Biomedical subjects
Publications and source records attributed to A J Micheli.
Children are not just small adults. They have unique differences and needs both physiologically and psychosocially. The pediatric perioperative nurse is challenged to meet these needs by incorporating a knowledge of growth and development in all aspects of the plan of care.
The present climate in health care, including a tendency toward more managed care and capitation systems, has caused hospital administrators and perioperative managers to reexamine traditional work systems and their associated costs. Some decisions around work redesign may be financially driven or based on the decreased availability of qualified professionals in the job market. The use of an increased number of unlicensed assistive personnel (UAP) in hospital settings has become a common redesign strategy to address both issues. In the perioperative setting, some traditional roles are well established for UAP. Today, changes associated with downsizing, cost containment, and increasing technology have opened up new opportunities to explore ways to integrate UAP roles into the perioperative setting.
Peer review is a major component of a professional practice and shared governance model in which professional staff nurses are given responsibility for practice and patient outcomes. Careful planning is necessary for the development of a peer-review program. Components include definition of roles, responsibilities, and performance standards, as well as the development of an evaluation tool and process. Peer review affords nurses many opportunities for growth and development and allows them to develop communication, evaluation, and presentation skills. The concept of peer review may expand to meet the needs of changing health-care delivery models.