Nurse-physician communication: an organizational accountability

Dysfunctional nurse-physician communication has been linked to medication errors, patient injuries, and patient deaths. The organization is accountable for providing a context that supports effective nurse-physician communication. Organizational strategies to create such a context are synthesized from the structural, human resource, political, and cultural frameworks of organizational behavior.     

Leadership-organizational culture relationship in nursing units of acute care hospitals

The phenomena of leadership and organizational culture (OC) has been defined as the driving forces in the success or failure of an organization. Today, nurse managers must demonstrate leadership behaviors or styles that are appropriate for the constantly changing, complex, and turbulent health care delivery system. In this study, researchers explored the relationship between nurse managers' leadership styles and OC of nursing units within an acute care hospital that had achieved excellent organizational performance as demonstrated by a consistent increase in patient satisfaction ratings. The data from this study support that transformational and transactional contingent reward leaderships as nurse manager leadership styles that are associated with nursing unit OC that have the ability to balance the dynamics of flexibility and stability within their nursing units and are essential for maintaining organizational effectiveness. It is essential for first-line nursing leaders to acquire knowledge and skills on organizational cultural competence.     

The impact of nurse staffing on hospital costs and patient length of stay: a systematic review

Research examining the relationships between nurse staffing, hospital costs, and length of stay is varied using a range of methods and definitions. This lack of coherence in definitions and measurement tools for cost and length of stay makes it difficult to conclude with certainty the results of nurse staffing on hospital cost and length of stay. However, the evidence reflected that significant reductions in cost and length of stay may be possible with higher ratios of nursing personnel in hospital settings. Sufficient numbers of RNs may prevent patient adverse events that cause patients to stay longer than necessary. Patient costs were also reduced with greater RN staffing as RNs have higher knowledge and skill levels to provide more effective nursing care as well as reduce patient resource consumption. Hospital administrators are encouraged to use higher ratios of RNs to non-licensed personnel to achieve their objectives of quality patient outcomes and cost containment.     

The Iowa model: a proposed model for nursing administration

The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education. The model delineates two domains of knowledge (systems and outcomes), each with three levels (patient aggregates, the organization, and the health care system). Concepts useful for knowledge development are identified for each level. Practice, research, and curricular applications of the model are made.     

Hospital RNs' and CNOs' perceptions of the impact of the nursing shortage on the quality of care

The results of analyses of the 2002 and 2004 National Sample Surveys of RNs and the 2004 National Sample of CNOs document the widespread perception that the shortage of nurses is a major problem for the overall quality of patient care in hospitals. In the eyes of the majority of hospital RNs and CNOs surveyed, care processes involving communication, timely response to pages and telephone calls, delays in patient discharges, and the time patients had to wait for tests and procedures were all affected negatively by the nursing shortage. These results are not encouraging.     

糖尿病患者的健康宣教

目的从护理角度加强对糖尿病患者的健康宣教,提高糖尿病患者的自我防病意识.方法对糖尿病患者进行疾病知识、治疗、饮食调控、适度运动、心理护理等几方面进行宣教.结果与结论通过健康宣教使糖尿病患者对疾病引起重视,在日常生活中进行自我保健,提高糖尿病患者的生活质量.     

国际化企业跨文化人力资源管理问题研究

经济全球化发展加快了企业的国际化进程.国际化企业中人力资源管理存在着沟通障碍、文化差异等跨文化问题.采用国际化、标准化、量化的语言管理模式,提高国际化企业经理人员的跨文化素养,充分认识文化差异的客观性,培养多元文化意识,增强文化敏感性和文化适应性,促进双方或多方文化融合是解决这些问题的有效途径.     

The CNO/CFO partnership: navigating the changing landscape

With increasing pressure to cut costs, both real and immediate, and those forecasted and anticipated, the partnership and collaboration between nursing and finance will continue to take on new challenges. This partnership has historically been strained and does not always come easy due to differences in focus, different priorities, and inadequate communication, listening, and hearing. That needs to change and a strong CNO-CFO partnership is needed. Nursing leaders need to understand and appreciate the financial constraints and balance them with expected outcomes, and financial leaders need to understand and appreciate the core clinical business and what gaps in care mean to the financial viability of the organization and to patient outcomes. One health system developed a platform for change and is dedicated to the hard work involved in continuously working on those partnerships so when it comes to patient quality, safety, and financial performance, nursing and finance leaders are well positioned for future health care challenges.     

跨文化研究对日本在华投资商务决策的影响

在知识经济与跨国多元文化的交错环境条件下。跨文化研究是解决经济全球化过程中跨文化冲突对商务决策带来负面影响的有效手段。通过跨文化的理解、沟通、融合、渗透与互补，达到跨文化和谐并建立具有东道国特色的经营管理模式。     

Don't forget our charge nurses

In response to the nursing shortage, many health care organizations are utilizing a team approach to nursing care delivery. Although, the role of the charge nurse in these changing nursing care delivery models is a pivotal one to the effective and safe management of patient care units, many receive no leadership training. An educational program that hundreds of charge nurses have attended over the past 2 years is described. Strategies that organizations should consider when planning their own training are shared.     

多主体建模下四类创新文化特征对创新的影响

创新文化具有自组织性和开放性,是一个知识创造和利用的复杂适应系统。基于复杂适应系统视角,将创新文化特征分为冒险开拓、创新氛围、交流共享、决策参与4类,通过构建多主体（Agent）创新文化复杂系统模型,深入探讨了4类创新文化对创新的影响机制。仿真结果表明,4类创新文化特征对创新的影响存在差异。其中,冒险开拓、创新氛围、交流共享3类创新文化均对创新存在正向促进作用,而决策参与对创新的促进作用与其它3个创新文化特征具有显著关系,且冒险开拓与交流共享等因素在协同作用下比单一因素对创新的影响更积极、更显著。     

高血压疾病的护理探讨

目的从护理角度对高血压疾病进行探讨,提高患者的防病治病意识.方法对高血压疾病新的概念、治疗、饮食调控、适度运动、体重控制、心理护理等几方面进行阐述.结果与结论通过有效的干预使高血压患者对疾病引起重视,提高高血压患者的生活质量.     

End-of-life care in nursing homes: the high cost of staff turnover

Nursing home staff turnover results in high cost--both economic and personal--and has a negative impact on the quality of care provided to residents at the end of life. Reducing staff turnover in nursing homes would benefit both the cost to the U.S. health care system, and, most importantly, the care residents receive in the vulnerable period leading to death. There is rising pressure on nursing homes to improve their palliative and end-of-life care practices and reduce transfers to hospital for situations and conditions that can be safely managed on site. Nursing care staff deserve an investment in the specific training necessary for them to give the highest quality care to dying residents. This training should be multifaceted and include the physiological, psychological, spiritual, interpersonal, and cultural (including ethnic) aspects of dying. Empowerment with these necessary knowledge, skills, and attitudes will not only result in better care for residents but likely also will reduce the burnout and frustration staff experience in caring for residents near death.     

河北省五大文化品牌传播模式的塑造

2010年河北省提出打造五大文化品牌,近两年五大文化品牌的传播已经取得初步成效。但是五大文化品牌的传播还处于起步造势阶段,生产者制作的精品力作欠缺,传播渠道与方式不够多样化,文化品牌的支撑力不够强大。进一步在全省乃至全国叫响五大文化品牌,应当加大宣传推介力度,不断推出精品力作,联合多种媒体作战,拓展传播范围,积极组织阐释研讨。     

Capacity planning in hospital nursing: a model for minimum staff calculation

An aging population, emerging technology, heightening patient expectations, rising health care costs, shorter patient stays, and growing pressure to improve quality have made the management of nursing resources even more critical today. While approaching a model for staffing levels, the authors considered factors such as patient acuity, work redesign, and minimum quality standards. The methodology for analysis included estimating the time needed to complete nursing tasks and calculating the average number of tasks per patient. With respect to nursing quality measures, the study examined the adequacy of nursing documentation including admission history, assessments, nursing procedures, and discharge report as well as nursing-driven outcomes such as fall and phlebitis rates. Lastly, the authors determined the theoretical number of staff needed to provide nursing care according to quality standards.     

Navajo nation public health nurses inspire thoughts on health care reform

The wisdom and experience of pubic health nurses serving on a Navajo Reservation, who work far from the typical hospital setting, may well hold some of the keys to how we can successfully plan for and navigate the future of our shifting health care system. As more of the nursing workforce moves outside the walls of the hospital, competencies in autonomy, clinical judgment, decision making, and communication will increase in importance. long with safety and quality implications, this may also influence changes in nursing education, job requirements, hiring, and measuring performance. In addition, there may be implications around how new nurses are oriented and how they get the experience needed to function in more independent roles. Within their routine days, the conditions they work in, the situations they face, and the many ways public health nurses find to meet the needs of the people they serve, is a wealth of knowledge that may well translate into solutions for some of the challenges our nation's health care system is facing.     

京台文化创意产业合作机制

北京与台湾的文化创意产业均有自身发展的独特优势,也有合作的基础和条件。目前,京台两地文化创意产业的交流与合作,通常采取论坛、城市互访、展会、园区合作等多种形式。京台两地已经形成了"政府搭台、行业对接、长期交流"的合作模式,北京将"京台科技论坛"、"京台文化创意产业合作发展论坛"等打造成京台交流活动的品牌。然而,目前京台两地在文化创意产业合作方面还存在合作规模小、尚未建立起良性互动的合作机制等问题。为推动京台文化创意产业的发展,需要建立几个相互联系的合作机制,即:创意人才培养机制、创意园区合作机制、政策配合衔接机制、协商交流机制等。     

Six-part series on the state of the RN workforce in the United States

This series on the state of the nursing workforce focuses on describing the results of the national surveys of RNs. The series begins with an analysis of RNs' perceptions of the current nursing shortage and whether they perceive the shortage has gotten better or worse over the past few years. Future topics will include RNs' perceptions of being a nurse and how they perceive certain aspects of their jobs; RNs' awareness of the J&J Campaign and whether they think it has been effective; RNs' perceptions of the impact of the shortage on the quality of patient care in hospitals; and various issues related to the age and diversity of the nursing profession.     

人文环境对企业集群的作用机理分析

人文环境以其独特的方式作用于企业集群，成为企业集群形成和发展进程中一个不可替代的影响因素。本文探讨了人文环境对企业集群的作用机理。分析认为，血缘基础上的文化滋生了企业集群，共同的价值观念和习俗规范等促成集群的良性运行和发展。然而，日趋成型的人文环境也可能限制集群接受外来知识的热情而使集群发展受挫。为实现企业集群的可持续发展，应该在集群内构建一种网络式的管理模式，既可发挥集群人文要素的互动作用，又可避免封闭性静态学习的误区。