The impact of reengineering on inpatient nursing.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M B Townsend.
Explore the source record for details and available documents.
When faced with staff mix changes, nurse managers must clarify the underlying purpose so that the strategy selected will support the specific objective. Mix change options are reviewed and a two-dimensional philosophy regarding patient care teams is described.
Advocates of Patient-Focused Care (PFC) claim that a win-win resolution to the cost/quality dilemma can be achieved by placing the patient's concerns at the center of planning. With the patient as the central focus, a whole new paradigm of care emerges which links all components of systems redesign work with a common, defining purpose. Before embarking on such a change effort, planners should carefully examine PFC assumptions for relevance to their specific environment.
Strategies to improve one hospital's work environment have paid off in significantly improved nursing staff satisfaction. Preintervention and postintervention surveys using similar instruments showed gratifying improvements in staff satisfaction with communication with managers, recognition by managers, opportunities for professional growth and development, and support by peers.
Explore the source record for details and available documents.
A participative approach to nursing reorganization proved very successful in gaining support and acceptance of major structural changes by all affected managers. In this approach, managers developed a new organizational design which better met the Nursing Division's needs while supporting its philosophy and values. Working from the design, the entire management group developed operational descriptions of each new and revised role which have proved invaluable as guidelines for people learning new interrelationships.
Explore the source record for details and available documents.