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At least 1,693 records · Page 94Linked to original sources
PubMed1988

A contractual model for the department of nursing.

The author proposes a system for delivery of nursing care in which professional nurses can use their full potential, achieve the status of a professional, and be accountable to themselves and the patient for the care they deliver. Such change can be accomplished through the establishment of a Nursing Staff Organization. Steps for establishing such an organization are outlined and alternatives reviewed. The author concludes by raising some potential problems as cases for continued research.

Contract Services↗
PubMed1986

[The future of psychotherapy].

The development of psychotherapy is outlined very briefly. The dangers which arise from the pluralism of methods are shown. A uniform basic education in medicine is striven for, covering both the biological and the psychosocial domains. The author is of the opinion that psychotherapy should be practiced in institutions in which several methods are represented. The reasons are discussed.

Austria↗
PubMed1987

Quality improvement of patient care: some preliminary results of a hospital-wide quality-assurance project at the University Hospital of Maastricht.

Dutch hospitals have to design their quality-assessment programmes within the boundaries set by "indirect government legislation". At the University hospital of Maastricht a five-stage project was started in 1985 to construct a hospital-wide quality-assurance organisation that includes regular review of the quality of professional performance. This paper will describe intermediate results of the first stage and will discuss the results of different subsurveys undertaken to assess the current level of quality of care and several key-issues conditional to the implementation of such a hospital-wide structure in the existing organisation of a University hospital. Finally the results of the first stage will be contrasted with external legislative standards and internal needs of the University hospital recognised during assessment of the current situation.

Attitude of Health Personnel↗
PubMed1987

Overcoming obstacles to breast-feeding in a large municipal hospital: applications of lessons learned.

A project to overcome institutional constraints to breast-feeding was implemented in a large municipal hospital. Interventions included staff education, intensive training of a team of physicians and nurses, development of user-tested educational materials, and day and evening staffing by a breast-feeding counselor. A nearby hospital served as a control. Project evaluation entailed chart reviews at the intervention site and a control hospital (n = 812); interviews with mothers during their postpartum hospital stay and at return clinic visits (n = 180); and field observations in all areas of the hospital that provided prenatal, intrapartum, postpartum, and pediatric care. Comparisons of the incidence and pattern of breast-feeding were made before, midway through, and after the project. At the intervention site, the incidence of breast-feeding increased from 15% to 56%, and exclusive breast-feeding for more than 3/4 of feedings increased from 0% to 15%. At the control site, the respective changes were from 28% to 41% and from 5% to 7%. Formula use by breast-feeding women decreased but was nonetheless extensive, and the usual reason given by breast-feeding women for supplementation was a perceived insufficiency of breast milk. This may be due, in part, to the fact that bedside assistance to breast-feeding mothers was not integrated into the routine care provided by staff nurses but was relegated to the lactation nurse/counselors who were not available at all times. It is concluded that the process to overcome institutional constraints to breast-feeding is difficult but feasible. Repeated and extensive professional education helps create the context whereby clinical and administrative staff can reassess routines and policies.

Adolescent↗
PubMed1986

Shared governance: a strategy for transforming organizations. Part 1.

In translating this to nursing, shared governance systems can be used to effectively implement transformational philosophies. The process is not easy; it does, however, offer new hope for realizing the maximum potential of nursing services within organizations and for effectively meeting the challenges presented by the complex changes occurring in our world. Part 2 of this series will address specific strategies for operationalizing transforming principles in a nursing organization.

Authoritarianism↗
PubMedDate not supplied

[Effective stabilizer for preparing antibody erythrocyte diagnostic agents for influenza A and B viruses].

A method for preparation of erythrocyte antibody diagnosticums capable of differentiating in PHA test the type and subtype appurtenance of influenza virus strains was developed on the basis of amidol sensitization of erythrocytes with immunoglobulin preparations and the use as a stabilizing agent of nonionic detergent triton X-100. The method is simple, highly sensitive, reproducible, and may be used at virological laboratories of practical health institutions.

Animals↗
PubMedDate not supplied

Strategies for joint appointments.

The structure and policies governing joint appointments discussed above, are developed primarily through cooperation and collaboration between nursing service and education institutions. The joint appointee participates in the process of negotiation of salary, benefits and role responsibilities and exploration of the implications of the appointment for personal career development. Implementation and maintenance of the appointment requires the collaborative efforts of the joint appointee with both contracting agencies. Factors influencing the functioning of joint appointees have been identified and strategies to facilitate functioning presented. The joint appointee must be independent in thought and action yet adaptable to work within the boundaries of two social systems with differing values and expectations. Nursing management, peers and students can provide the support needed to overcome the frustrations and to achieve the rewards inherent in successful implementation of an exciting and innovative role.

Academic Medical Centers↗