Biomedical subjects
Publications and source records attributed to W D Corser.
Existing public databases may help nurse administrators better understand the rapidly changing and increasingly complex healthcare environment. The authors discuss the availability of public healthcare databases and demonstrate through a hypothetical query how nurse administrators can use these databases during their decision-making efforts.
The downsizing of the acute care sector of healthcare is providing hospital nursing staff with fewer alternative employment options in the areas in which they currently work. This greater employment uncertainty is likely to affect the variables that organizational behaviorialists have found to both enhance or detract from the organizational commitment that staff members feel toward the organization. The author analyzes the latent effects of the progressive changes being sustained in acute care work markets that influenced nurses' perceived levels of organizational commitment in earlier times. The research conducted in this field by both nursing and other disciplines is reviewed, and implications are proposed.
In this article, the phenomena of "collaborative nurse-physician interactions" are analyzed as such encounters may be conceptualized in modern healthcare practice settings. The author observes that many writers have used either nonclinical or incomplete definitions when discussing nurse-physician collaboration, often paying little attention to the research which indicates that members of both groups consistently possess very different perspectives of what usually comprises collaboration. A conceptual model is presented to comprehensively illustrate the salient variables that have been suggested in the professional literature as affecting the quality, rate, and outcomes of the fundamental unit of nurse-physician collaboration: the collaborative interaction. The author asserts that although many of the peculiarities of the traditional nurse-physician relationship are generations old, contemporary patients' needs and modern practice conditions now mandate further conceptual development and research regarding these work encounters.
1. Each year approximately 6,500 to 9,000 health care workers in the United States are exposed to infectious body fluids while on the job. The majority of the resultant clinical infections causing morbidity and mortality are attributable to bloodborne pathogens. 2. The relatively simple approach of educating workers so they comply with exposure control systems has continued to be employed by many infection control and employee health specialists, despite the temporary and/or negligible effects demonstrated from high risk health care employees. 3. The reduction of worksite transmission of bloodborne pathogens through the increased use of system wide and worksite engineering techniques has been advocated by experts, demanding increased consideration from health care planners and researchers.
A study's results both confirm and contradict what nursing writers have indicated about the evolving first-line nurse manager role. Staff nurses were asked: What do you expect? Specific areas were examined--predominate workshift, full or part-time status, type of work unit and specific work activities.
The contemporary nurse-physician work relationship as it has been studied through the perspectives of non-clinician scholars during the later 1980s and 1990s is analyzed. Five categories of published works from sociologists, anthropologists, medical historians, psychologists, communications specialists, and other non-clinicians who have investigated this major influence on contemporary health care work environments are evaluated. It is suggested that a more consistent review of these types of works from nonclinicians may enable nurses and physicians to more capably study the longstanding organizational and professional variables that may still be affecting this facet of their individual practices.