Shaping Humane Healthcare Systems - 2 views

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  #1 Eve Byrd on 27 Oct 14

   

  Maxwell, N.A. (2007) Shaping humane healthcare systems. Nursing Administration Quarterly,31, 195-201
  DOI: 10.1097/01.NAQ.0000278932.26621.51
  The author reviews the role that nurses should play in creating "humane" healthcare systems. She points out that administrators have "walled off" specialties in effort to simplify and manage a complex healthcare system. In doing so individual systems of care have become fragmented. She suggests it is time to reassemble. The persons we serve are complex as are the systems we needed to care for them. Nursing can put the "AND" back in our systems - Bridging specialties -because no matter which specialty we practice in, our nursing care and concerns for patients bridge specialties. Maxwell states that our technical skills, although important, alone within our specialty areas are not what are going to improve outcomes, it is nurses' ability to communicate and collaborate. She suggests that individually we need to take the anger that often comes with change and become curious for finding effective solutions. She suggests nurses approach redesign by flattening the hierarchy, through shared governance by including patients in the transformation. This will improve consumer and staff satisfaction. She also encourages identifying ways of influencing the system rather than trying to control. Focus on making small changes which align with the mission and values of the organization. She encourages sharing of information, even when you don't think people are interested. She encourages learning from other disciplines to come up with innovative solutions. Maxwell points out that the most cited reason for burnout among nurses is an imbalance between responsibility and authority - shared governance provides means for demonstrating that "with power comes responsibility." Finally the author emphasizes that with shared mission and personalization, each one of our patients could be our family member, then we become connected to the humanistic mission of our organizations. Maxwell gave examples from the transformation of the public mental health system.
  
  Maxwell is an APRN, Mental Health and Behavioral Sciences Services VAHealthcare. This particularly relevant to my practice in BH since examples are from BH. Relating mission and values to very practical human qualities is useful. The article is a bit wordy.

   

  <div class="cArrow"> </div><div class="cContentInner">Maxwell, N.A. (2007) Shaping humane healthcare systems. Nursing Administration Quarterly,31, 195-201 <br /> DOI: 10.1097/01.NAQ.0000278932.26621.51 <br /> The author reviews the role that nurses should play in creating "humane" healthcare systems. She points out that administrators have "walled off" specialties in effort to simplify and manage a complex healthcare system. In doing so individual systems of care have become fragmented. She suggests it is time to reassemble. The persons we serve are complex as are the systems we needed to care for them. Nursing can put the "AND" back in our systems - Bridging specialties -because no matter which specialty we practice in, our nursing care and concerns for patients bridge specialties. Maxwell states that our technical skills, although important, alone within our specialty areas are not what are going to improve outcomes, it is nurses' ability to communicate and collaborate. She suggests that individually we need to take the anger that often comes with change and become curious for finding effective solutions. She suggests nurses approach redesign by flattening the hierarchy, through shared governance by including patients in the transformation. This will improve consumer and staff satisfaction. She also encourages identifying ways of influencing the system rather than trying to control. Focus on making small changes which align with the mission and values of the organization. She encourages sharing of information, even when you don't think people are interested. She encourages learning from other disciplines to come up with innovative solutions. Maxwell points out that the most cited reason for burnout among nurses is an imbalance between responsibility and authority - shared governance provides means for demonstrating that "with power comes responsibility." Finally the author emphasizes that with shared mission and personalization, each one of our patients could be our family member, then we become connected to the humanistic mission of our organizations. Maxwell gave examples from the transformation of the public mental health system. <br /> <br /> Maxwell is an APRN, Mental Health and Behavioral Sciences Services VAHealthcare. This particularly relevant to my practice in BH since examples are from BH. Relating mission and values to very practical human qualities is useful. The article is a bit wordy.</div>

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  #2 Phyllis Wright on 29 Oct 14

   

  The author does offer a common sense approach, and sadly to see this article was written 7 years ago reflects what little progress we have made in flattening hierarchies and including patients in transformational care.

   

  <div class="cArrow"> </div><div class="cContentInner">The author does offer a common sense approach, and sadly to see this article was written 7 years ago reflects what little progress we have made in flattening hierarchies and including patients in transformational care.</div>

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