RESUMO
The purpose of this study was to identify the effects of an empirically-designed nursing practice model on the outcome variables of job satisfaction, autonomy, and retention/turnover of nursing staff. After 6 months significant differences were found on the experimental unit in overall job satisfaction, and on the subscales of job satisfaction in task requirements and perception of pay. Significant differences were found between the control and experimental unit on the Job Satisfaction Index subscales of interaction, task requirements, and autonomy. No significant differences were found in retention/turnover of staff between the experimental and control unit.
Assuntos
Satisfação no Emprego , Modelos de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Avaliação de Resultados em Cuidados de Saúde , Tomada de Decisões Gerenciais , Humanos , Recursos Humanos de Enfermagem Hospitalar/organização & administraçãoRESUMO
Several nursing practice models use nurse extenders/partners to extend nurses' time. The authors discuss the development, implementation, and evaluation of the "partner in patient care" (PIPC) model. Unique aspects of the model are emphasized, including use of a collaborative process to generate the design and guide the implementation; staff participation throughout the design and implementation of the project; and use of evaluation at each phase of the implementation process to improve on the outcomes.
Assuntos
Modelos de Enfermagem , Assistentes de Enfermagem/organização & administração , Serviço Hospitalar de Enfermagem/organização & administração , Equipe de Enfermagem/organização & administração , Terminais de Computador , Custos Hospitalares , Sistemas de Informação Hospitalar , Humanos , Assistentes de Enfermagem/educação , Serviço Hospitalar de Enfermagem/economia , Quartos de Pacientes , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Estados UnidosRESUMO
In this paper we present the design and configuration of an imaging system for electron energy loss spectroscopy (EELS) and electron spectrographic imaging (ESI). The interfacing of commercial off-the-shelf hardware, custom software and a transmission electron microscope containing integrated spectrographic capabilities produces results that are well suited for clinical applications. The custom design and integration of this system allows for full control over all of the methods and procedures employed. This full control and knowledge of the procedures used is not always possible with commercial packages. This custom software allowed for the definition and testing of a new procedure for the determination of the theoretical background image, and hence the ability to refine the overall sensitivity for elemental detection. To further the proof of elemental detection, a procedure for continuous scan of an area of interest while varying delta E can also be performed with this system.
