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Biomedical subjects

D L Flarey

Publications and source records attributed to D L Flarey.

At least 37 records · Page 2Linked to original sources
PubMed1993

Quality improvement through data analysis. Concepts and applications.

Nurse executives play a key role in quality management and need a working knowledge of which data collection and improvement tools to use. This knowledge insures effective analysis and decision making necessary to drive department and organizational transformation through quality improvement programs. The author presents the most frequently used tools for quality improvement, with a focus on applications in practice.

Appointments and Schedules↗
PubMed1993

Journal club: a tool for health care management and development.

While the journal club concept has its roots in medical practice, the premise of the concept can easily and effectively be assimilated into health care management practice. Health care executives and managers can greatly facilitate the journal club process by establishing a solid methodology for article presentations that focuses on critical and timely issues related to health care management. With upper management support and member commitment, the journal club can be a powerful vehicle for ongoing management and personal career development.

Education, Continuing↗
PubMed1992

Collaboration in labor relations. A model for success.

Proliferation of bargaining units in currently unionized organizations will create new challenges and complexities for nurse executives. Although the literature abounds with strategies to prevent unionization, little had been presented on establishing and maintaining effective relations with bargaining units. The authors focus on currently unionized nursing practice environments and present a model for facilitating positive, cooperative relations between unions, the nursing profession, and the healthcare organization.

American Nurses' Association↗
PubMed1992

Legal and ethical issues in HIV testing, Part 1.

HIV antibody testing presents multiple and complex legal and ethical issues. Nurse executives must be knowledgeable about these issues and their potential impact on administrative practice. In this two-part series, the author presents legal and ethical issues related to testing. Part 1 focuses on the AIDS epidemic, the ELISA test, informed consent, confidentiality, and mandatory vs. voluntary testing.

AIDS Serodiagnosis↗
PubMed1992

Legal and ethical issues in HIV testing, Part 2.

In part 1 of this two-part series, legal and ethical issues in HIV testing were examined, such as the ELISA test, informed consent, confidentiality, and mandatory vs. voluntary testing. In this article, the author presents the most important legal and ethical concerns related to legislation for testing, testing in the workplace, Centers for Disease Control guidelines and recommendations, ethical analysis, and implications for nurse executives.

AIDS Serodiagnosis↗
PubMed1991

Organ donation and transplantation: an ethical analysis.

The experience of developing and implementing an organ procurement program for a health care agency is most rewarding. Being so deeply involved in the program development forces one to look at the ethical issues head on in an attempt to deal with them personally. Rather than just study the ethical issues at hand, participation in a program allows one to examine the issues in practice. It is likely that medical technology will continue to advance in scope. Health care professionals must keep abreast of the rapid changes that are occurring and confront the ethical issues involved. Only by confronting these issues can health care professionals begin to realistically resolve concerns and provide support for advances that will ultimately allow for growth in practice.

Attitude of Health Personnel↗
PubMed1991

Quality circles: the nurse executive as mentor.

Changes within and around the health care environment are forcing health care executives to reexamine their managerial and leadership styles to confront the resulting turbulence. The nurse executive is charged with the profound responsibility of directing the delivery of nursing care throughout the organization. Care delivered today must be of high quality. Declining financial resources as well as personnel shortages cause the executive to be an effective innovator in meeting the increasing demands. Quality circles offer the nurse executive an avenue of recourse. Circles have been effectively implemented in the health care setting, as has been consistently documented over time. By way of a participative management approach, quality circles may lead to increased employee morale and productivity, cost savings, and decreased employee turnover rates, as well as realization of socialization and self-actualization needs. A most effective approach to their introduction would be implementation at the first-line manager level. This promotes an acceptance of the concept at the management level as well as a training course for managers to implement the process at the unit level. The nurse executive facilitates the process at the first-line manager level. This facilitation will cause a positive outcome to diffuse throughout the entire organization. Quality circles offer the nurse executive the opportunity to challenge the existing environmental turmoil and effect a positive and lasting change.

Group Processes↗
PubMed1991

The nurse executive and the governing body. Synergy for a new era.

Nurse executives play a vital role in the overall governance of healthcare organizations, and many participate on governing boards. However, we lack a model for effective governing-body relations and contributions. The author presents major functions of the governing body with emphasis on the critical elements provided by the nurse executive. The author also defines major outcomes for nursing.

Community-Institutional Relations↗
PubMed1991

Advanced directives. In search of self-determination.

Patients are seeking self-determination in health-care through the use of advanced directives. The author discusses advanced directives focusing on patient rights in decision making, autonomy, and the right to refuse life-sustaining treatment. Highlighted is the Patient Self-Determination Act of 1990, including strategies for its implementation in healthcare agencies.

Advance Directives↗
PubMed1991

Redesigning management roles. The executive challenge.

The revolutionary changes that have occurred in healthcare during the past decade challenge nurse executives to analyze and redesign managerial roles. To confront future change and developments in nursing and management practice, the role of the first-line nurse manager must take on new dimensions to facilitate quality outcomes in patient care and empowerment of nurses at all levels of practice. The author presents a model of job redesign for nurse managers with emphasis on the motivational approach. Role outcomes for nurse managers are also detailed.

Feedback↗
PubMed1991

The social climate scale. A tool for organizational change and development.

The positive outcomes of the changed healthcare environment are now being realized. The present decade will influence more change and development in organizations and nursing practice to solidify the advances of such outcomes. The effects of outcomes on the work environment and job satisfaction of nurses now must be analyzed. Assessment of social climate via the Work Environment Scale offers nurse executives a valid and reliable means of analysis.

Hospital Units↗
PubMed1990

Physician bonding. The role of the nurse executive.

Nurse executives know the significant contributions physicians make to patient care revenues. Healthcare agencies are in fierce competition to attract and retain physicians. The development of a physician "bonding" program is an innovative strategy to build physician loyalty and insure use of agency services. The nurse executive plays a key role in physician relationships. The author presents the role of the nurse executive in the strategic development and implementation of a physician bonding program.

Humans↗