RESUMO
Professional practice models (PPMs) are an integral part of any organization on the Magnet® journey, whether initial designation or redesignation. Through the journey, the PPM should become embedded within the nursing culture. Leadership at multiple levels is crucial to ensure successful adoption and implementation.
Assuntos
Enfermeiros Administradores/organização & administração , Enfermeiros Clínicos/organização & administração , Prática Profissional/organização & administração , Desenvolvimento de Pessoal/organização & administração , Humanos , Liderança , Modelos Organizacionais , Enfermeiros Administradores/normas , Enfermeiros Clínicos/normas , Cultura Organizacional , Prática Profissional/normas , Desenvolvimento de Pessoal/métodos , Desenvolvimento de Pessoal/normasRESUMO
In 2001, New York City implemented genotyping to its tuberculosis (TB) control activities by using IS6110 restriction fragment length polymorphism (RFLP) and spoligotyping to type isolates from culture-positive TB patients. Results are used to identify previously unknown links among genotypically clustered patients, unidentified sites of transmission, and potential false-positive cultures. From 2001 to 2003, spoligotype and IS6110-based RFLP results were obtained for 90.7% of eligible and 93.7% of submitted isolates. Fifty-nine (2.4%) of 2,437 patient isolates had false-positive culture results, and 205 genotype clusters were identified, with 2-81 cases per cluster. Cluster investigations yielded 57 additional links and 17 additional sites of transmission. Four additional TB cases were identified as a result of case finding initiated through cluster investigations. Length of unnecessary treatment decreased among patients with false-positive cultures.