This collection of readings is the companion to The Nurse's Guide to Managed Care, which is a text designed to provide a broad overview of the managed health care system as it relates to nursing. Articles were selected for this collection to present a point of view not found in the text, to present more depth to a subject, or to provoke discussion. The readings parallel the chapters in the text. You'll find 40 insightful and thought-provoking articles that will help to facilitate an understanding of the concepts in The Nurse's Guide to Managed Care and draw out discussions of issues ranging from patient care quality to nursing ethics to integrity.

Contributors

vii

Preface

xiii

Nursing At the Crossroads

1

(14)

Profession Building in the New Health Care System

3

(7)

Kenneth R. White

James W. Begun

Nursing and Threats to Patient and Nurse Safety and Quality of Patient Care

10

(5)

Patricia A. Rowell

D. Kathy Milholland

Nursing and Managed Care: A Reality Check

15

(12)

Is It Design or Decline? Conflicts in Re-engineering

17

(4)

Tim Porter-O'Grady

The Entrepreneurial Personality: Building a Sustainable Future for Self and the Profession

21

(6)

Gregory Crow

The Evolving Health Care System

27

(20)

Strategic Implications of Developing Integrated Levels of Care

29

(18)

Harriet S. Gill

Michael Rovinsky

Changing Hospitals in a Changing Environment

47

(10)

Integrating Information Technology with an Outcomes Management Program

49

(8)

Linda Cole

Susan Houston

Nursing Care is Managed Care

57

(14)

Essentials for Successful Patient Care Redesign

59

(4)

Diane Schaming Hupp

Staff Mix Models: Complementary or Substitution Roles for Nurses

63

(8)

Linda McGillis Hall

Nursing Ethics in a Managed Care System

71

(36)

The Impact of Ethical Climate on Job Satisfaction of Nurses

73

(8)

Jacob Joseph

Satish P. Deshpande

Dirty Hands: The Underside of Marketplace Health Care

81

(9)

Wanda K. Mohr

Margaret M. Mahon

The Synergistic Relationship between Ethics and Quality Improvement: Thriving in Managed Care

90

(12)

Kathleen Mitchell

Katherine Cardone Uehlinger

Janet Owen

Strength of Character through the Ethics of Nursing

102

(5)

Gladys L. Husted

James H. Husted

Reengineering Nursing

107

(14)

Consumer-Focused Preadmission Testing: A Paradigm Shift

109

(6)

Mary Ellen Clyne

Mary Forlenza

The Connection Delivery Model: Reengineering Nursing To Provide Care across the Contiuum

115

(6)

Jeanne Donlevy

Bonnie Pietruch

Change: The New Constant

121

(24)

Stress Resulting from Change and Restructuring: A Cognitive Approach

123

(7)

Steven B. Dowd

Norman E. Bolus

Nurse Executives in the 1990s: Empowered or Oppressed?

130

(7)

Susan Jo Roberts

Understanding and Managing Change in Health Care Organizations

137

(8)

Kyoko Nagaike

Staff Transition

145

(10)

Nurse Leaders: Roles Driving Organizational Transition

147

(8)

Debra Bumsted Henandez

Linda Berger Spivack

Cheryl Zwingman-Bagley

The Nursing Studies: Implications for Nursing

155

(18)

The Challenge for Education in a Transformed Health Care System

157

(8)

Marjorie M. Heinzer

Terry McGoldrick

Sharon McLane

Building Healthier Communities in a Managed Care Environment: Opportunities for Advanced Practice Nurses

165

(8)

Sara E. Barger

Differentiated Professional Practice: What is it?

173

(22)

Differentiated Primary Care and Evidence-Based Practice: The Columbia Nursing Experiment

175

(9)

Annette M. Totten

Elizabeth R. Lenz

Mary O. Mundinger

Assessing, Developing, and Maintaining Staff's Competency in Times of Restructuring

184

(11)

Elvira Miller

Joan Marie Flynn

Juliet Umadac

Managed Care Strategies for the Future

195

(18)

Case Management as a Tool for Clinical Integration

197

(9)

Marianne E. Weiss

Disease State Management in Diabetes Care

206

(7)

Catherine E. Cooke

Nursing for the Future

213

(22)

Delivery-of-Care Systems Using Clinical Nursing Assistants: Making It Work

215

(10)

Susan Warner Salmond

Crystal Ball Gazing: Back to the Future

225

(10)

Diana Taylor

Career Issues in Managed Care Delivery Systems

235

(18)

Care of the Self for the Nurse Entrepreneur

237

(10)

Vicki D. Lachman

Floating: A Nurse's Nightmare?

247

(6)

Kenneth Brownson

Steven B. Dowd

Career Development Strategies in Managed Care

253

(12)

Career Journeys: How To Be a Successful Clinical Nurse Specialist---Be a Willo Tree

255

(3)

Vivian S. Sternweiler

Are You Your Resume?

258

(4)

Deborah A. Straka

Your Career and Job Success

262

(3)

Deborah A. Straka

Nursing and Unions: Do They Mix?

265

(10)

Can You Create a Professional Practice Model in a Unionized Setting?

267

(4)

Paula Marchionno

Addressing the State of the (Labor) Union

271

(4)

Steve Davis

Thriving in the New Environment

275

(18)

The Nurse as Senior Health Care Executive

277

(7)

Kathryn J. McDonagh

Congruency between Nurses' Values and Job Requirements: A Call for Integrity

284

(9)

JoEllen Goertz Koerner

Managed Care Business Skills

293

(14)

1995 Fast Track: Cost Reduction and Improvement

295

(12)

Robert J. Panzer

Deborah N. Tuttle

Rosemarie M. Kolker

Nurses as Political Health Care Activists

307

(24)

Nurses Can Influence Public Health Policy

309

(6)

Maureen Whitman

The Nurse Executive as Health Policy Champion

315

(5)

Judith G. Berg

Policy Imperatives for Nursing in an Era of Health Care Restructuring

320

(11)

David Keepnews

Geri Marullo

Is Your Organization Managed Care Friendly?

331

(12)

Readiness, Action, and Resolve for Change: Do Health Care Leaders Have What It Takes?

333

(10)

C. David Hardison

Index

343

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