Clever country: Kentucky mountain trails,

A story revealing the purpose of the Frontier Nursing Service.

Balancing values and imperatives : a study of nursing service in an ICU

There has been significant attention from the managers and purchasers of health services regarding the economic advantages that result from changes to the patterns of health care delivery in the acute hospital setting. The impact of these changes, whilst often rendering advantage at the economic management level of health care, can have different consequences for the people who deliver and the people who receive health service. This paper reports on a study that was conducted with a group of nurses to investigate the practice milieu of a critical care unit in the context of changes to health service management. Interpretive methods were used to capture the perspective of the nurses and the way they interpret the multiple factors that influence their practice and their practice environment. The findings indicate that the nurses in the study setting interpret these factors according to the influences they have on the structure, the geography and the value of their work. Explication of these findings provides a research base to inform recommendations relating to improving the practice milieu of the critical care environment.

Using the Donabedian framework to examine the quality and safety of nursing service innovation

Aims and objectives To evaluate the safety and quality of nurse practitioner service using the audit framework of Structure,Process and Outcome. Background Health service and workforce reform are on the agenda of governments and other service providers seeking to contain healthcare costs whilst providing safe and effective health care to communities. The nurse practitioner service is one health workforce innovation that has been adopted globally to improve timely access to clinical care, but there is scant literature reporting evaluation of the quality of this service innovation. Design. A mixed-methods design within the Donabedian evaluation framework was used. Methods The Donabedian framework was used to evaluate the Structure, Process and Outcome of nurse practitioner service. A range of data collection approaches was used, including stakeholder survey (n=36), in-depth interviews (11 patients and 13 nurse practitioners) and health records data on service processes. Results The study identified that adequate and detailed preparation of Structure and Process is essential for the successful implementation of a service innovation. The multidisciplinary team was accepting of the addition of nurse practitioner service, and nurse practitioner clinical care was shown to be effective, satisfactory and safe from the perspective of the clinician stakeholders and patients. Conclusions This study demonstrated that the Donabedian framework of Structure, Process and Outcome evaluation is a valuable and validated approach to examine the safety and quality of a service innovation. Furthermore, in this study, specific Structure elements were shown to influence the quality of service processes further validating the framework and the interdependence of the Structure, Process and Outcome components. Relevance to clinical practice Understanding the structure and process requirements for establishing nursing service innovation lays the foundation for safe, effective and patient-centred clinical care.

A guide for studying the utilization of nursing service personnel in Veterans Administration hospitals.

Cover title.

Inservice education activities in nursing service.

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Highway accident report : Hoppy's Oil Service, inc., truck overturn and fire, State Route 128, Braintree, Massachusetts, October 18, 1973 /

Mode of access: Internet.

Aircraft accident report : American Airlines, inc., Boeing 707-323, N7595 and a Linden Flight Service, inc., Cessna 150, N60942 over Edison, New Jersey, January 9, 1971 /

Mode of access: Internet.

Survey of enterprises in the liberal, labor and radical movements in the United States, prepared for the American Fund for Public Service, Inc.,

Mode of access: Internet.

Delineating the practice profile of advanced practice nursing : a cross-sectional survey using the modified strong model of advanced practice

AIMS: To test a model that delineates advanced practice nursing from the practice profile of other nursing roles and titles. BACKGROUND: There is extensive literature on advanced practice reporting the importance of this level of nursing to contemporary health service and patient outcomes. Literature also reports confusion and ambiguity associated with advanced practice nursing. Several countries have regulation and delineation for the nurse practitioner, but there is less clarity in definition and service focus of other advanced practice nursing roles. DESIGN: A statewide survey. METHODS: Using the modified Strong Model of Advanced Practice Role Delineation tool, a survey was conducted in 2009 with a random sample of registered nurses/midwives from government facilities in Queensland, Australia. Analysis of variance compared total and subscale scores across groups according to grade. Linear, stepwise multiple regression analysis examined factors influencing advanced practice nursing activities across all domains. RESULTS: There were important differences according to grade in mean scores for total activities in all domains of advanced practice nursing. Nurses working in advanced practice roles (excluding nurse practitioners) performed more activities across most advanced practice domains. Regression analysis indicated that working in clinical advanced practice nursing roles with higher levels of education were strong predictors of advanced practice activities overall. CONCLUSION: Essential and appropriate use of advanced practice nurses requires clarity in defining roles and practice levels. This research delineated nursing work according to grade and level of practice, further validating the tool for the Queensland context and providing operational information for assigning innovative nursing service.

Niagara Falls Taxi Service, N.Y., Scenic motor trips [printed advertisement], ca. 1917.

One pamphlet advertising scenic motor trips conducted by the Niagara Falls Taxi Service, Inc., ca. 1917.

Nursing shortage in the hospital sector, 1982-87 : a background paper /

"December 6, 1988."

Adverse effect created by early retirement because of RIF and reorganization [microform] : hearing before the Subcommittee on Compensation and Employee Benefits of the Committee on Post Office and Civil Service, House of Representatives, Ninety-sixth Congress, first session, March 6, 1979.

Reuse of record except for individual research requires license from Congressional Information Service, Inc.

Aging and mental health [microform] : overcoming barriers to service : hearing before the Special Committee on Aging, United States Senate, Ninety-sixth Congress, second session ....

Reuse of record except for individual research requires license from Congressional Information Service, Inc.

Oversight hearings on the 1980 census [microform] : hearings before the Subcommittee on Census and Population of the Committee on Post Office and Civil Service, House of Representatives, Ninety-sixth Congress, first [-second] session.

Reuse of record except for individual research requires license from Congressional Information Service, Inc.