure, cutaneogalvanic reaction, accommodation volume, critical rate of flicker fusion, electroencephalogram), and subjective SAM (self-feeling, activity, mood) estimates in the course of extended operator's activity.

Electroencephalography↗
PubMedDate not supplied

[Criteria for the reintegration to their jobs of workers with musculoskeletal pathologies of the upper limbs based on preliminary practical experiences].

The report presents a preliminary study on the return to the workforce of employees with WMSDs of the upper limbs, and their reallocation to jobs with "low exposure". The study, which is still underway, involves a large engineering firm and includes some 100 workers affected by WMSDs. The trial envisages: providing a definition of the criteria for characterising "accommodating" jobs (i.e. frequency of action < or = 20 actions per minute; virtual absence of other risk factors such as force, posture, inadequate pauses, etc.); concretely identifying jobs meeting such criteria (or jobs which, with minimal modifications, could be made suitable); classifying WMSDs workers, according to the type and severity of the disorder; matching WMSDs workers with the jobs best suited to them; specific training for the workers and their supervisors; carrying out a follow-up of the return of WMSDs workers to the workforce in organisational terms (i.e. need for further modifications to equipment or procedures) and clinical terms (i.e. symptom patterns, acceptability of the condition). The preliminary results, 6-12 months after the start of the trial, are extremely encouraging, and show that when workers return to the workforce in jobs that fully meet defined criteria, a significant prevalence of "improvements" are reported among the involved workers. The investigation will need to be extended, but already it shows quite convincingly that it is possible for workers with what can be described as a "reduced working capacity" to remain "productive" (albeit in jobs featuring a lower exposure potential than the acceptable threshold for "healthy" workers).

Arm↗