Out in front: a new title reflects nurse managers' changing scope of accountabilities.
A new leadership team surveys health care practitioners to assess and redesign the front-line manager role in its merged system.
Attitude of Health Personnel↗
SEARCH · Search PubMed
Results for “Professional Autonomy”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
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The Magnetic pull.
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American Nurses' Association↗
20 tips to improve public speaking.
If nurses are to influence health care, improve patient outcomes, and promote professional autonomy, we must be able to speak effectively in small and large groups and in formal and informal settings. The following article presents 20 simple but powerful tips to improve public speaking. By using these strategies, nurses can make their voices heard.
Audiovisual Aids↗
The changing health care marketplace: current industry trends, new provider organizational structures, and effects on plastic surgeons.
Current market forces are driving the health care industry in new directions. The managed care industry is currently undergoing a market shakeout, as manifested by consolidation, increased competition, and lower profits. Medicare is fighting to remain solvent by lowering fees paid to providers, driving patients into managed care plans, and cracking down on billing irregularities. For providers, the combined effect of these trends is lower fees, increased risk-sharing, and increased overhead. Plastic surgeons face new demands in this environment. They must increase their efficiency and form new alliances with other providers. These alliances allow plastic surgeons to maintain a steady stream of patients, to manage risk, to negotiate more lucrative contracts with managed care organizations, and to increase efficiency. To achieve these alliances, plastic surgeons must alter the organizational structure of their practices. Several corporate practice models are becoming more prevalent; these include large group practices, physician practice management companies, and integrated delivery systems. Each structure has advantages for plastic surgeons, but each also requires plastic surgeons to trade varying degrees of financial and professional autonomy for market strength.
Forecasting↗
Tradition, rationality, and power in introductory nursing textbooks: a critical hermeneutics study.
This study investigated the language used to describe, explain, and interpret the concept of nursing process in four introductory nursing textbooks. A critical theory framework was used to reinterpret the ways in which language or linguistic activities construct the social-historical reality of nurses. Themes related to tradition, rationality, and power relationships were explicated. The meanings disclosed from the world of the text provide understandings about how nurses interpret their professional autonomy and how normative structures inform what constitutes authority and responsibility in research, education, and practice.
Communication↗
Venous envy: the post-World War II debate over IV nursing.
After World War II, a debate ensued over whether nurses should perform intravenous (IV) therapy. The debate was resolved by permitting nurses to do venipunctures as physicians' agents and by recirculating the familiar tautology: if nurses were already doing venipunctures, they must be simple enough for nurses to do. The vein was a portal of entry for nurses, but one with limited access. What was ultimately ceded to nurses was not full jurisdiction over a domain of nursing practice, but rather a limited settlement in a domain of medical practice. The debate over IV therapy demonstrated how technology, in combination with ideology, can both create and destroy nursing jurisdictions.
Female↗
Survey reveals role, compensation of nurse informaticists.
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Employment↗
Leadership editorial: The Self-Empowerment Pledge.
The Self-Empowerment Pledge includes 7 simple promises that can help caregivers be more effective in both their personal and professional lives. When shared with trauma patients and their families, these promises can help fortify them mentally and emotionally for the challenges of recovery.
Adaptation, Psychological↗
Power: an application to the nursing image and advanced practice.
When asked to put a mental picture to the word nurse, the image people see is often far removed from the image nurses wish to project. Many see nurses as the handmaidens to physicians, wearing white caps and stockings, and surrendering their chairs to physicians. Others see unflattering images from the media. Nursing's tarnished image is partially responsible for a perception of oppression in nursing. Much of nursing's image problem relates to how nurses perceive and use power. Regardless of how nurses perceive power, it is through power that advanced practice nurses (APNs) will be acknowledged as members of a profession versus an occupation. With a better understanding of power, APNs may be able to improve their use of power to advance the profession. This article presents and discusses power through a review of the literature in order to better understand the term as it applies to advanced practice nursing.
Health Knowledge, Attitudes, Practice↗
Peer review for advanced practice nurses: what does it really mean?
Peer review has multiple manifestations and purposes. Two stated purposes are the demonstration of professionalism and clinical competency. The American Nurses Association (ANA) defines nursing peer-review as a process for evaluating the care provided by an individual according to accepted standards. Further, the ANA proposes that nurses with similar rank and clinical expertise should conduct these evaluations. Some local jurisdictions may also mandate that advanced practice nurses (APNs) review one another's care. Therefore, APNs should become familiar with sources for evaluation criteria and tool formats for APN peer review. The advantages and limitations of the various formats and processes of peer review should also be considered.
American Nurses' Association↗
LPN role advancement: from blueprints to ribbon cutting.
The role of the Licensed Practical Nurse (LPN) in an acute care setting has been a point of debate for many years. Increasing LPN job responsibility has not been widely reported. In this article, the authors describe the process used to advance the LPN role. Emphasized here is the educators' contribution to the process from inception to implementation.
Acute Disease↗
Clinical educators' empowerment, job tension, and job satisfaction: A test of Kanter's Theory.
Recruitment and retention of qualified nursing staff are vital to safe patient care and require the expertise of clinical educators to facilitate the nurses' professional development. However, organizational redesign has challenged clinical educators with role ambiguity, job stress, and decreased job satisfaction. This study used Kanter's Structural Theory of Organizational Behavior to examine the relationships between clinical educators' perceptions of empowerment, job tension, and job satisfaction. High levels of workplace empowerment were significantly related to low levels of job tension. In addition, the combination of high levels of empowerment and low levels of job tension was predictive of high levels of job satisfaction. Implications for staff development administrators are discussed.
Adult↗
Assistive personnel: titles, settings, and training.
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Certification↗
Ethical climate in nursing practice: the leader's role.
Clarity in an organization's mission, vision, and values is key to effective management in today's complex healthcare work environment. To clearly articulate mission, vision, and values, employees must experience consistency between what is espoused and what is lived. The purpose of this article is to discuss the nurse leader's role in ensuring congruence between caring missions and caring practices. Ethical principles are discussed as the foundation necessary for creating an ethical climate for nursing practice. Components of ethical climate are presented and strategies to create a positive ethical climate for nursing practice are provided.
Codes of Ethics↗
Leadership perceptions of nurse practitioners.
Education in leadership principles is included in Master's Degree programs for nurse practitioners (NPs). NPs have an opportunity to be leaders in a variety of roles and to make major decisions within their profession and within the healthcare system. NPs' collaboration with nursing professionals, colleagues, and other healthcare professionals--including clients and families--demonstrate their expanded practice. The purpose of this study was to examine perceptions of leadership by Master's-prepared NPs and determine if they are providing leadership in practice. There has been minimal research to evaluate whether NPs graduating from Master's programs are effectively using leadership skills in their practice. Master's Degree education has a strong focus on leadership and, combined with the need for lower cost of healthcare, NPs have the potential to provide important leadership and cost savings to the healthcare delivery system.
Adult↗
Nursing case management: a rural practice model.
Nursing case management is a blend of individual case- and/or disease-management activities used in urban hospitals or community health settings. The authors propose that in rural communities, a third form of case management is also used. Nursing case management in the rural community has a broader and more diverse scope of practice than nurse case managers practicing in urban settings.
Case Management↗
Essentials of advocacy in case management.
Advocacy is vital to case management practice. It is a primary professional role of case managers functioning in various care settings and across the continuum of care. Acquiring knowledge, skills, and competence in what advocacy is and how to enact its related behaviors is essential for success of case managers and for achieving desired outcomes for both the clients and healthcare agencies alike. This article describes the use of advocacy in the field of case management and highlights several practical strategies for case managers to apply in their daily practice.
Attitude of Health Personnel↗
Case management evolution: from basic to advanced practice role.
This article provides an overview of nursing case management as an advanced practice role from a theoretical and practice basis. Not all case managers will, or need to, perform case management duties at the advanced level. However, it has become abundantly clear over the past several years that nurse case managers are performing more complex duties that appear to match the competencies of other advanced practice roles. In this article, the authors will explore the issue in depth and demonstrate the differences between basic and advanced practice nursing case management on the basis of clinical practice, educational level, and research responsibilities for both the basic and advanced levels of case management practice; advanced practice competencies; and examples of advanced practice case management from current practice. Just as there are differences between basic and advanced professional and clinical nursing practice, there is a difference between basic and advanced levels of case management practice.
American Nurses' Association↗