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Nursing Management
One of the primary concern of today’s nurse is
the quality of nursing practice and accountability for the effectiveness and
cost of practice. With the advent of the Managed Health Care, many issues in
nursing have surfaced and requested logical decision from the Healthcare
authorities. Understand the structural organization based on nursing practice,
the extent of accountability and defining quality of Home care delivery
services.
Improving the community based nursing services
promoting holistic health, and hospice care the ascendancy of education for
nursing management or administration has facilitated a large contribution to
the health care delivery system. The Nurse participates in planning the medical
care program, plans the nursing care and is able to give the patient the
physical and emotional support that is needed. Patients invariably feel more
secure when they realize that one person is thoroughly familiar with their
needs and prescribed course of treatment. Quality of patient care and the
quality of nurse’s practice are overriding concerns. This model of organizing
and delivering nursing care to patients has in some organizations supplemented
or replaced others system for delivery care, team nursing, function assignment
and the case method. The control of Nursing practice is vested in team leader.
With the help of associate nurse, services around the clock are rendered by the
physicians and other members of the health care team. With the managed care
plans, the HMO’s are compelled mainly by reducing the number of unnecessary
hospital admissions and length of hospital stay. The shifting of services to a
less expensive ambulatory settings requires a more knowledgeable nurse with an
experimented skill to ascertain the service at the patient home is properly
rendered by the Home Care Agency.
The extent of knowledge defined management as nurses
with baccalaureate or higher levels of educational preparation valued the
nurses the freedom to make independent judgement, to teach patients and their
families about illness and healthful living and to plan regimens for improving
health status during the discharge process that begins at the patient
admission. The discharge summary, the ultimate phase of the Nursing process. It
conveys the patient’s prognostic, the doctor’s recommendation that needs to be
followed by the patient during its recuperation phase. Depending upon of the
diagnostic, the Nurse management establishes with the Homecare Agency the Plan
of treatment that convene to the patient care.
Prof. Joseph Lafortune, M.D., Dean
JLF University College of Medicine
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