Journal articles: 'Nursing services – Administration – Botswana'

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Erdil, Fethiye. "International Administration of Nursing Services." Nursing Administration Quarterly 16, no. 2 (1992): 84–85. http://dx.doi.org/10.1097/00006216-199201620-00016.

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Smith, Suzanne P. "Nursing Administration and Patient Care Services Research." JONA: The Journal of Nursing Administration 30, no. 5 (May 2000): 213. http://dx.doi.org/10.1097/00005110-200005000-00001.

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Kupke, Thomas. "Psychological services provided within Veterans Administration nursing homes." Professional Psychology: Research and Practice 17, no. 3 (1986): 185–90. http://dx.doi.org/10.1037/0735-7028.17.3.185.

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Pratt-Chapman, Mandi, and Anne Willis. "Community Cancer Center Administration and Support for Navigation Services." Seminars in Oncology Nursing 29, no. 2 (May 2013): 141–48. http://dx.doi.org/10.1016/j.soncn.2013.02.009.

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Jennings, Bonnie Mowinski. "The Intersection of Nursing Administration Research and Health Services Research." JONA: The Journal of Nursing Administration 34, no. 5 (May 2004): 213–15. http://dx.doi.org/10.1097/00005110-200405000-00004.

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Curtin, Leah L. "The First Ten Principles for the Ethical Administration of Nursing Services." Nursing Administration Quarterly 25, no. 1 (2000): 7–13. http://dx.doi.org/10.1097/00006216-200010000-00010.

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Kupke, Thomas. ""Psychological services provided within Veterans Administration nursing homes": Correction to Kupke." Professional Psychology: Research and Practice 17, no. 5 (October 1986): 402. http://dx.doi.org/10.1037/h0090464.

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Hoeman, Shirley. "Testimony on Behalf of Rehabilitation Nursing Before the Rehabilitation Services Administration." Rehabilitation Nursing 14, no. 6 (November 12, 1989): 338–40. http://dx.doi.org/10.1002/j.2048-7940.1989.tb01133.x.

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Mandiyanike, David, and Onthatile Olerile Moeti. "The implications of COVID-19 legislation on chronic ailments patients: perspectives from Botswana." Transforming Government: People, Process and Policy 15, no. 2 (February 4, 2021): 236–47. http://dx.doi.org/10.1108/tg-08-2020-0201.

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Purpose COVID-19 is one of the greatest public health challenges in the 21st century. The World Health Organisation recommended physical distancing to halt the upward trajectory of the infections. Countries including Botswana imposed lockdown for non-essential workers. This paper aims to argue that lockdown as imposed by the Government of Botswana was a necessary measure given the nature of transmission of COVID-19. Design/methodology/approach The paper uses exploratory research to unpack impacts of the novel COVID-19 regulations or be responsive to new concerns by breaking new ground through delving into new problem areas. The paper used a use case to explain a single outcome for a single case. Findings The restriction on the freedom of movement is necessary to protect citizens, particularly, those with chronic illness from contracting the deadly virus. The paper further observes that while the legislative intent of the GOB was to protect those with chronic illnesses from COVID-19, the lockdown resulted in near death experiences for some chronic ailment patients. These experiences result from unfettered discretion of functionaries who were policing and manning the streets and those who are conferred with authority to issue travel permits to seek and obtain medical assistance, lack of public transport and the processes of applications for the permits, which exposed citizens to COVID-19. Research limitations/implications The study was desk based. It may have yielded different results. Lockdowns limited mobility for non-essential services. The full impact of the restrictions and the attendant defaulting was yet to be fully realised. Observing the COVID-19 protocols and bureaucratic requirements for obtaining information from the government offices were major challenges. Practical implications Achieving total lockdown as an end in itself may amount to a pyrrhic victory – the authorities may successfully achieve total lockdown but with heavy costs on gains made in combating ailments. Botswana has fought many other pandemics and chronic illnesses still subsist and need to be catered for. For patients, there is not only the complexity of dealing with one chronic condition but also the work of trying to live “normal” lives in the face of co-morbidity, which can be overwhelming. The COVID-19 pandemic adds to the “work” that patients must do to manage and live with such health conditions and the psychological distress. Social implications Authorities need to be fully aware of the consequences of their actions. Abrasive actions may lead to a higher constituency of discontent. Botswana has had a good track record of being democratic, and this needs to be strengthened. Originality/value The implementation of the COVID-19 regulations particularly the requirement for a travel permit to seek health-care services may hinder access to essential health services and ultimately increase the pressure on emergency services or, at worst, increase mortality. Clear guidelines and sober interpretation of the regulations are necessary. This will also make it easier for the frontline security officers manning the streets to correctly understand the prevailing circumstances. In view of the massive gains garnered in combating chronic illnesses, it is important that such gains are not reversed, while the GOB fights COVID-19. People living with HIV/AIDS, the elderly and people with pre-existing health conditions are known to be at significantly higher risk of developing severe illness when contracting COVID-19. Achieving total lockdown as an end in itself may amount to a pyrrhic victory – the authorities may successfully achieve total lockdown but with heavy costs on gains made in combating other chronic ailments.

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Gossett, Charles W. "The Impact of AIDS on the Botswana Civil Service: A Case Study of the Police and Prison Services." International Journal of Public Administration 33, no. 5 (April 22, 2010): 240–50. http://dx.doi.org/10.1080/01900690903427729.

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Monteiro, Maria Da Penha, and Lore Marx. "Lateral thinking and resilience as a nursing administration facilitator." Revista Ibero-Americana de Estratégia 5, no. 2 (December 27, 2007): 45–53. http://dx.doi.org/10.5585/ijsm.v5i2.128.

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Nursing administration, as an integrated part of the complex health area system, needs to confront and to respond to the challenges that are imposed by the quality and excellence imperatives from service assistance organizations in order to satisfy the users’ expectations and values. From this evidence on, it is originated the need of reviewing old paradigms and adopting new ways of think and act that permit, by inclusion and participation, the development of a creative team (through new ideas, innovations, adaptations and implementations) aiming at trouble solutions and services optimization. In this article, it is intended to demonstrate the lateral thinking and resilience contributions as important instruments to be used in the facilita-tion process of nursing administration.

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Towers, Jan, and Carole Jennings. "Claude Earl Fox, III, MD, MPH, Acting Administrator, Health Resources and Services Administration (HRSA), U.S. Department of Health and Human Services." Journal of the American Academy of Nurse Practitioners 10, no. 6 (June 1998): 249–51. http://dx.doi.org/10.1111/j.1745-7599.1998.tb00501.x.

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Cassiano, Alexandra Do Nascimento, Theônia Raquel dos Santos, Maria Bruna de Souza, Cecília Nogueira Valença, Cristyanne Samara Miranda de Holanda, and Raimunda Medeiros Germano. "The management of health services in the perspective of the humanist administration theory." Revista de Enfermagem UFPE on line 5, no. 8 (September 24, 2011): 2060. http://dx.doi.org/10.5205/reuol.1262-12560-1-le.0508201133.

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ABSTRACTObjective: to report the students’ experience manage of approximation with the management process in nursing, in the light of humanistic administration theory. Method: descriptive study, report of experience type. It was performed a capture of reality of a foundation hospital, by nursing students in the context of the discipline of nursing process managing of the State University of Rio Grande do Norte, Caicó campus. It was used a guide script of the capture, based on Egry’s theoretical and methodological Egry to identify the influence of management theories in organizing of this service. Results: the theories that have more influence on management of nursing are the taylorist, classical, bureaucratic and humanistic theories. From the experience, we were able to identify that there are gaps between the purposes of the human relations theory and the practice in the reality of the service, making explicit the predominance of the classical theory of nursing administration. Conclusions: the student experience of approximation with the managing process in nursing, in the light of humanistic administration theory, by the capture of the reality, facilitated the learning because it provides the articulation between theory and practice. Descriptors: nursing; health administration; public health. RESUMOObjetivo: relatar a experiência discente de aproximação com o processo gerenciar da enfermagem à luz da teoria humanista da administração. Método: estudo descritivo, tipo relato de experiência. Foi realizada uma captação da realidade de uma fundação hospitalar, por acadêmicos de enfermagem, no contexto da disciplina de processo gerenciar em enfermagem da Universidade do Estado do Rio Grande do Norte, campus Caicó. Foi utilizado um roteiro norteador da captação com base no referencial teórico-metodológico de Egry, para identificar a influência das teorias administrativas na organização desse serviço. Resultados: as teorias que exercem maior influência no gerenciamento da enfermagem são as teorias taylorista, clássica, burocrática e humanista. A partir da vivência/experiência, foi possível identificar lacunas existentes entre os propósitos da teoria das relações humanas e as práticas na realidade do serviço, ficando explícito o predomínio da teoria clássica de administração na enfermagem. Conclusões: a experiência discente de aproximação com o processo gerenciar da enfermagem à luz da teoria humanista da administração, através da captação da realidade, facilitou a aprendizagem porque proporcionou a articulação entre teoria e prática. Descritores: enfermagem; administração em saúde; saúde coletiva. RESUMENObjetivo: reportar la experiencia de estudiantes de aproximación con el proceso gestionar de enfermería a la luz de la teoría humanista de la administración. Método: estudio descriptivo, tipo reporte de experiencia. Se realizó una captación de la realidad de un hospital, por estudiantes de enfermería en el contexto de la disciplina de proceso gestionar de enfermería en la Universidad del Estado de Rio Grande do Norte, Caicó campus. Se utilizó un plan para guiar la captación basado en la referencia teórica y metodológica de Egry para determinar la influencia de las teorías administrativas en la organización de este servicio. Resultados: Las teorías que tienen más influencia en la gestión de la enfermería son las teorías tayloristas, clásica, burocrática y humanista. A partir de la experiencia, hemos sido capaces de identificar las brechas entre los propósitos de la teoría de las relaciones humanas y la práctica en la realidad del servicio, haciendo explícito el predominio de la teoría clásica de la administración en enfermería. Conclusiones: La experiencia de estudiantes de aproximación con el proceso gestionar de enfermería a la luz de la teoría humanista de la administración, mediante la captación de la realidad, facilitó el aprendizaje, ya que proporciona el vínculo entre la teoría y la práctica. Descriptores: enfermería; administración en salud; salud colectiva.

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Fossum, Mariann, Lee Hughes, Elizabeth Manias, Paul Bennett, Trisha Dunning, Alison Hutchinson, Julie Considine, Mari Botti, Maxine M. Duke, and Tracey Bucknall. "Comparison of medication policies to guide nursing practice across seven Victorian health services." Australian Health Review 40, no. 5 (2016): 526. http://dx.doi.org/10.1071/ah15202.

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Objectives The objective of this paper is to review and compare the content of medication management policies across seven Australian health services located in the state of Victoria. Methods The medication management policies for health professionals involved in administering medications were obtained from seven health services under one jurisdiction. Analysis focused on policy content, including the health service requirements and regulations governing practice. Results and Conclusions The policies of the seven health services contained standard information about staff authorisation, controlled medications and poisons, labelling injections and infusions, patient self-administration, documentation and managing medication errors. However, policy related to individual health professional responsibilities, single- and double-checking medications, telephone orders and expected staff competencies varied across the seven health services. Some inconsistencies in health professionals’ responsibilities among medication management policies were identified. What is known about the topic? Medication errors are recognised as the single most preventable cause of patient harm in hospitals and occur most frequently during administration. Medication management is a complex process involving several management and treatment decisions. Policies are developed to assist health professionals to safely manage medications and standardise practice; however, co-occurring activities and interruptions increase the risk of medication errors. What does this paper add? In the present policy analysis, we identified some variation in the content of medication management policies across seven Victorian health services. Policies varied in relation to medications that require single- and double-checking, as well as by whom, nurse-initiated medications, administration rights, telephone orders and competencies required to check medications. What are the implications for practitioners? Variation in medication management policies across organisations is highlighted and raises concerns regarding consistency in governance and practice related to medication management. Lack of practice standardisation has previously been implicated in medication errors. Lack of intrajurisdictional concordance should be addressed to increase consistency. Inconsistency in expectations between healthcare services may lead to confusion about expectations among health professionals moving from one healthcare service to another, and possibly lead to increased risk of medication errors.

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Chakraborty, Arnab. "Negotiating medical services in the Madras Presidency: the subordinate perspectives (1882–1935)." Medical History 65, no. 3 (June 1, 2021): 247–66. http://dx.doi.org/10.1017/mdh.2021.15.

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AbstractThe historiography of western medicine in colonial India has predominantly been analysed from the perspectives of the elite services – the Indian Medical Service (IMS) and their recruits. Unfortunately, perceiving colonial medical practices through the lens of the IMS has remained inadequate to provide a nuanced understanding of the role played by Indians in the semi-urban and rural areas of colonial India. This article examines the contributions of local administration and the role played by the recruits of the Subordinate Medical Service. This article uses the Madras Presidency as its case study and focusses on the medical subordinates who were pivotal in establishing a western medical tradition in the region. This will shift the urban-centric focus and examine mostly the rural parts of the presidency, in particular, the district hospitals and dispensaries located in the districts, taluks and villages. The article analyses the transformation in the Madras medical administration from the late nineteenth century until 1935 to argue how subordinates were the ones controlling the local medical services, and thus pulling the strings of health administration in the presidency. This will also demonstrate the uniqueness of Madras and how it disseminated western medical care with an active participation and involvement of the local residents.

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Harlow, Karen S., and Myrna R. Pickard. "NURSING SCHOOLS, HEALTH POLICY AND THE DISTRIBUTION OF HEALTH SERVICES." Policy Studies Journal 14, no. 3 (March 1986): 457–63. http://dx.doi.org/10.1111/j.1541-0072.1986.tb00744.x.

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Tshitenge, S. T., K. Nlisi, V. Setlhare, and R. Ogundipe. "Knowledge, attitudes and practice of healthcare providers regarding contraceptive use in adolescence in Mahalapye, Botswana." South African Family Practice 60, no. 6 (November 30, 2018): 39. http://dx.doi.org/10.4102/safp.v60i6.4928.

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Introduction: Adolescent pregnancy is a global public health problem, for which healthcare providers (HCPs) play a critical role to prevent unintended pregnancy. This study investigated the knowledge, attitude and practice (KAP) of HCPs towards the use of contraceptives in adolescents.Results: Of the 101 eligible for the study, 79.2% HCPs from the selected clinics and hospital responded. The majority (91.2%) of respondents felt confident to explain to adolescents how to use old contraceptive methods such as oral contraceptives or IUCD, less than half of the respondents (41.3%) were confident to explain how to use new contraceptive methods such as transdermal contraceptive patches or vaginal rings. Medical doctors felt more confident to prescribe new contraceptive methods compared with nurses, both vaginal rings (p-value = 0.0006) and transdermal contraceptive patches (p-value = 0.0003). More than two-thirds of the respondents disagreed that beliefs influenced their ability to offer contraceptive services to adolescents, half of the respondents strongly disagreed that it was morally wrong for adolescents to use contraceptives. Although three-quarters of respondents strongly agreed (median = 5, [IQR 5–6]) that they were comfortable with prescribing contraceptives to adolescents, only 23% of the respondents very much prescribed or always prescribed contraceptives to adolescents.Conclusion: Most of the HCPs prescribed contraceptives irregularly, and had limited knowledge about newer methods. To change HCPs’ KAP, in addition to continuing medical education (CME), the establishment of family planning clinics for adolescents and more undergraduate contraceptive teaching for medical and nursing students could result in the increased utilisation of contraceptive services by adolescents.

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Richmond, TS, HJ Thompson, and EM Sullivan-Marx. "Reimbursement for acute care nurse practitioner services." American Journal of Critical Care 9, no. 1 (January 1, 2000): 52–61. http://dx.doi.org/10.4037/ajcc2000.9.1.52.

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Until the passage of the Balanced Budget Act of 1997, acute care nurse practitioners could not be directly reimbursed for inpatient services provided to Medicare patients. With the enactment of this legislation, acute care nurse practitioners may now be directly compensated for care provided. The historical and contextual issues that surround reimbursement for nursing and advanced practice nursing services are reviewed to serve as a foundation for understanding the current Medicare reimbursement regulations. The implications of the Balanced Budget Act of 1997 for acute care nurse practitioners and their professional colleagues are critically examined. The language of the Balanced Budget Act of 1997 and the subsequent rules and regulations issued by the Health Care Financing Administration are reviewed with specific focus on implications for acute care nurse practitioners. The opportunities for reimbursement for services provided by acute care nurse practitioners are more extensive than ever before. Acute care nurse practitioners and their physician colleagues will be wise to become fully conversant with the changes in Medicare reimbursement regulations.

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Gudnadottir, Margret, Kristin Bjornsdottir, and Sigridur Jonsdottir. "Perception of integrated practice in home care services." Journal of Integrated Care 27, no. 1 (February 11, 2019): 73–82. http://dx.doi.org/10.1108/jica-07-2018-0050.

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PurposeAs a result of demographic changes, older people are increasingly living at home, with multi-morbidity and complex care needs. This calls for enhanced integration of homecare nursing and social services. The purpose of this paper is to describe the clinical collaboration, scope and impact of integration from the perspective of staff in a setting identified as fully integrated.Design/methodology/approachIn this qualitative study, data consisted of interviews with managers and care workers in social services and homecare nursing (n=14) in daily clinical collaboration, followed by five focus group discussions (n=28). Data were analysed using framework analysis.FindingsAlthough the homecare services studied were ostensibly fully integrated, the study showed that the process of integration was incomplete. Interdisciplinary coordination between nursing and social services team managers was described as strong and efficient, but weaknesses were identified in collaboration between care workers. They lacked acquaintance with one another, opportunities for communication and knowledge of the contribution of members of other teams. They felt unclear about their own role in coordinated teamwork and lacked a shared vision.Originality/valueThis paper’s originality lies in the model of integrated care studied and its focus on actual care practices. The findings highlight that integration does not automatically permeate between different levels of service. Time and space must be allowed for conversations between health and social service teams to promote integration.

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Wertenberger, Sydney, Ruth Yerardi, Audrey C. Drake, and Renee Parlier. "Veterans Health Administration Office of Nursing Services Exploration of Positive Patient Care Synergies Fueled by Consumer Demand." Nursing Administration Quarterly 30, no. 2 (April 2006): 137–46. http://dx.doi.org/10.1097/00006216-200604000-00012.

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Cardozo Gonzáles, Roxana Isabel, Aline Aparecida Monroe, Ricardo Alexandre Arcêncio, Mayra Fernanda de Oliveira, Antonio Ruffino Netto, and Tereza Cristina Scatena Villa. "Performance indicators of DOT at home for tuberculosis control in a large city, SP, Brazil." Revista Latino-Americana de Enfermagem 16, no. 1 (February 2008): 95–100. http://dx.doi.org/10.1590/s0104-11692008000100015.

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The study had the objective to analyze the performance of the health services that implement the Directly Observed Therapy at home for tuberculosis control. This study analyzed four Tuberculosis Control Programs, referred to as A, B, C, and D, using the following indicators: Resource use; Performance quickness; Monitoring medication administration; Time spent per home visit. Data were collected during visits to 47 patients receiving DOT at home. Resource use was higher in program B (91.3%); program A showed quicker performance (5.8) and more visits during which medication administration was monitored (77.4%); program C had the longest time spent per home visit (14.7 minutes) and program A the shortest (10.4 minutes). The best or worst performance numerically expresses how resources are being used and whether the observation of medication intake is being achieved.

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Jacobs, Sally, and Kirstein Rummery. "Nursing Homes in England and their Capacity to Provide Rehabilitation and Intermediate Care Services." Social Policy and Administration 36, no. 7 (December 2002): 735–52. http://dx.doi.org/10.1111/1467-9515.00314.

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Achmad, Irhamdi. "KOMPETENSI PERAWAT DAN PATIENT SAFETY DI RSUD PIRU KABUPATEN SERAM BAGIAN BARAT." Jurnal Kesehatan Terpadu (Integrated Health Journal) 9, no. 2 (December 1, 2018): 1–10. http://dx.doi.org/10.32695/jkt.v2i9.16.

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Patient safety in hospitals is a global issue and it is important to establish a safer and more comfortablesystem of nursing and health services in hospitals. Nursing care is expected to be of good quality anduseful in preventing incidents of unwanted events that can harm patients and hospitals. The reality inthe hospital even though the socialization and training of patient safety have been carried out by thehospital to nurses and health workers there are still cases of injured patients, patients falling and wrongtreatment. This study aims to determine the relationship of nurse competencies that was nursingstudies, nursing ethics, drug administration and measurement of vital signs with patient safety in PiruHospital in 2017. The type of research is descriptive analytic with design cross-sectional. Theinstrument used was a questionnaire, with a sample of 66 nurses at the Piru Hospital in Seram BagianBarat District. The results showed that there was a relationship between significant nursing assessmentcompetencies, nursing ethics, administration of drugs and the measurement of vital signs with patientsafety, at the Piru Hospital. Therefore nurses' knowledge and technical skills regarding patient safetythrough various socialization and training activities must be improved so that the safety and security ofpatients in hospital services is guaranteed and the hospital image becomes better. Keywords: Nurse competence, patient safety, hospital

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Parks, Melanie D. "Barriers to Clinical Practice." Journal of Doctoral Nursing Practice 10, no. 2 (2017): 135–39. http://dx.doi.org/10.1891/2380-9418.10.2.135.

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Access to care along with a shortage of healthcare providers, especially psychiatric specialists is a widespread problem in many areas of Virginia. Patients who have 1 or more chronic illnesses frequently have coexisting psychiatric problems, and psychiatric patients often have at least 1 chronic health condition. To assist in addressing both behavioral health and primary care services for health promotion and disease prevention, a collaborative care model as outlined by the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration was evaluated. The collaborative care model was compared with existing services and barriers to health care identified in a rural Virginia County. Identification and use of advanced practice nursing roles and improved collaboration among health care providers were emphasized. Evidence-based practice interventions and quality improvement strategies such as the plan-do-check-act model were identified and evaluated. Outcome measures outlining an evaluation plan for goals related to improving health outcomes were identified with recommendations for various accessible wellness programs.

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Kozlová, Lucie, and Petr Pták. "Planning of social services for generation 50 plus from the viewpoint of local administration." Kontakt 10, no. 2 (December 17, 2009): 323–25. http://dx.doi.org/10.32725/kont.2008.049.

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Malamou, Theodora. "S.W.O.T analysis of the Department of Nursing in healthcare organizations." Hellenic Journal of Nursing Science 13, no. 1 (March 31, 2020): 9–22. http://dx.doi.org/10.24283/hjns.202012.

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S.W.O.T analysis is a proposed strategic analysis tool for healthcare organizations. The issues identified in the S.W.O.T. analysis are classified into four categories. From the internal environment of the service are the strength points, such as accessibility, good level of provided health services, experienced and specialized nursing staff, modern level of technological-biomedical equipment, management oriented to quality procedures, staff satisfaction and the weakness points, such as shortages of human resources and equipment, mental and physical fatigue, non-application of treatment protocols, vague nursing tasks, modest or reduced staff training, worker culture. From the external environment, there are opportunities, start-up and operation of quality assurance systems, awareness of service weaknesses, medical records, volunteering, private forms of hospital funding, multiculturalism, and threats, such as financial and values crisis, bureaucracy in day-to-day management, the presence of a significant number of migrants and uninsured people, health users’ displeasure, private care, change of epidemiological model. The purpose of the article is to highlight the application of the S.W.O.T. analysis as an important tool in the hands of nursing administration, decision-making and shaping a future strategy of health services. S.W.O.T is a useful, but not a stand-alone, strategic planning tool that promises health services to make informed decisions and leave nothing to chance in order to be efficient and competitive.

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Chen, Jing, Jin-Mei Li, Rong Yang, Li-Hong Zhao, Ling Feng, Yi-Juan Chen, and Dong Zhou. "Administration of Nursing Services in a Newly Built Traumatic Infection Ward After an 8.0-magnitude Earthquake in Wenchuan." Journal of Emergency Nursing 35, no. 6 (November 2009): 532–35. http://dx.doi.org/10.1016/j.jen.2009.05.020.

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Maciejewski, M. L., and C. Maynard. "Diabetes-Related Utilization and Costs for Inpatient and Outpatient Services in the Veterans Administration." Diabetes Care 27, Supplement 2 (April 26, 2004): B69—B73. http://dx.doi.org/10.2337/diacare.27.suppl_2.b69.

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Moradi, Farhad, and Mohammad Reza Shademanfar. "The Legal Responsibility of Nurses in Administration of Prescriptions." Journal of Politics and Law 9, no. 5 (June 29, 2016): 174. http://dx.doi.org/10.5539/jpl.v9n5p174.

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<p>Patient safety is one of the main issues in health care services. Medical mistakes are common potential dangers for patients that can be treated as a measure of patient safety. Medication errors are the most common errors in the nursing profession, which can be potentially dangerous for patients. In this study, the main purpose was evaluation of criminal responsibility of nurses in administration of prescriptions using descriptive and analytical approach. Since for medical professionals legal aspects of such cases are beyond their duty, we wish to determine the criminal liability for medical care personnel (e.g. nurses) and associated professionals</p>We will look at penal provisions for this matter closely. Obviously, lack of medical community responsibility for such errors will diminish cases of criminal prosecution. While specific rules in Medicine provide the possibility to call upon relevant incumbents, yet, criminal responsibility has not been assigned to this issue. In the legal responsibility of medical superintendents, nursing faults are divided into two categories, general criminal liability and specific criminal liability. Recent responsibility requires that necessary coordination exists between prosecution laws and specific laws in medicine.

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Savage, Christine, and Martin MacDowell. "Evaluating Electronic Information Strategies in a Master of Science in Nursing and Master in Health Services Administration Interdisciplinary Learning Experience." Journal of Nursing Education 39, no. 2 (February 2000): 94–96. http://dx.doi.org/10.3928/0148-4834-20000201-13.

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Simons, Kelsey, Katherine Luci, Lauren Hagemann, M. Lindsey Jacobs, Emily Bower, Morgan Eichorst, and Michelle Hilgeman. "ADDRESSING AN UNMET NEED FOR MENTAL HEALTH SUPPORT DURING CARE TRANSITIONS FROM NURSING FACILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S360. http://dx.doi.org/10.1093/geroni/igz038.1311.

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Abstract Mental health (MH) disorders are common among skilled nursing facility (SNF) residents and may inhibit rehabilitation goals. Moreover, discharges to the community from SNFs are periods of heightened suicide risk within the Veterans Health Administration (VHA), suggesting an urgent need for improved continuity of MH care. This paper presents results of medical records reviews indicating a potential gap in MH services at discharge from VHA SNFs. A quality improvement project (”Suicide Awareness for Veterans Exiting Community Living Centers” – SAVE-CLC), designed to address this gap, will also be discussed. Piloted in 3 sites (N = 66) in 2018, SAVE-CLC clinicians administered depression screens by phone to 47 Veterans (71%) after SNF discharge and helped connect Veterans to MH services. 24 Veterans (26%) received a second such call. Patients and caregivers expressed high satisfaction with SAVE-CLC (n = 35, 97%). Implications for quality improvements in SNF care transitions will be discussed.

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Wagner, Marsden G. "Health Services for Pregnancy in Europe." International Journal of Technology Assessment in Health Care 1, no. 4 (October 1985): 789–97. http://dx.doi.org/10.1017/s026646230000177x.

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In 1979, maternal and child health issues were discussed during the annual meeting of the 33 Member States of the European Region of the World Health Organization. During this discussion many countries expressed concern about the services offered for pregnancy, birth and the period following birth. The countries recognized that, as yet, unsolved problems remain which must be examined and they asked the European Regional Office of WHO to mount activities to study and report on these problems surrounding birth and birth care. In response to this request, the maternal and child health unit of the European Regional Office organized a Perinatal Study Group. The Group's 15 members came from 10 countries and spanned 10 professional disciplines: economics, epidemiology, health administration, midwifery, nursing, obstetrics, pediatrics, psychology, sociology, and statistics. For five years the Group conducted surveys, reviewed the literature and brought its own personal and professional experience to discussions of the health services for women and their babies, during pregnancy and birth, and after birth. The entire group met together at least once a year, at which time findings from the previous year's work were presented, followed by lengthy, sometimes heated, open and free discussions.

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Hayes-Rodgers, Angela, and Altrivice D. Revis. "Off-shift Administration operations improvement collaborative." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 144. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.144.

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144 Background: Off-Shift Administration (OSA) supports the senior leadership by overseeing clinical operations for both inpatient and outpatient areas at MD Anderson. Our team is responsible for resolving and/or managing issues that could impede patient care, particularly when unsuccessful at the departmental level. This project focuses on streamlining inpatient discharge activities. Data reports from December 2010 to February 2011 revealed that OSA received 1,923 assistance requests institution-wide of which 13% were case management related. A taskforce familiar with patient care and case management processes ultimately resolved to decrease the number of calls made to Off-Shift Administration requesting case management services by 50% by June 2011. Methods: The pilot period began March 1, 2011 and ended May 31, 2011. The earliest intervention was to re-route after hours case management requests directly to the case manager on-call. In the new process, the RN paged the case manager on-call directly who would then escalate calls to OSA as deemed necessary for internal support. A staff education plan complemented the intervention. The education plan entailed in-services with nursing staff, discharge planning teams and nurse leaders for each unit. Education by way of posters was delivered on select units. Piloted areas were also surveyed to assess their knowledge of case management processes and wait time experiences. Results: Outcomes were favorable. OSA experienced an 80% reduction in call volume from the piloted areas. Survey results showed educational efforts yielded a positive practice change and increased awareness of case management protocol. Survey results also revealed a 20-minute reduction in wait time for case management assistance. Certainly, of greatest benefit were the reduced wait times and more expedient patient care and customer service for staff. Conclusions: The project was successful and knowledge gained was be used to implement permanently and within all patient care settings. This project also serves as a useful paradigm of Clinical Operations’ improved ability to distinguish operational trends requiring attention, thereby increasing operational efficiency and customer satisfaction.

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Qian, Siyu, Ping Yu, and David Hailey. "Nursing staff work patterns in a residential aged care home: a time–motion study." Australian Health Review 40, no. 5 (2016): 544. http://dx.doi.org/10.1071/ah15126.

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Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time–motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91 h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1 min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses’ work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses’ work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are arranged flexibly by the nurses. What are the implications for practitioners? When developing a task reallocation strategy to improve work efficiency, effort can be put into tasks that can be arranged more flexibly.

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KEMELMAN, Rachel, and Daniela COJOCARU. "NURSING CORE CURRICULUM REVISION IN ISRAEL: HISTORICAL REVIEW." Social Research Reports 11, no. 3 (November 15, 2019): 90–96. http://dx.doi.org/10.33788/srr11.3.6.

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The Nursing Core Curriculum has been continually developed and revised in many countries over recent decades. These revisions are shaped mainly by social changes and challenges: for example, the forecast that the elderly will become a significant percentage of populations in developed countries, global migration processes, computerization of medical services, and new complex medical devices have all necessitated changes in the education of 21st century nurses. In Israel, nursing education has developed simultaneously under the influences of both the British versus the American core curricula through the last century. The latest Core Curriculum was published in 2012, and for the last three years, the Ministry of Health Nursing Administration have been working on the development of a new core. Meanwhile, all nursing education institutions are expected to implement de-facto changes which are supervised by the Ministry of Health’s audit tool development and inspection process.

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Kingdon, David. "The mental health practitioner – bypassing the recruitment bottleneck." Psychiatric Bulletin 26, no. 9 (September 2002): 328–31. http://dx.doi.org/10.1192/pb.26.9.328.

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Lack of resources has been a major restriction on the development of mental health services. However, even with the resources currently available there are insufficient numbers of trained medical, nursing, occupational therapy, psychology and social work staff to maintain services to adequate levels in many areas. This seriously interferes with provision of services, especially in acute wards but also in other areas. It certainly restricts developments and the use of skills attained through training (e.g. from THORN psychosocial intervention courses (Gournay & Birley, 1998)). The introduction of crisis resolution and early intervention teams, as described in the NHS Implementation Guide (Department of Health, 2001a), looks likely to simply deprive in-patient wards and community teams of staff, making the new teams ineffective through lack of core services. This will occur directly by recruitment of staff from them, or competitively through taking new entrants from nursing and social work programmes. Solutions proposed have included increasing numbers of support workers and administration staff; recruitment from abroad; or increased delegation of tasks, but there remains a need for more appropriately-trained professional staff.

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Indriani, Siti. "Penggunaan Electronic Medication Management (EMM) dalam Menurunkan Kejadian Medication Error di Keperawatan." Jurnal Surya 11, no. 03 (January 2, 2020): 33–39. http://dx.doi.org/10.38040/js.v11i03.53.

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Errors in drug administration are adverse events for patients. Reducing the incidence of medication errors will significantly improve patient safety and quality of medication use. The traditional system makes staff spend time searching through notes on a compilation paper of what drugs patients must pay throughout the treatment process that is given. This process is not only lengthy, but also can easily increase opportunities for differences and mistakes. Many hospitals and health services are turning to digital systems as a solution. The EMM system supports the improvement of quality, safety, and support for drug management in hospitals. This includes providing support for doctors, nurses and pharmacists to prescribe, order, accept, reconcile, issue and install digital drug administration. EMM covers the entire treatment cycle in the hospital including prescribing by doctors, approved and issued drug orders by pharmacists, and administration of drugs by nurses. The use of EMM can provide benefits that are improving the quality of patient-oriented nursing care, the quality of clinical services and the use of information technology. Nurses as health workers with the largest

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Bialous, Stella Aguinaga, and Linda Sarna. "Opportunities for Nursing Research in Tobacco Control." Annual Review of Nursing Research 27, no. 1 (December 2009): 393.1–409. http://dx.doi.org/10.1891/0739-6686.27.393.

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Nurse scientists have made important contributions to evidence-based practice in tobacco control. This chapter will discuss recent tobacco control developments in the United States and globally, such as legislation giving the U.S. Food and Drug Administration regulatory authority over tobacco products manufacturing, marketing and sales, the World Health Organization Framework Convention on Tobacco Control, and a brief review of research that has guided policy advances and nursing research in tobacco control. Suggestions for future research based on the update of the U.S. Public Health Services Treating Tobacco Use and Dependence clinical practice guideline will be explored. These developments offer nursing researchers a wealth of opportunities and challenges to advance nursing and tobacco control knowledge, address research gaps, and bring a unique nursing perspective to tobacco use prevention, reduction of exposure to secondhand smoke, tobacco dependence treatment, and tobacco control policies. Additionally, we will address how nursing scholarship can and should be supported by academic and organizational leadership to support nurses in realizing their full potential in mitigating the global epidemic of tobacco-caused death and disease.

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Akram, Gazala, and Fiona Mitchell. "Administration of a long-acting antipsychotic injection to a child while managing contraindicated polypharmacy interactions and transition between services." BMJ Case Reports 12, no. 6 (June 2019): e228509. http://dx.doi.org/10.1136/bcr-2018-228509.

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Second-generation antipsychotics are used to treat a variety of psychiatric symptoms and illnesses as well as the behavioural aspects of various neurodevelopmental disorders. However, there is reluctance in using second-generation long-acting injectable antipsychotics in child psychiatry services. We present a case of a 12-year-old child whose presentation and medication regime warranted the use of aripiprazole long-acting injection against a backdrop of potential CYP P450 enzyme interactions as a consequence of polypharmacy. The case also describes the difficulties encountered working across different health sectors and agencies and highlights the ongoing need for skills-based Continuous Professional Development for Child and Adolescent Mental Health Services-based nursing staff.

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Jacob, Susan R., and Zoila V. Sánchez. "The Challenge of Closing the Diversity Gap: Development of Hispanic Nursing Faculty through a Health Resources and Services Administration Minority Faculty Fellowship Program Grant." Journal of Professional Nursing 27, no. 2 (March 2011): 108–13. http://dx.doi.org/10.1016/j.profnurs.2010.09.013.

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Heinz, Melinda. "PROMOTING AND ATTRACTING STUDENTS TO CAREERS IN AGING SERVICES." Innovation in Aging 3, Supplement_1 (November 2019): S662. http://dx.doi.org/10.1093/geroni/igz038.2451.

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Abstract Three student focus groups were conducted at residential, center, and online university locations (N = 15) to investigate interest and understanding of careers in gerontology and exposure to aging issues. Students majoring in health services administration, psychology, and human services were recruited and given an honorarium for participating. Sessions were recorded and transcribed with two researchers independently coding to identify themes. Center and online participants were more likely to be non-traditional students. Eighty-seven percent of participants were female, 13 percent were male. Ages ranged from 19 to 34 (M = 23.4). Eighty-seven percent were upperclassmen. This study is unique as most research has investigated aging issues with traditional aged students. Center students reported aging issues were discussed in courses outside of their majors, whereas residential students stated issues did not receive attention outside of gerontology classes. Online students stated discussions depended on the class. Common deterrents for not considering careers in gerontology were concerns about performing “physical cares” or coping with death anxiety. Few considered what a career in gerontology looked like outside of nursing homes. To increase awareness, some students felt “gerontology classes should be mandatory.” Students felt taking field trips to modern nursing homes “changed their perspective,” from medical model facilities. All participants reported little exposure to older adults or gerontology as a viable career path in high school. With the rapidly aging population, we suggest incorporating a “Careers in Aging” unit in high schools to increase awareness of gerontology opportunities.

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Mendes, Isabel Amélia Costa, Maria Auxiliadora Trevizan, Clarice Aparecida Ferraz, and Neide Fávero. "The re-humanization of the executive nurse's job: a focus on the spiritual dimension." Revista Latino-Americana de Enfermagem 10, no. 3 (June 2002): 401–7. http://dx.doi.org/10.1590/s0104-11692002000300014.

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This work synthesizes the authors' views on the damages to the development of human capital in health services, which are caused by the disregard to the human spiritual dimension. New administration paradigms related to the development of spirituality are pointed out. Considering that the spiritual dimension has a systemic nature and that, by means of ethics and esthetics, it harmonizes all of man's dimensions in his relationships with others, the authors aim at approaching the spiritual value as fundamental for the re-humanization of the managing nurse's job. They recommend the integration of the spiritual dimension to the daily work of such professional as a determinant factor for a new performance as well as an inductor for nurses' better personal and professional life quality.

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Cheshire, Michelle H., Norma Graciela Cuellar, Jennifer M. Figueroa-Delgado, and Patricia Rojas. "A Nursing Workforce Initiative: Increasing the Latino/Hispanic BSN Workforce." Hispanic Health Care International 18, no. 2 (February 17, 2020): 117–20. http://dx.doi.org/10.1177/1540415320904929.

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Of the 3 million nurses in the United States, only 5.4% of registered nurses are Latinos. This is a grave concern since the U.S. Census’ projected increase of Latinos in the United States is expected to be 28% by 2060. In 2010, the Institute of Medicine report recommended a diverse workforce in health care to improve health outcomes. However, the increase in the Latino nursing workforce continues to be low compared to with the population of Latinos in the country. The National Association of Hispanic Nurses and the University of Alabama partnered to increase the number of baccalaureate-prepared registered nurses in the workforce. BAMA-Latino Project (BAMA-L) is a Health Resources and Services Administration–funded program to increase the diversity of registered nurses in the nursing workforce. The purpose of this article is to present the development and implementation of BAMA-L.

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Barbino Junior, Luis Roberto, Larissa Gutierrez de Carvalho e. Silva, and Carmen Silvia Gabriel. "Quality as perceived by nursing professionals in an accredited specialized hospital." Revista Brasileira de Enfermagem 72, suppl 1 (February 2019): 282–88. http://dx.doi.org/10.1590/0034-7167-2018-0151.

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ABSTRACT Objective: To identify quality of service in an accredited specialized hospital according to nursing professionals' expectations and perceptions. Method: This is a cross-sectional quantitative study with the participation of 34 employees, conducted from August to October 2017 by administration of an adapted and validated version of the SERVQUAL scale. Results: The interviewees reported as their highest expectations the transmission of confidence and provision of safe services, the latter also turning out to be the best perception of service. Promotional materials were considered as the least important expectation. The perception with the lowest scores was related to the time of service delivery at the institution, which may be associated with specific factors. Safety of service was considered as the quality dimension with greater relevance. Conclusion: It is highlighted the importance of measures for maintenance of schedules and preservation of good forms of promotion, communication and team training.

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Wigens, Lynne. "Integrated care nursing in Canterbury, New Zealand." Journal of Integrated Care 24, no. 3 (June 20, 2016): 150–60. http://dx.doi.org/10.1108/jica-01-2016-0001.

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Purpose – The purpose of this paper is to outline how nursing has contributed to the development of integrated care in an internationally recognised centre of excellence (Timmins and Ham, 2013). Design/methodology/approach – During a three-week travel scholarship the author undertook interviews, focus groups and observation and has reflected on this through three themes. These are: system working, nursing leadership and examples of integrated care in action. Findings – Elements of the Canterbury approach could have implications for other health care systems, e.g. New Care Models within England. Time was spent on developing the vision, involving many staff. Stability in the senior leadership team allowed decisions to be made in a collective, transformational way. Nurse leadership authenticity meant nursing staff saw integrated decision making being role modelled at a senior level and this appeared to empower them to operate in a similar way. Time was invested in redesign. Creating a positive culture where innovation was tried, without staff feeling the risks and challenges would not be supported by their leaders. Originality/value – This system worked most effectively where there was cohesion between health and social care, and strong relationships developed between leaders and staff working for different providers. The reflection includes practice examples of integrated care services in action. There is potential to inform integrated care developments within other health and social care systems, e.g. Vanguards within England.

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Bialous, Stella Aguinaga, and Linda Sarna. "Chapter 16 Opportunities for Nursing Research in Tobacco Control." Annual Review of Nursing Research 27, no. 1 (December 2009): 393.2–409. http://dx.doi.org/10.1891/0739-6686.27.1.393.

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Nurse scientists have made important contributions to evidence-based practice in tobacco control. This chapter will discuss recent tobacco control developments in the United States and globally, such as legislation giving the U.S. Food and Drug Administration regulatory authority over tobacco products manufacturing, marketing and sales, the World Health Organization Framework Convention on Tobacco Control, and a brief review of research that has guided policy advances and nursing research in tobacco control. Suggestions for future research based on the update of the U.S. Public Health Services Treating Tobacco Use and Dependence clinical practice guideline will be explored. These developments offer nursing researchers a wealth of opportunities and challenges to advance nursing and tobacco control knowledge, address research gaps, and bring a unique nursing perspective to tobacco use prevention, reduction of exposure to secondhand smoke, tobacco dependence treatment, and tobacco control policies. Additionally, we will address how nursing scholarship can and should be supported by academic and organizational leadership to support nurses in realizing their full potential in mitigating the global epidemic of tobacco-caused death and disease.

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Leopardi, Marco, and Marco Sommacampagna. "Emergency Nursing Staff Dispatch: Sensitivity and Specificity in Detecting Prehospital Need for Physician Interventions During Ambulance Transport in Rovigo Emergency Ambulance Service, Italy." Prehospital and Disaster Medicine 28, no. 5 (August 15, 2013): 523–28. http://dx.doi.org/10.1017/s1049023x13008790.

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AbstractIntroductionIn Italy, administration of medications or advanced procedures dictates the prehospital presence of a physician to initiate treatment. Nursing staff is often used as dispatchers in Italian emergency medical ambulance services. There is little data about nursing dispatch performance in detecting high-acuity patients who need prehospital medications and procedures.ObjectiveTo determine the ability of a dispatch center staffed by emergency ambulance nurses to detect prehospital need for physician interventions in the context of a semi-rural area Emergency Medical Services system.MethodsA retrospective analysis of 53,606 calls from the Rovigo Emergency Ambulance Services’ database was undertaken. Physician prehospital interventions were defined as the administration of medications or procedures (advanced airway management and ventilation, pneumothorax decompression, fluid replacement therapy, external defibrillation, cardioversion and pacing). The dispatch codes (assigned by a subjective decision-making process as Red, Yellow, or Green) of all transported prehospital patient calls were matched with an out-of-hospital triage system staffed by clinicians to determine the number of correctly identified prehospital need of physician interventions. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated.ResultsThe sensitivity of subjective experience-based nursing dispatch in detecting the need for physician interventions was 78.0% (95% CI, 76.9%-79.1%), with a PPV of 36.6% (95% CI, 35.8%-37.5%). Specificity was 83.8% (95% CI: 83.4%-84.1%), with an NPV of 96.9% (95% CI, 96.8%-97.1%).ConclusionA dispatch center staffed by nurses with six years of experience and three months of training correctly identified when not to send a doctor to the scene in the absence of need for physician interventions, using a subjective decision-making process. The nurses staffing the dispatch center also worked in the field. Dispatch center staff were not able to predict when there was no need for physician interventions in high-acuity dispatch code patients, resulting in an over-triage and use of emergency physicians on scene.LeopardiM, SommacampagnaM.Emergency nursing staff dispatch: sensitivity and specificity in detecting prehospital need for physician interventions during ambulance transport in Rovigo Emergency Ambulance Service, Italy. Prehosp Disaster Med. 2013;28(5):1-6.

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Snow, Stephanie J. "‘I’ve Never Found Doctors to be a Difficult Bunch’: Doctors, Managers and NHS Reorganisations in Manchester and Salford, 1948–2007." Medical History 57, no. 1 (January 2013): 65–86. http://dx.doi.org/10.1017/mdh.2012.81.

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AbstractSince 1974 the National Health Service (NHS) has been subject to successive reorganisations which have shaped and reshaped patterns of administration, clinical care and services. This paper uses two sources of oral evidence: a Witness Seminar with a group of administrators who attended the NHS National Administrators’ Training Scheme in the late 1950s and a collection of interviews with doctors and managers who have played key roles in the health services of Manchester and Salford between 1974 and 2007. It surveys the day-to-day interactions between doctors and administrators/managers in hospital settings and analyses what these reveal about relationships within the broader context of shifting organisational structures and management styles. It suggests that the evidence challenges the historical stereotyping of the two groups and that strong working relationships have been determined as much by the values of respect and association as by changes to structures or management styles.

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Amirkhanyan, Anna A., Seung-Ho An, Beth A. Hawks, and Kenneth J. Meier. "Learning on the Job: The Impact of Job Tenure and Management Strategies on Nursing Home Performance." Administration & Society 52, no. 4 (September 16, 2019): 593–630. http://dx.doi.org/10.1177/0095399719874755.

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This study investigates linear and nonlinear effects of job tenure on organizational performance and explores how administrators’ job tenure can moderate the relationship between three key managerial strategies—innovative management, participatory management, and external management—and performance. Using archival performance indicators available from the Centers for Medicare and Medicaid Services in combination with a recent survey of nursing home administrators, we find that job tenure has a linear and nonlinear relationship with two different performance dimensions, respectively. Also, more experienced managers are better able to manage external environments and share power internally to achieve better outcomes.

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Casarin, Santina Nunes Alves, Tereza Cristina Scatena Villa, Roxana Isabel Cardozo Gonzáles, Maria Celia de Freitas, Maria Helena Larcher Caliri, and Cinthia Midori Sassaki. "Case management: evolution of the concept in the 80's and 90's." Revista Latino-Americana de Enfermagem 10, no. 4 (July 2002): 472–77. http://dx.doi.org/10.1590/s0104-11692002000400002.

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Case Management is a term that is present in almost every American health care situation. It is mostly used to coordinate community services with satisfactory results for the patient within a certain period of time, with limited resources. Through time, it has been used for different purposes. The goal of this study was to show the historical evolution of case management as expressed by the American nursing literature, in the 80's and 90's, according to its use, meaning, and application, and following a theoretical framework for concept analysis. The data was extracted from two journals: "Nursing Management" and "Journal of Nursing Administration". The publications showed case management portrayed as a process that serves a common goal; where quality and cost of care were the prevalent and influential elements along time, and its practice focusing in a given population defined as of high risk and high cost for health care.

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Journal articles on the topic 'Nursing services – Administration – Botswana'

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