The Study of Implementing Nurse Manager Strategy in Taiwan's Hospital
Date Issued
2007
Date
2007
Author(s)
Chang, Ying
DOI
zh-TW
Abstract
The change of NIH health services system. Nursing profession is playing an important role in the revolution of health institutions. As the saying goes “The best way to pass crisis is change”. Nurses not only working in hospitals, communities, schools, but also in NIH, JCHA take such an influencial role. In the generation of change, the nursing professions’ main issues concern the innovation of nursing. Nurse Manager is the revolution plan that could reorganize the management of clinical units. What’s more, Nurse managers response to health resources, human recourses, unit budget and financial management.
The nurse manager strategy was applied to 6 units in NTUH since 2005 April to 2006 Oct as a pilot study. There were many main influencing factors of the project, such as the support and negotiation from the CEO, the appropriate rehearsal for each unit. Moreover, for the quality control of patient care, it is necessary to corporate with patient care coordinator. For the mean time, continuing consolation and evaluation is also important for the project.
The main purpose of this project is to manage unit cost, prescriptions, unnecessary examination especially CT, MRI, length of stay, turn over rate, human resourcesness and care quality management. The result of this project shows positive feedback. Satisfactory rate are both high from inside and outside customers. However there is no obvious improvement in ratio of occupation, length of stay, turn-over rate.
So far, nursing staffs have found the roles of nurse manager, patient care coordinator and head nurse confusing. Expressing stress and receiving enough support from others are the crucial to the project. It is hard to tell the outcome yet since it is just beginning. However, more accessory recourses should be built up and regulated, including the determination and support from the superiors, the revolution of the hospital’s organization, the man power of human resources and back up system.
Change has to be constantly creative and self-evaluated. It is important to tell all nursing staffs that change is necessary for profession and mission. Of course, everyone has to pay for reaching the changing generation. It needs the commitment and effort from all nursing personnel. In viewing this project, I hope this is a reminder for all the nursing personnel to face the revolution.
Subjects
護理經理
變革
組織重整
Nurse Manager
Evolution
Organization Integration
SDGs
Type
other
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