Beruflich Dokumente
Kultur Dokumente
1
Overview of Patient Care Delivery System
2
Microsystem Model:
Leadership
❧ Servant leadership involves keeping an open mind, thinking
before reacting, and using foresight and intuition (Marquis &
Huston, 2017).
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and
application (9th ed. p. 65). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
3
Microsystem Mode
Organizational Culture and Support
❧ “In planning and organizing, leader-managers attempt to establish an
environment that is conducive to getting work done” (Marquis & Huston, p.
465, 2017).
❧ Interdisciplinary Meetings
❧ Culture
❧ Charge nurse not in ratio
❧ Lack of Nurse Manager presence on night shift
❧ Large Volume of Travel Nurses
❧ Close proximity of provider and nursing stations
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and
application (9th ed. p. 516). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
6
Microsystem Model:
Use of Information and Healthcare Technology
❧ Technology facilitates mobility and interactions and will be
increasingly used in high-functioning organizations (Marquis &
Huston, 2017)
❧ Use of both electronic and paper charting
❧ Cerner is utilized as the electronic health record database
❧ Access to online systems (i.e. Micromedex)
❧ Single-colored call light
❧ No technological button for code situations
❧ Staff nurses do not carry own phones on unit
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and
application (9th ed. p. 164). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 7
Microsystem Model:
Process for Healthcare Delivery Improvement
❧ “Although outcomes are an important measure of quality care,
it is dangerous to use them as the only criteria for quality
measurement” (Marquis & Huston, p. 614, 2017).
❧ Methods:
o Patient/Peer Recognition
o Annual Performance Appraisal
o The DAISY Award
o Charting audits
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory
and application (9th ed. p. 647). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
9
Specific Aspect Targeted for Improvement
Guss, D. A., Chan, T. C., & Killeen, J. P. (2008). The impact of a pneumatic tube and computerized
physician order management on laboratory turnaround time. Annals of Emergency Medicine, 51(2), 181-
185. doi: S0196-0644(07)00370-8 10
Leading the Plan for Healthcare Delivery
Improvement
❧ Presentation to staff: show evidence of time difference between nurses
carrying specimens to lab vs. pneumatic tube system delivery.
❧ Timeline: over the course of ~1 year
Provide a resource
Introduce plan to Hospital approves,
individual to help staff
hospital board Months installation of tube system
Months become accustomed to new
2-3 begins
8-9 system
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References
❧ Guss, D. A., Chan, T. C., & Killeen, J. P. (2008). The impact of a pneumatic tube and
computerized physician order management on laboratory turnaround time. Annals of
Emergency Medicine, 51(2), 181-185. doi: S0196-0644(07)00370-8
❧ Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in
nursing: Theory and application (9th ed.). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins.
12