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At least 973 records · Page 54Linked to original sources
PubMed2003

Point of care technology: a sociotechnical approach to home health implementation.

OBJECTIVES: This paper describes an ongoing evaluation study of the design and implementation of Point of Care (POC) technology in a home health agency. METHODS: During the implementation of POC technology data about user acceptance were collected with the help of surveys and statistically analyzed. The survey also allowed for entering non-structured observations. A time series study was conducted to identify factors associated with technology change and its effect on professional competency. RESULTS AND CONCLUSIONS: Healthcare markets and consumers are demanding that providers use sophisticated information technology to document, transmit and access clinical and financial information across all delivery points. Newly adapted Patient Care Information Systems (PCIS) are available for clinical use in home care. The factors associated with home care nurses' end user acceptance and use of the POC technology in clinical work are described. A sociotechnical approach with selected change management strategies appears to have positively influenced the nurse end users' POC technology adoption and use in clinical work.

Attitude of Health Personnel↗
PubMedDate not supplied

Pursuing passionate professionalism: the journey of one ophthalmic nurse. Part 2.

The final question to be asked: Is nursing a profession worth pursuing with passion in the 21st century? Florence Nightingale left a legacy rich in values, ethics, and standards that still shines light on the paths of 21st century nurses. Florence Nightingale pursued her passion with abandon. She held many positions in her career, but she is remembered for her story. Thank you, Florence Nightingale, for laying the solid foundation of courage, character, and commitment for all nursing generations to come. To this question, I, as an ophthalmic nurse, must answer a resounding yes, and I say that this noble profession is still worth pursuing with passion and commitment. What we nurses do has eternal value. When we pursue our role with passion, character, and integrity, we will influence future generations. We may not be remembered by our titles, but each life we touch will remember our story.

Career Choice↗
PubMed2004

Reference librarians' perceptions of the issues they face as academic health information professionals.

BACKGROUND: Leaders in the profession encourage academic health sciences librarians to assume new roles as part of the growth process for remaining vital professionals. Have librarians embraced these new roles? OBJECTIVES: This research sought to examine from the reference librarians' viewpoints how their roles have changed over the past ten years and what the challenges these changes present as viewed by both the librarians and library directors. METHOD: A series of eight focus groups was conducted with reference librarians from private and public academic health sciences libraries. Directors of these libraries were interviewed separately. RESULTS: Reference librarians' activities have largely confirmed the role changes anticipated by their leaders. They are teaching more, engaging in outreach through liaison initiatives, and designing Web pages, in addition to providing traditional reference duties. Librarians offer insights into unanticipated issues encountered in each of these areas and offer some creative solutions. Directors discuss the issues from their unique perspective. CONCLUSION: Librarians have identified areas for focusing efforts in lifelong learning. Adult learning theory, specialized databases and resources needed by researchers, ever-evolving technology, and promotion and evaluation of the library are areas needing attention. Implications for library education and continuing professional development are presented.

Adult↗
PubMed2004

Medical faculty's use of print and electronic journals: changes over time and in comparison with scientists.

OBJECTIVES: The objectives are to determine how medical faculty members use scholarly journals, whether print or electronic journals are read more, whether there is a pattern among types of users, and what similarities and differences there are between the use of journals by medical faculty and faculty in other disciplines. METHODS: Medical faculty of the University of Tennessee Health Science Center (UTHSC) multi-campus system were surveyed, and their responses estimated using critical incident technique to characterize the different aspects of their use of print and electronic journals. RESULTS: Medical faculty read a great deal, especially compared to scientists. The most frequently reported principal purpose of reading is to support their primary research (30% of reading). The majority of reading comes from recently published articles, mostly from personal subscriptions. Medical faculty continue to rely on print journals (approximately 70% of readings) versus electronic journals. Age of faculty does not appear to influence the choice of print or electronic format. Medical faculty read more articles than others on average and need information digested and verified in a way to save them time. Convenience and currency are highly valued attributes. CONCLUSIONS: It can be asserted that librarians and publishers must find ways to provide the attributes of convenience and currency and match the portability of personal subscriptions in an electronic journal format for medical faculty.

Adult↗
PubMed1992

Annual survey: executive compensation under fire.

Compensation of health care executives has continued to grow, largely pushed along by such factors as continuing turnover in top management positions in hospitals, according to the 1992 Hay hospital management/professional survey of compensation and benefits data from over 1,200 U.S. hospitals. And although pay increases are moving up faster among top hospital executives than in industry, overall hospital executive pay still lags. In addition, survey results look at such issues as linking executive pay to various measures of performance.

Chief Executive Officers, Hospital↗
PubMed2000

Staying in the lines.

Nurses must set professional boundaries for their relationships with patients. You can teach them the meaning of boundary crossings, boundary violations, and staying in the lines.

Employee Discipline↗
PubMed2004

[The past and present history of the term "quality" in medicine].

In the medieval hospital the terms "care" and "cure" constituted a kind of hendiadys; in the XVIII century the quality of services was precisely identified for the first time, and, between the XVIII and the XIX centuries, medicine also began to assess the quality of professional competence, recognizing the need for a fair allocation of resources, and directing the health services only towards those who really needed them. In the XIX century the "Regolamenti" of hospital institutions are made compulsory in Italy, as foreseen by the Public Health Law of 1888. However, only during the XX century, and particularly in the second half of the century, quality standards are defined, together with the structuring of a health service and with the ever more widely felt need for a new relationship between the physician and the patient, and between the patient and the institution. In even more recent times, during the 1990s, Evidence Based Medicine has given a further stimulus to every currently interpreted quality systems.

History, 18th Century↗