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E Rooney 《AAOHN journal》1992,40(7):319-325
TQM/CQI is increasingly being used by U.S. companies and the health care industry to improve their operations and profitability. TQM/CQI can be used by occupational health nurses to help focus efforts to improve their health services and demonstrate their value. TQM/CQI also is used by businesses to improve the quality and cost of external health services. Occupational health nurses who are knowledgeable in TQM/CQI can help assure the quality of external health services as businesses strive to reduce rising health care costs. 相似文献
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The recent emphasis on total quality management and continuous quality improvement (TQM/CQI) is a positive way to improve the professional status of nurses and minimize repetitive cycles of nursing shortages. The author reviews the history and the current status of the supply and demand for nursing personnel, and suggests solutions for preventing shortages that incorporate TQM/CQI strategies. 相似文献
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Danna L. Curcio 《Teaching and Learning in Nursing》2021,16(3):269-272
The Quality and Safety Education for Nurses (QSEN) Initiative addresses goals to better prepare future nurses by proposing and defining 6 competencies addressing knowledge, skills, and attitudes (KSA) needed for undergraduate, pre-licensure nursing students to be successful, competent, and qualified registered nurses. Educators maintain the responsibility to bridge education and clinical preparation to enable nursing students to practice at a level that projects quality and safety. This article introduces and explains a guided Quality Indicator/Quality Measure (QI/QM) teaching-learning strategy aimed at the promotion of learning about QSEN competencies, in which students identify a clinical QI/QM issue, gather data, collaborate, apply research techniques, create a presentation, and report their findings. Specific QSEN competency sub-scores from an NCLEX test preparation strategy were used to measure students’ learning, and improvements on these sub-scores were observed. Introducing QSEN concepts sets the stage for competent nursing care in the future and this valuable teaching-learning strategy suggests how to infuse QSEN competencies into an undergraduate nursing curriculum. 相似文献
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The use of CQI to identify issues, processes, and methods of quality management was a favorable learning experience for the Botsford General rehabilitation staff. They experienced improved interdepartmental communication and enhanced understanding of the roles and responsibilities of other disciplines, as well as the overall CQI process. The use of the CQI process accomplished the objective of decreasing the length of stay of patients with amputations by 6 to 8 days, thereby reducing costs. Use of flowcharting to outline a typical patient stay from admission to discharge helped to clarify potential problems, eliminate unnecessary steps, and reduce documentation time. Although rehabilitation services are currently exempt from diagnosis-related group application, in order to maintain cost efficiency and service effectiveness, it behooves us to continually track and stay in line with the competition. In light of anticipated health care reforms, the rehabilitation industry must be proactive in its management of service delivery with an emphasis on functional outcomes. Botsford General's success with using a critical pathway for the amputee program as part of a program evaluation system will lead to the development of critical pathways for additional diagnoses. 相似文献
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Morahan S 《Journal of nursing care quality》2002,16(3):36-49
Organizations are often overwhelmed when faced with a need to develop a comprehensive quality improvement program and use a cross-organizational team to improve outcomes. This article describes the total quality management program implemented in a long-term home health care program in New York State. It describes common issues, such as incidents, multidisciplinary clinical record documentation audits, and staff competency. As a result of this comprehensive performance improvement process, this organization has not only changed the manner in which it operates but also improved its performance. 相似文献
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Bast K 《Contemporary longterm care》1993,16(10):40-2, 44, 94 passim
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The purpose of this study was to provide a profile of patient perceptions of the service quality delivered by a back pain rehabilitation clinic. Data were gathered and analyzed at the clinic level in twelve different locations across Canada. Measurement techniques were based on validated survey methods and developed from a growing stream of social science research. Results provided clinic managers with a profile of perceived service quality in terms of three key aspects: administrative support, quality of therapy received, and satisfaction with the results. The results also provided each clinic with benchmarks so that on-going service quality measurements can be incorporated into a system of continuous quality improvement. This process can assist rehabilitation clinics (and other health care providers) in improving service as well as ultimately reducing the costs of providing treatments involving physiotherapy. 相似文献
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《Residential treatment for children & youth》2013,30(3):19-30
Unforeseen issues during the 1980s slowly eroded the infrastructure of the Woodbourne Center, a residential treatment center in Baltimore, Maryland. A search for alternative organizational and management styles was initiated to minimize a sense of mistrust in management, inconsistency in accountability, and ineffective flow of communication. Total Quality Management, TQM, was selected as a possible solution. This paper presents the Woodbourne experience in implementing TQM in a residential treatment center. Discussed are: (I) components of TQM selected for adoption; (2) techniques for identifying issues and problem areas; and (3) assessment. Resented are twelve month data indicating personal and professional growth and sustained attitudiial changes in locus of control and self-efficacy. A discussion of the role of TQM within the auspices of the residential treatment center is presented. 相似文献
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参与式教学是以学习者为中心、应用灵活多样、让不同层次的学生都有参与和发展机会的一种有效的教学方式,能够提高学生学习积极性。国内应用较多的参与式教学法包括分组讨论、案例分析及角色扮演。为了适应不同学生的学习需要,进一步促进国内护理学教育的发展,作者对国内护理学教育中应用较少的5种参与式教学方法(拼图式教学法、用脚投票教学法、一分钟论文教学法、配对教学法和卡片粘贴教学法)的内涵、实施方法、优势及应用情况进行了综述。 相似文献
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