Essential Readings In Nursing Managed Care / Edition 1

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Overview

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.

The book contains black-and-white illustrations.

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Editorial Reviews

From The Critics
Reviewer: Michelle M.O. Boylan, RN, MA (University of Colorado Health Sciences Center)
Description: This collection of readings augments key concepts of managed care that might be covered in an academic setting. The text utilizes common examples and is complemented with tables and illustrations.
Purpose: This collection provides the audience with an overview of the complexities found in a managed care environment. This text meets the editor's objectives.
Audience: Nurses in the managed care industry are targeted, but this book could be easily read by other allied health professionals practicing in managed care. It can also be utilized in academic settings for healthcare providers, administrators, and business students. I believe it could also benefit anyone interested in managed care.
Features: The editor opted to include both text and illustrations. The preface is clear and easily understood. The reader is readily engaged through the use of stimulating facts and examples that members of the healthcare team can identify with or have experienced themselves. The table of contents provides a nice overview of the topics discussed in the readings and groups the readings by subject, allowing easy access to a particular reading. Illustrations allow the audience to visualize the concepts presented in the readings. A glossary of terms and definitions is not included, which forces readers to search for definitions to key terms that are utilized.
Assessment: This text is a wonderful addition to the literature that is available as it provides a very operational and practical overview to managed care. I believe it would be a welcome addition to any professional library or academic program. The readings are enjoyable and do not require intense concentration to understand the main concept. The fact that the editor has taken many topics and put them together in one book is an added plus.
Michelle M.O. Boylan
This collection of readings augments key concepts of managed care that might be covered in an academic setting. The text utilizes common examples and is complemented with tables and illustrations. This collection provides the audience with an overview of the complexities found in a managed care environment. This text meets the editor's objectives. Nurses in the managed care industry are targeted, but this book could be easily read by other allied health professionals practicing in managed care. It can also be utilized in academic settings for healthcare providers, administrators, and business students. I believe it could also benefit anyone interested in managed care. The editor opted to include both text and illustrations. The preface is clear and easily understood. The reader is readily engaged through the use of stimulating facts and examples that members of the healthcare team can identify with or have experienced themselves. The table of contents provides a nice overview of the topics discussed in the readings and groups the readings by subject, allowing easy access to a particular reading. Illustrations allow the audience to visualize the concepts presented in the readings. A glossary of terms and definitions is not included, which forces readers to search for definitions to key terms that are utilized. This text is a wonderful addition to the literature that is available as it provides a very operational and practical overview to managed care. I believe it would be a welcome addition to any professional library or academic program. The readings are enjoyable and do not require intense concentration to understand the main concept. The fact that the editor has taken manytopics and put them together in one book is an added plus.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780834213265
  • Publisher: Aspen
  • Publication date: 12/1/2007
  • Edition description: 1E
  • Edition number: 1
  • Pages: 368
  • Product dimensions: 0.76 (w) x 10.00 (h) x 7.00 (d)

Table of Contents

Contributors
Preface
1 Nursing at the Crossroads 1
Profession Building in the New Health Care System 3
Nursing and Threats to Patient and Nurse Safety and Quality of Patient Care 10
2 Nursing and Managed Care: A Reality Check 15
Is It Design or Decline? Conflicts in Re-engineering 17
The Entrepreneurial Personality: Building a Sustainable Future for Self and the Profession 21
3 The Evolving Health Care System 27
Strategic Implications of Developing Integrated Levels of Care 29
4 Changing Hospitals in a Changing Environment 47
Integrating Information Technology with an Outcomes Management Program 49
5 Nursing Care is Managed Care 57
Essentials for Successful Patient Care Redesign 59
Staff Mix Models: Complementary or Substitution Roles for Nurses 63
6 Nursing Ethics in a Managed Care System 71
The Impact of Ethical Climate on Job Satisfaction of Nurses 73
Dirty Hands: The Underside of Marketplace Health Care 81
The Synergistic Relationship between Ethics and Quality Improvement: Thriving in Managed Care 90
Strength of Character through the Ethics of Nursing 102
7 Reengineering Nursing 107
Consumer-Focused Preadmission Testing: A Paradigm Shift 109
The Connection Delivery Model: Reengineering Nursing To Provide Care across the Continuum 115
8 Change: The New Constant 121
Stress Resulting from Change and Restructuring: A Cognitive Approach 123
Nurse Executives in the 1990s: Empowered or Oppressed? 130
Understanding and Managing Change in Health Care Organizations 137
9 Staff Transition 145
Nurse Leaders: Roles Driving Organizational Transition 147
10 The Nursing Studies: Implications for Nursing 155
The Challenge for Education in a Transformed Health Care System 157
Building Healthier Communities in a Managed Care Environment: Opportunities for Advanced Practice Nurses 165
11 Differentiated Professional Practice: What is it? 173
Differentiated Primary Care and Evidence-Based Practice: The Columbia Nursing Experiment 175
Assessing, Developing, and Maintaining Staff's Competency in Times of Restructuring 184
12 Managed Care Strategies for the Future 195
Case Management as a Tool for Clinical Integration 197
Disease State Management in Diabetes Care 206
13 Nursing for the Future 213
Delivery-of-Care Systems Using Clinical Nursing Assistants: Making It Work 215
Crystal Ball Gazing: Back to the Future 225
14 Career Issues in Managed Care Delivery Systems 235
Care of the Self for the Nurse Entrepreneur 237
Floating: A Nurse's Nightmare? 247
15 Career Development Strategies in Managed Care 253
Career Journeys: How To Be a Successful Clinical Nurse Specialist - Be a Willow Tree 255
Are You Your Resume? 258
Your Career and Job Success 262
16 Nursing and Unions: Do they Mix? 265
Can You Create a Professional Practice Model in a Unionized Setting? 267
Addressing the State of the (Labor) Union 271
17 Thriving in the New Environment 275
The Nurse as Senior Health Care Executive 277
Congruency between Nurses' Values and Job Requirements: A Call for Integrity 284
18 Managed Care Business Skills 293
1995 Fast Track: Cost Reduction and Improvement 295
19 Nurses as Political Health Care Activists 307
Nurses Can Influence Public Health Policy 309
The Nurse Executive as Health Policy Champion 315
Policy Imperatives for Nursing in an Era of Health Care Restructuring 320
20 Is Your Organization Managed Care Friendly? 331
Readiness, Action, and Resolve for Change: Do Health Care Leaders Have What It Takes? 333
Index 343
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