{"title":"Article 4","authors":"N. Valentine","doi":"10.1163/9789004479449_013","DOIUrl":null,"url":null,"abstract":"Nancy M. Valentine, RN, PhD, MPH, FAAN Chief Consultant Nursing Strategic Healthcare Group Department of Veterans Affairs Washington, DC Health care systems are changing at an unprecedented rate, but few are making the changes in a system affecting nearly 200,000 staff in over 1,100 different sites of service delivery originating from 171 medical centers nationwide, as is the Veterans Health Administration. The issues of change, quality of care, morale and opportunities involved in being a nurse today in a system undergoing this magnitude of change is presented within the framework of the quality of care initiatives that have been launched by VA. The new organization design of VA, emphasizing local decision-making, a description of the multiple quality programs recently introduced and integrative strategies that have been used by the Nursing Strategic Healthcare Group, the VA corporate level policy and nursing programs information center for the country, to support the change process are discussed.","PeriodicalId":393029,"journal":{"name":"Guide to the Travaux Préparatoires of the United Nations Convention on the Elimination of all Forms of Discrimination against Women","volume":"86 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Guide to the Travaux Préparatoires of the United Nations Convention on the Elimination of all Forms of Discrimination against Women","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1163/9789004479449_013","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Nancy M. Valentine, RN, PhD, MPH, FAAN Chief Consultant Nursing Strategic Healthcare Group Department of Veterans Affairs Washington, DC Health care systems are changing at an unprecedented rate, but few are making the changes in a system affecting nearly 200,000 staff in over 1,100 different sites of service delivery originating from 171 medical centers nationwide, as is the Veterans Health Administration. The issues of change, quality of care, morale and opportunities involved in being a nurse today in a system undergoing this magnitude of change is presented within the framework of the quality of care initiatives that have been launched by VA. The new organization design of VA, emphasizing local decision-making, a description of the multiple quality programs recently introduced and integrative strategies that have been used by the Nursing Strategic Healthcare Group, the VA corporate level policy and nursing programs information center for the country, to support the change process are discussed.
Nancy M. Valentine，注册护士，博士，公共卫生硕士，FAAN首席顾问护理战略医疗集团退伍军人事务部华盛顿特区医疗保健系统正在以前所未有的速度变化，但很少有人在系统中做出改变，影响来自全国171个医疗中心的1100多个不同地点的近20万名员工，包括退伍军人健康管理局。在经历如此巨大变化的系统中，今天作为一名护士所涉及的变化、护理质量、士气和机会等问题都在VA发起的护理质量倡议的框架内提出。VA的新组织设计强调地方决策，描述了最近引入的多种质量计划和护理战略医疗集团使用的综合战略。VA公司层面的政策和护理项目信息中心为国家，支持变革进程进行了讨论。
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