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Biomedical subjects

P R Ponte

Publications and source records attributed to P R Ponte.

10 recordsLinked to original sources
PubMed1994

Restructuring the CNS role for a managed care environment.

The CNS role in a large northeast teaching hospital was the focus of a major organizational change process in response to a tightening fiscal environment. CNSs worked with the nurse executive team to restructure their role from expert consultant to case manager, nurse manager partner, and resource and consultant to the Department of Nursing. Development needs of the CNSs were assessed before and after role revision to evaluate the process and provide evidence of learning and change. The change and learning process evidenced in this article exemplifies the CNSs' ability to adapt and respond to the rapidly changing needs of today's managed care setting.

Hospital Restructuring↗
PubMed1994

Advanced practice roles in the managed care environment.

The role of the advanced practice nurse is based on expert clinical knowledge and skill and is practiced in multiple settings. As healthcare reform emerges, the context in which healthcare is delivered changes. The authors describe a creative approach to packaging and marketing the services of advanced practice nurses to the customers of the managed care system.

Humans↗
PubMed1993

Development needs of advance practice nurses in a managed care environment.

The authors describe an organizational change process driven by a critical cost containment effort in a teaching hospital in the northeastern United States. This process resulted in a major shift in the role of the clinical nurse specialist. Development priorities of clinical nurse specialists before and after redesign of the role are described.

Cost Control↗
PubMedDate not supplied

The professional issues forum for primary nurses: a method for professional development.

This article describes a formal mechanism for facilitating a theory-based practice through professional development of primary nurses in a large teaching hospital. The use of the theoretical concepts in clinical decision-making by primary nurses is illustrated by a case presentation. The continuing nurse educator's role in planning and conducting the forums is discussed.

Education, Nursing, Continuing↗
PubMedDate not supplied

A strategy for responding to the training needs of nursing staff in a new cardiac/neurosurgical ICU and telemetry unit.

The decision of the Brigham and Women's Hospital (BWH) to expand its capacity to care for acute cardiac surgical and neurosurgical patients resulted in the need for an education and training program for a large group of nursing staff. In such situations, where an existing service is being expanded or a new service initiated, nursing education departments must quickly devise simple and cost-effective mechanisms to promote the competency of nursing staff. Nurse educators, staff nurses, nurse managers, and clinical nurse specialists all play a role in planning and implementing the relevant education and evaluation program. BWH chose to recruit temporary special projects staff nurses to address these increased educational needs.

Cardiology↗