Nursing Health Service:Quality Assurance

THE MOST EFFICIENT conceptual FRAMEWORK FOR EVALUATING NURSING SERVICES IN ACUTE

slashing change characterizes the American wellness dispense manner of speaking purlieu in the 1990s. Within such an environment, institutional abrupt c atomic number 18 providers must develop and implement new and effective strategies if they are to remain viable entities.

The changes in the wellness condole with delivery environment result from a combination of factors (increasing cost of health care, changing societal values, advances in treatment therapies, changing demographics, and many otherwises). Cost is a major factor involved in changes in the delivery of health care services. It

is, therefore, imperative for acute care delivery facilities to develop procedures that go out lead to more(prenominal) effective and more efficient operations without simultaneously sacrificing every the level or musical note of care delivered. The implementation of quality assurance programs has been cerebrate to this goal (Cleverly and Harvey, 1992, p. 40).

Both the quality and efficiency of care delivered in acute care facilities are linked directly to nurse services (Weil and Stack, 1993, pp. 200207). Thus, nursing services, on with all other services provided through acute care facilities, must be evaluated to assure that nursing makes an optimal piece to the attainment of institut

Team ground musical arrangement is another form of structure "in which members of divergent functional departments work together in small, but more or less permanent, teams headed by the member from the most overlord prestigious specialty" (Gortner, Mahler, and Nicholson, 1989, p. 111). Team members "maintain their ties to functional departments for personnel, training, promotion, and other such matters, but they work face to face in general with members of other departments to achieve the level of coordinated expertise demanded by their tasks" (Gortner, Mahler, and Nicholson, 1989, p. 111). The selfdirected, or selfmanaging, work team, the latest disclosure of the teambased organizational structure, tends to affect three aspects of organizational structure.

The affected aspects of structure are (1) lines of managerial authority at heart an organization, (2) responsibility and accountability inwardly the organization, and (3) the informal organization within the organizational structure. The development of an effective teambased organization depends on the addressing of issues related to each of these characteristics of an organization.

There are some signs of governmental willingness to commit the resources necessary to provide the facilities and staff infallible by the increasing demands placed on nursing education. Therefore, nursing educators must attempt to develop innovative teaching approaches that will lead to an increased output of professional nurses, while go along to operate with a stable resources base, and without permitting nursing education standards to deteriorate.

Farley, V. M. (1987). strategical planning: An organizing framework for nursing education. In Patterns in nursing: Strategic planning for nursing education. New York: National unify for Nursing, pp. 311.

The need to improve quality and control costs is especially applicable to acute care facilities. Proposed national health care reform, increased consumer demands for qua
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