Healthcare: Shared Governess

Paper Summary:

This paper presents a proposal that identifies an idea for development of a comprehensive project to improve an aspect of an organization or an educational offering that will address such an issue. The organization under review is the Lutheran General Hospital located in Park Ridge, Illinois. This is a 450-bed level-one trauma center using evidence-based practice in what is also a teaching hospital. The paper assesses the need for organizational change and explores the factors influencing organizational readiness for change and analyzes organizational characteristics that support or inhibit change. The paper includes two flow charts.

Outline:
Objective
Introduction
Organizational/Structural Changes in the Hospital
Lessons Learned & Challenges Identified
Shared Governance
Evidence Based Practices In Trauma Care Shared Governance: Nursing Work Environment Case Study
Proposal For Shared Governance At Luther General Hospital

From the Paper:

"Evidence-based practices are known to improve trauma care and to ensure the best care and address inconsistencies standardized approaches are developed following by education and even re-education of staff and then the measurement of outcomes. The work entitled: "Strengthening Hospitals: Changing Organizations to Improve Patient Care" states that in the 1980s "there were widespread reports of a nursing shortage in the United States. That same year, The Robert Wood Johnson Foundation and the Pew Charitable Trusts announced a jointly funded national initiative to provide better patient care through innovative, hospital-wide restructuring."

Sample of Sources Used:

• Silow-Carroll, Sharon; Alteras, Tanya; and Meyer, Jack A. (2007) Hospital Quality Improvement: Strategies and Lessons from U.S. Hospitals. April 2007. The Commonwealth Fund Publication No. 1009.
• 2003 Nursing Annual Report (2003) Dartmouth-Hitchcock Medical Center.
• Girotti, Murray (2006) Report of the Trauma Expert Panel Chair September 2006.
• Rundall, Thomas G.; Starkweather, David B.; and Norrish, Barbara (1997) The Strengthening Hospital Nursing Program: Changing Organizations to Improve Patient Care. To Improve Health and Health Care Vol. 11 Section Two: Increasing Access to Care. The Robert Wood Johnson Foundation Anthology. Online available at: http://www.rwjf.org/files/publications/books/1999/chapter_06.html
• Rollins, Gina (2006) UHC Nursing Work Environment Study: Seminal Collaboration Exposes Excellence, Opportunities for NAPH Members. Safety Net. Summer 2006.

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• Term Paper # 134138 : "Home Healthcare-How the Sick and the Elderly Benefit"

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