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Quality Care in an Era of Retrenchment |
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| Authors: | Doris J Biester Mary Duggan Mary Perkins Linda K Powers Susan Classick |
| Institution: | Doris J. Biester, PhD, RN, is President and Chief Executive Officer, The Children's Hospital, Denver, CO;Mary Duggan, RN, is a Clinical Staff Nurse, Baystate Medical Center Children's Hospital, Springfield, MA;Mary Perkins, DNSc, RN, is Director of Nursing, Brenner Children's Hospital, Winston-Salem, NC;Linda K. Powers, MS, MBA, RN, is Associate Director, Management Information Services, The National Association of Children's Hospitals and Related Institutions, Alexandria, VA;and Susan Classick, BSN, RN, is Board Liaison for JSPN. |
| Abstract: | source and purpose. Constraints in the healthcare delivery system are resulting in unprecedented challenges to quality nursing care. In response to concerns expressed by readers in a JSPN survey, we solicited input from prominent SPN members. conclusions.conclusions. Quality care can be sustained through nurses' creativity, flexibility, leadership, and collaboration. The context for quality care is an organizatinal environment with attention to critical analysis, careful resource utilization, and improved outcomes. practice implications.practice implications. Nurses can not only maintain premium standards of quality care but, by assuming leadership, help shape the future of health care. |
| Keywords: | Cost containment quality care quality nursing care |