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PubMed2000

Partnerships and joined-up working: the millennium key?

Fresh challenges for occupational health in the new millennium include the European dimension and a series of frame shifts about what our specialty actually comprises. This paper encourages a proactive commitment to engaging with Europe and European law-making. A similar proactive approach involving professional, employer and workforce participation is urged for the development of occupational health. The need for prioritization and economic justification is required for underpinning this approach.

Delivery of Health Care↗
PubMed1996

Physician involvement and assessment in the development of hospital oncology programs.

Hospitals and other healthcare facilities are focusing resources on the care of the cancer patient. Physicians should become involved in all aspects of the development of oncology programs. Physicians need to be involved from the initial program development, through the strategic planning to the formulation of the business plan. Strong physician leadership is needed to coordinate care provided by physicians and ancillary staff. Educational programs for patients, their families, and physicians need to be developed by the medical director, physicians, and ancillary staff. Continuing evaluation and assessment of the entire cancer program is essential to monitor the achievement of goals and objectives set forth in the strategic plan.

Oncology Service, Hospital↗
PubMed1996

Redesign for patient satisfaction.

In this era of changing health care systems, the word redesign is often linked with mergers, layoffs, or an economic move to balance the bottom line. Redesign is often perceived as a way to reduce the need for professional nurses by eliminating job functions. In this cost-cutting milieu, however, the most important factor--the patient--has been put aside. The article explores what factors contribute to patient satisfaction and describes the redesign process that was implemented at one institution to increase patients' satisfaction during hospitalization.

Hospital Bed Capacity, 100 to 299↗
PubMed1998

Assessing, developing, and maintaining staff's competency in times of restructuring.

Downsizing and reorganization in hospitals have resulted in nursing staff being realigned to different areas. During these times, nurse educators are continually challenged to provide effective educational programs to develop and upgrade staff competency. Nurse educators at a government health care facility in New York City experienced similar challenges as inpatient units were closed and staff had to develop or upgrade their skills. Two educational programs were designed to prepare staff to assume other duties, and competency assessments were developed and used to measure the effectiveness of the programs. Concepts relevant to competency assessment, development, and maintenance are discussed, and methods of assessments are described. Sample assessment tools and description of outcomes are included.

Clinical Competence↗
PubMedDate not supplied

Creating an effective clinical engineering team.

Creating an effective clinical engineering team is critical to: coordinating the functions of a multi-staffed CE department; working on a peer level with other departments of the hospital; and presenting a professional image within the hospital. This feature article defines the characteristics of an effective team, presents ways to create a CE team, and discusses the payoffs of a team approach.

Biomedical Engineering↗
PubMed1995

Building a learning organization beyond the walls.

Senge's model of the learning organization served as the conceptual framework for the Vermont Nursing Initiative during its 5-year effort to create change across Vermont's 15 community hospitals. The author describes the process of investing in the intellectual capital of these hospital nurses through the development of Senge's five disciplines. The unexpected outcome of this process was the development of a nursing learning organization that reaches beyond hospital walls.

Education, Nursing, Continuing↗
PubMed2001

Currently employed public health administrators: are they prepared?

Challenges to the public health system come from shifting expectations of government, economic cycles, and demographic changes. Public health administrators, charged with the responsibility of both leading and managing their agencies, those who are recognized as having significant management responsibility and influence over programs and hold positions of leadership, must be prepared. The skills needed by administrators were identified using a focus group approach. The critical skills identified include public health values, epidemiology and advocacy, organizational management, cultural competency, coalition building, communications, managing change, strategic thinking and planning, Informatics, and team building. Potential action steps were also identified.

Administrative Personnel↗
PubMed1997

Towards a new health care paradigm. Patient-focused care. The case of Kingston Hospital Trust.

Patient-focused care (PFC) and business process re-engineering (BPR) have been advocated in the academic literature as techniques to improve both quality of service and reduce costs. Seeks to separate and delineate the components of PFC and BPR and, using the case study method, describe the adoption and implementation process of PFC in medicine and maternity by one London NHS Trust Hospital. Reports the impact of this innovation on service delivery, staff reconfiguration and multi-skilling. Identifies preconditions and key success factors and indicates lessons for the future.

Ergonomics↗
PubMed1995

A portfolio approach to management development: the Ashworth model.

Looks at management development at Ashworth Hospital as part of a continuing programme of professional development. This programme is innovative and revolutionary. It puts control of learning in the hands of the participants who are responsible for driving the programme and share the responsibility for supporting and motivating colleagues.

Cost-Benefit Analysis↗
PubMed2002

Rural public health: policy and research opportunities.

Changes in the health care system, medicine, and technology as well as in the characteristics of rural communities raise issues that impact the responsiveness of the rural public health system to emerging threats to health. These issues, which are systemic in nature and primarily involve the infrastructure of public health, include the capacity of rural public health to manage population health, utilize information technology, monitor performance of the essential public health functions, develop leadership and the public health workforce, and promote the interaction and integration of public health and health care. This article provides an overview of policy and research implications, and it suggests that each of these issues contributes to the capacity of public health to effectively improve the outcomes of health in rural communities.

Delivery of Health Care, Integrated↗
PubMed2001

Developmental lessons of seasoned marital and family therapists: a qualitative investigation.

Little has been published regarding the development of therapists during their professional careers. This qualitative research study explored the development of seasoned marriage and family therapists (MFTs) in order to identify important events and themes in their personal and professional lives. The main developmental theme that emerged was the integration of their personal and professional selves. Information gained from this study might be useful in understanding the self of the therapist within training and supervision and might partially provide a map of the possible transitions facing MFTs along their developmental journey.

Adult↗