The value of patient- and family-centered care.
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Biomedical subjects
Publications and source records attributed to P H Powers.
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Successful perioperative management of the pregnant surgical patient requires a multidisciplinary nursing approach to decrease perinatal morbidity and mortality. A comprehensive perioperative patient care plan and coordination with obstetric and neonatal team members enhance the surgical outcome for both the mother and her child.
In 1988 the University of Kentucky Hospital implemented a nurse extender model to cope with diminishing RN resources. After a year and a half of operation the model was evaluated in terms of training costs, retention, personnel costs, RN and co-worker satisfaction, and impact on quality of care. The authors conclude that although it has some limitations, the Co-worker Model allowed patient beds to remain open while minimally affecting quality.
To stay competitive in the marketplace, many hospitals are renovating their physical plants to a more hotel-like appearance. Others are downsizing their units, reflecting the decreased demand for acute care beds. As these changes are made, patients and nurses are temporarily relocated to other places in the institution. How does this relocation of nurses impact their professional functioning and self-esteem? Based on their study of four groups of nurses who were relocated, the authors discuss their recommendations for making relocation a positive experience.