RESUMO
New tools and techniques for responding to staffing and skill-mix demands pose their own difficult challenges for nurse administrators. The authors use the data from one graduate student's project to emphasize the utility of the Work Complexity Assessment. It tells the story of the authors' own experience in piloting the process in a community hospital setting. Finally, they offer some specific recommendations to others who would pursue the use of the Work Complexity Assessment process.
Assuntos
Competência Clínica , Serviço Hospitalar de Enfermagem , Admissão e Escalonamento de Pessoal/organização & administração , Tomada de Decisões Gerenciais , Hospitais com 300 a 499 Leitos , Hospitais Comunitários , Humanos , Minnesota , Enfermeiros Administradores/organização & administração , Pesquisa em Administração de Enfermagem , Serviço Hospitalar de Enfermagem/classificação , Serviço Hospitalar de Enfermagem/organização & administração , Inovação Organizacional , Projetos Piloto , Recursos Humanos , Carga de TrabalhoRESUMO
Nurse administrators, in response to budget imperatives, have made decisions that, rather than solve their difficulties, magnify them. Finding solutions that address cost as well as culture changes in nursing is crucial if we are to remain financially and professionally viable. In this article, the authors describe a tool for reconstructing reality for both cost reduction and relationship development.
Assuntos
Sistemas de Apoio a Decisões Administrativas , Serviço Hospitalar de Enfermagem/organização & administração , Gestão de Recursos Humanos , Trabalho/classificação , Custos e Análise de Custo , Tomada de Decisões Gerenciais , Humanos , Enfermeiros Administradores , Assistentes de Enfermagem/organização & administração , Cultura Organizacional , Análise e Desempenho de Tarefas , Estados Unidos , Trabalho/psicologia , Trabalho/estatística & dados numéricosRESUMO
Merging of nursing services led to key opportunities to identify nursing research priorities in the authors' institution. The literature suggested that a Delphi study would best accomplish these goals. Using a 110-member panel, a study was begun that identified two final topics that were focused on nursing administration research. Collecting these data served many purposes, including increased organizational awareness about nursing research and development of a nursing research council to facilitate future activities.
Assuntos
Prestação Integrada de Cuidados de Saúde , Pesquisa em Administração de Enfermagem , Técnica Delphi , Humanos , Minnesota , Pesquisa em Administração de Enfermagem/métodos , Pesquisa em Administração de Enfermagem/estatística & dados numéricos , Serviço Hospitalar de Enfermagem/organização & administração , PesquisaRESUMO
Conflict is inevitable, especially in highly stressed environments. Clinical environments marked by nurse-physician conflict (and nurse withdrawal related to conflict avoidance) have been proven to be counterproductive to patients. Clinical environments with nurse-physician professional collegiality and respectful communication show decreased patient morbidity and mortality, thus enhancing outcomes. The growth of managed care, and the organizational turmoil associated with rapid change, makes it imperative to structure the health care environment so that conflict can be dealt with in a safe and healthy manner. Professional health care education programs and employers have a responsibility to provide interactive opportunities for multidisciplinary audiences through which conflict management skills can be learned and truly change the interpersonal environment. Professionals must be free to focus their energy on the needs of the patient, not on staff difficulties.
