Planning at the unit level

1989 ◽  
Vol 9 (6) ◽  
pp. 21-24
Author(s):  
KA Bray

In recent years, management responsibilities at the unit level have expanded considerably. In this evolution of the nurse-manager role, the importance of the planning process in the overall productivity and success of the unit has gained widespread acceptance. To meet the challenges of today's health care climate, the nurse manager and the unit staff must have a clear understanding of what our business is, what it should be, and finally, depending on the plans developed, what it will be.

1999 ◽  
Vol 3 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Chantal M. Cara,

The caring role of nurses is not impervious to obstacles that might be present in today’s health care systems. Such obstacles might occur when nurses do not feel cared for by their nurse managers. Through the “Relational Caring Inquiry”, 16 staff nurses were asked to answer two questions pertaining to their personal experiences with a nurse manager and how these experiences influenced their caring practice. Concerning managerial practices, the staff nurses’ stories revealed the presence of a “Dialectic of Power”, involving two contradictory forces: subjugation and empowerment. These findings can assist managers to better create a caring environment within the institution and help sensitize nurses to patients’ suffering.


2014 ◽  
Vol 24 (4) ◽  
pp. 627-644 ◽  
Author(s):  
Agustin Molina ◽  
Carolina Moliner ◽  
Vicente Martínez-Tur ◽  
Russell Cropanzano ◽  
José M. Peiró

2012 ◽  
Vol 47 (4) ◽  
pp. 457-466 ◽  
Author(s):  
Aaron D. Sciascia ◽  
Tracy Spigelman ◽  
W. Ben Kibler ◽  
Timothy L. Uhl

Context Health care professionals have reported and used a multitude of special tests to evaluate patients with shoulder injuries. Because of the vast array of tests, educators of health care curriculums are challenged to decide which tests should be taught. Objective To survey experienced shoulder specialists to identify the common clinical tests used to diagnose 9 specific shoulder injuries to determine if a core battery of tests should be taught to allied health professionals. Design Cross-sectional study. Setting Descriptive survey administered via e-mail. Patients or Other Participants Of 131 active members of the American Shoulder and Elbow Surgeons, 71 responded to the survey. Main Outcome Measure(s) Respondents were asked to complete a survey documenting their use of clinical tests during a shoulder examination. They answered yes or no to indicate their use of 122 different tests for diagnosing 9 shoulder conditions. Results The average number of tests used for all pathologic conditions was 30 ± 9. The anterior apprehension and cross-body adduction tests were used by all respondents. At least 1 test was used for each of the 9 conditions listed (range = 1–7), and at least 50% of respondents used 25 tests. The tests were reviewed for valid diagnostic accuracy via the Quality Assessment of Diagnostic Accuracy Studies (QUADAS) tool. High diagnostic value and a large amount of QUADAS variability have been reported in the literature for 16 of the 25 tests. Conclusions A small percentage (20%) of clinical tests is being used by most examiners. The 25 most common tests identified from this survey may serve as a foundation for the student's knowledge base, with the clear understanding that multiple clinical tests are used by some of the most experienced clinicians dealing with shoulder injuries.


2021 ◽  
Vol 9 ◽  
Author(s):  
Manasi Kumar ◽  
Thomas L. Osborn ◽  
Cyrus Mugo ◽  
Hossein Akbarialiabad ◽  
Osman Warfa ◽  
...  

Background: How can we fast-track the global agenda of integrated mental healthcare in low- and middle-income countries (LMICs) such as Kenya? This is a question that has become increasingly important for individuals with lived experiences, policymakers, mental health advocates and health care providers at the local and international levels.Discussion: This narrative synthesis and perspective piece encompasses an overview of mental health care competencies, best practices and capacity building needed to fast track patient responsive services. In that vein we also review key policy developments like UHC to make a case for fast-tracking our four-step framework.Results: While there is an increasingly global impetus for integrated mental healthcare, there is a lack of clarity around what patient-responsive mental healthcare services should look like and how to measure and improve provider readiness appropriately. Here, our collaborative team of local and international experts proposes a simple four-step approach to integrating responsive mental healthcare in Kenya. Our recommended framework prioritizes a clear understanding and demonstration of multidimensional skills by the provider. The four steps are (1) provider sensitization, (2) continuous supervision, (3) continuous professional training, and (4) leadership empowerment.Conclusion: Our proposed framework can provide pointers to embracing patient-centered and provider empowerment focused quality of care improvements. Though elements of our proposed framework are well-known, it has not been sufficiently intertwined and therefore not been integrated. We think in the current times our integrated framework offers an opportunity to “building back better” mental health for all.


2009 ◽  
Vol 7 (4) ◽  
Author(s):  
Ruth Townsend ◽  
Morgan Luck

Paramedics form part of the frontline response to mental health care in the community. Changes to mental health laws across the country have seen an increase in the role and responsibilities paramedics have in assessing, treating and managing mental health patients. The increasing complexity of the paramedic role associated with these changes requires a clear understanding of the legal, ethical and organisational requirements that accompany them. This paper will examine the relevant legislative principles and ethical dilemmas that are raised by these changes and will demonstrate the need for further research to assist in the development and implementation of strategies to assist paramedics in providing optimal patient care to a vulnerable section of the community.


2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Leo Begazo

The nurse manager of an oncology clinic in a major cancer center shares his personal experience as a COVID-19 patient with other health care workers. He has spent two weeks in intensive care and found himself on the brink of death. In a lively description, he underlines the aspect of care that contributed to his cure. This included the respect that his caregivers expressed to his values, his love of his family and his religious beliefs. The communication of the caregivers was always honest and compassionate. He learned that love is the strongest motivation to survive in the course of a life-threatening disease and that healing is possible even in the absence of cure.


2001 ◽  
Vol 15 (2) ◽  
pp. 41-55
Author(s):  
Soonhee Kim

Strategic planning has been emphasized in the public sector to enhance government performance and accountability. However, little empirical research exists on participative management in strategic planning and its impact on employees' job satisfaction in government agencies. This study explores the relationships between employees' perceived input in strategic plan development, knowledge of the strategic plan, role clarity in strategic planning, and job satisfaction in local government agencies. The results of multiple regression analysis demonstrate that employees who perceive they have input in a department's strategic plan development express higher levels of job satisfaction than others who do not. The present study also supports the view that employees' clear understanding of their roles in accomplishing the goals in strategic plan is positively associated with job satisfaction. In this regard, organizational leaders' commitment to participative management and empowerment in the process of strategic planning should be emphasized in the public sector.


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