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Waste and neglect: fraud and abuse in the health care industry. 浪费和忽视:医疗保健行业的欺诈和滥用。
Pub Date : 1998-06-01
D L Haron

Fraud is not only illegal, but it also increases the cost of health care, reduces the quality of services, and, when the defrauded party is the government, raises taxes. Federal and state law enforcement agencies have tried (and failed) to combat the problem single-handedly, but without the assistance of health care industry members, law enforcement agencies will never find an effective solution. As health care professionals, nurse executives have a responsibility to their patients and their country to make every effort to rid their organizations of fraudulent behavior.

欺诈不仅是非法的,而且还增加了医疗保健的成本,降低了服务的质量,而且,当被欺诈的一方是政府时,还会增加税收。联邦和州执法机构曾试图单枪匹马地解决这个问题(但都失败了),但如果没有医疗保健行业成员的帮助,执法机构将永远无法找到有效的解决方案。作为卫生保健专业人员,护士管理人员对他们的病人和他们的国家负有责任,尽一切努力使他们的组织摆脱欺诈行为。
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引用次数: 0
Nursing supervisors' view through rose-colored glasses: an overestimation of employees' positive attitudes. 护理主管的乐观态度:高估了员工的积极态度。
Pub Date : 1998-06-01 DOI: 10.1097/00126450-199806000-00011
P P Carson, K D Carson, R Yallapragada, C W Roe

Nursing supervisors, nurses, and nursing aides were surveyed regarding attitudes about their shared work environment. Results support the hypotheses indicating that supervisors will generally be more positive in their perceptions than will employees at lower levels in the organization. In this study, nursing supervisors reported higher levels of distributive justice and team cooperation as well as a more appropriate patient-to-staff ratio than did nurses and nursing aides. Further, the nurses reported significantly higher levels of politics than the supervisors. Suggestions for developing perceptions more realistic and consistent with subordinates are offered.

调查了护理主管、护士和护理助理对共享工作环境的态度。结果支持假设,表明主管通常会比组织中较低级别的员工更积极地看待他们的看法。在本研究中,护理主管比护士和护理助理报告了更高水平的分配公正和团队合作,以及更合适的病人与工作人员的比例。此外,护士报告的政治水平明显高于主管。建议如何与下属建立更现实和一致的看法。
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引用次数: 4
Security in the management of information systems. 信息系统管理中的安全。
Pub Date : 1998-06-01 DOI: 10.1097/00126450-199806000-00005
T L Huston, J L Huston

Although security technology exists in abundance in health information management systems, the implementation of that technology is often lacking. This lack of implementation can be heavily affected by the attitudes and perceptions of users and management, the "people part" of systems. Particular operational, organizational, and economic factors must be addressed along with employment of security objectives and accountability. Unique threats, as well as controls, pervade the use of microcomputer-based systems as these systems permeate health care information management.

尽管安全技术在卫生信息管理系统中大量存在,但该技术的实施往往缺乏。用户和管理(系统的“人的部分”)的态度和观念可能严重影响这种缺乏执行的情况。特定的操作、组织和经济因素必须与安全目标和责任一起处理。独特的威胁,以及控制,弥漫在使用微电脑为基础的系统,因为这些系统渗透到卫生保健信息管理。
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引用次数: 4
Growing older is not what it used to be. 变老和以前不一样了。
Pub Date : 1998-06-01 DOI: 10.1097/00126450-199806000-00007
J N Giger, R Davidhizar, V Poole

Growing old is not what it used to be. Many self-care actions can enhance one's chance of growing old without illness or disease. This necessitates preparing for old age while one is young. Preparation for second adulthood can vastly improve physical and emotional health in old age. It is important that nurses and other health care professionals teach health promotion strategies to persons at all ages in order to assist individuals to live life to its fullest throughout their lifetime.

变老和以前不一样了。许多自我保健行为可以增加一个人无病老去的机会。这就要求我们在年轻的时候为年老做好准备。为第二次成年做准备可以极大地改善老年时的身心健康。重要的是,护士和其他保健专业人员向所有年龄段的人传授健康促进战略,以帮助个人在其一生中充分享受生活。
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引用次数: 0
Writing scholarly papers as a team. 作为一个团队撰写学术论文。
Pub Date : 1998-06-01 DOI: 10.1097/00126450-199806000-00009
R Davidhizar, S Dowd

Use of a team approach is a technique that can facilitate writing for professional publication. There is an art to writing with a team, which includes carefully selecting a writing partner who will complement personal skills and expertise and being able to work in a collaborative way through the writing process. There are benefits in the team approach that are of particular significance in mentoring novice writing in the publication process. However, there are also obstacles that should be anticipated and planned for.

使用团队方法是一种可以促进专业出版物写作的技术。与团队一起写作是一门艺术,这包括仔细选择一个能够补充个人技能和专业知识的写作伙伴,并能够在写作过程中以协作的方式工作。在指导新手在出版过程中写作时,团队方法有一些特别重要的好处。然而,也有一些障碍需要预测和计划。
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引用次数: 5
Validity of background data as a predictor of employee tenure among nursing aides in long-term care facilities. 背景数据作为长期护理机构护理助理员工任期预测因子的有效性。
Pub Date : 1998-03-01 DOI: 10.1097/00126450-199803000-00005
G R Kettlitz, I Zbib, J Motwani

Employee turnover and its associated costs continue to be an important concern for American industry. The purpose of this study was to determine whether differences exist in personal history data (biodata) of nurses aides who remained with the target nursing home corporation and those who either voluntarily or involuntarily separated employment. Results indicate that significant differences exist between the groups with respect to several important dimensions of personal history data.

员工流动及其相关成本仍然是美国工业关注的一个重要问题。本研究的目的在于探讨留在目标养老院公司的护工与自愿或非自愿离职的护工的个人历史资料(生物资料)是否存在差异。结果表明,在个人历史数据的几个重要维度上,两组之间存在显著差异。
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引用次数: 5
Toward understanding the patient's perception of quality. 了解病人对医疗质量的看法。
Pub Date : 1998-03-01 DOI: 10.1097/00126450-199803000-00007
P P Carson, K D Carson, C W Roe

Patients often don't have the technical competence to judge the quality of medical care. Therefore, they rely on different criteria than do professionals in assessing quality. They perceive quality as a gestalt of experiences influenced by such issues as empathy, integrity, and appearance of competency. Patients do not complain about service quality when it is appropriately provided. But to satisfy the consumer, providers must go beyond being reliable, polite, and honest. They must provide prompt services, be approachable, and provide individualized attention. To ultimately delight consumers, however, providers must meet the unarticulated needs of the patient.

病人往往不具备判断医疗质量的技术能力。因此,他们在评估质量时所依赖的标准与专业人士不同。他们认为质量是受移情、正直和能力外表等问题影响的体验的完形。当服务提供得当时,患者不会抱怨服务质量。但为了满足消费者,供应商必须超越可靠、礼貌和诚实。他们必须提供及时的服务,平易近人,并提供个性化的关注。然而,为了最终取悦消费者,提供者必须满足患者未明确表达的需求。
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引用次数: 29
It's never too early to plan for retirement. 为退休做计划永远不会嫌早。
Pub Date : 1998-03-01 DOI: 10.1097/00126450-199803000-00003
R Davidhizar

There is a revolution today in the adult life cycle. People are leaving childhood sooner, but taking much longer to grow up and much longer to die. By the turn of the century, 1 in 5 persons will be over age 55. As people retire earlier and live to be older, extensive preparation needs to be made for retirement. This should be a priority for health professionals as well as for those they serve.

今天,在成年人的生命周期中发生了一场革命。人们离开童年的时间越来越早,但成长和死亡的时间却越来越长。到世纪之交,五分之一的人将超过55岁。由于人们退休早,寿命长,需要为退休做大量的准备。这应该是卫生专业人员及其服务对象的优先事项。
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引用次数: 3
Employee involvement: motivation or manipulation? 员工参与:激励还是操纵?
Pub Date : 1998-03-01 DOI: 10.1097/00126450-199803000-00011
C R McConnell

Employee involvement is subject to a great deal of verbal tribute; there is hardly a manager at work today who will not praise the value of employee input. However, many employee involvement efforts leave employees feeling more manipulated than motivated. This occurs because supervisors and managers, while expecting employees to change the way they work, are themselves either unwilling to change or remain unconscious of the need to change. The result is that, although employee input is regularly solicited in a number of forms, it is often discounted, ignored, or altered to fit the manager's preconceptions. Often the employee is left feeling manipulated. Since the opportunity for involvement can be a strong motivator, it becomes the manager's task to learn how to provide involvement opportunity in manipulative fashion. This can be accomplished by providing involvement opportunity accompanied by clear outcome expectations and allowing employees the freedom to pursue those outcomes in their own way.

员工的参与有赖于大量的口头赞扬;如今,几乎没有一位在职经理不赞扬员工投入的价值。然而,许多员工参与的努力让员工感到更多的是被操纵而不是被激励。这是因为主管和经理期望员工改变他们的工作方式,但他们自己要么不愿意改变,要么没有意识到改变的必要性。结果是,尽管员工的意见经常以多种形式征求,但这些意见往往被低估、忽视或修改,以符合经理的先入为主的观念。通常,员工会觉得自己被操纵了。既然参与的机会可以成为一个强大的激励因素,那么学习如何以操纵的方式提供参与的机会就成了管理者的任务。这可以通过提供参与机会和明确的结果预期来实现,并允许员工以自己的方式自由地追求这些结果。
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引用次数: 4
From technical professional to group leader. 从专业技术人员到组长。
Pub Date : 1998-03-01 DOI: 10.1097/00126450-199803000-00002
W Umiker

Throughout the health care industry, technical and professional employees are moving into supervisory roles, usually without preparation for this major change. They often are frustrated during the transition period. This article discusses how to decide whether supervision is for you and how to prepare for the new role. Several tenets of leadership are offered in the health care setting.

在整个医疗保健行业,技术和专业员工正在进入管理角色,通常没有为这一重大变化做好准备。在过渡时期,他们经常感到沮丧。本文讨论了如何决定你是否适合被监管,以及如何为新的角色做准备。在卫生保健环境中提供了一些领导原则。
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引用次数: 1
期刊
The Health care supervisor
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