ToolBook for Health Care Redesign

Overview

Hansten and Washburn, the AJN award?winning author team who brought us Clinical Delegation Skills for Nurses and The Nurse Manager's Answer Book, have produced a hands?on resource to help patient?care executives and staff developers train and support nurses in making the needed changes in a restructured health care delivery environment. A systematic educational program provides nurse leaders and trainers with practical tools such as surveys, training agendas, learner outcomes, job descriptions, and encouraging ...
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Overview

Hansten and Washburn, the AJN award—winning author team who brought us Clinical Delegation Skills for Nurses and The Nurse Manager's Answer Book, have produced a hands—on resource to help patient—care executives and staff developers train and support nurses in making the needed changes in a restructured health care delivery environment. A systematic educational program provides nurse leaders and trainers with practical tools such as surveys, training agendas, learner outcomes, job descriptions, and encouraging and illustrative accounts of real—life restructuring and training efforts.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Connie J. Rowles, RN, DSN (Indiana University School of Nursing)
Description: This book gives practical suggestions about how to assess, plan, implement, and evaluate healthcare redesign projects.
Purpose: The stated purpose is to give conceptual frameworks, to-do lists, advice, and tools to be used in redesign efforts. These are worthy objectives. There are no other texts that I am aware of that attend to the practical side of redesign. The book follows through with all of the stated objectives except for conceptual framework. The only framework is the nursing process framework used to organize the book.
Audience: An audience for the text is not specifically indicated, although the introduction reads as though the audience is the practitioner. My opinion is that the book has three potential audiences: practitioners involved in redesign efforts, healthcare organization libraries, and nursing graduate students who are looking for research tools. The authors apparently have the expertise to write the book based on experience with redesign in their consulting business.
Features: The book contains many illustrations, which add to the presentation of the material. References seem to be current, with the only exception being references that could be called classics. The table of contents is clear and in a usable format. The ring binding on the book is helpful, especially to those who would want to duplicate some of the tools. I particularly liked the attitude of "here's what we have, use it, change it, and let us know how it worked out." It is easier to modify something than to create it!
Assessment: The book reads easily, language is at an appropriate level, and the writing style makes you want to keep reading. I like that the book gives practical suggestions for the entire process of redesign from assessment through evaluation.
Connie J. Rowles
This book gives practical suggestions about how to assess, plan, implement, and evaluate healthcare redesign projects. The stated purpose is to give conceptual frameworks, to-do lists, advice, and tools to be used in redesign efforts. These are worthy objectives. There are no other texts that I am aware of that attend to the practical side of redesign. The book follows through with all of the stated objectives except for conceptual framework. The only framework is the nursing process framework used to organize the book. An audience for the text is not specifically indicated, although the introduction reads as though the audience is the practitioner. My opinion is that the book has three potential audiences: practitioners involved in redesign efforts, healthcare organization libraries, and nursing graduate students who are looking for research tools. The authors apparently have the expertise to write the book based on experience with redesign in their consulting business. The book contains many illustrations, which add to the presentation of the material. References seem to be current, with the only exception being references that could be called classics. The table of contents is clear and in a usable format. The ring binding on the book is helpful, especially to those who would want to duplicate some of the tools. I particularly liked the attitude of "here's what we have, use it, change it, and let us know how it worked out." It is easier to modify something than to create it! The book reads easily, language is at an appropriate level, and the writing style makes you want to keep reading. I like that the book gives practical suggestions for the entire process of redesignfrom assessment through evaluation.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780834209077
  • Publisher: Jones & Bartlett Learning
  • Publication date: 8/25/1997
  • Edition description: 1E
  • Edition number: 1
  • Pages: 312
  • Product dimensions: 10.00 (w) x 7.00 (h) x 0.65 (d)

Table of Contents

Contents: TAKING TIME TO ASSESS * The Infamous Survey Process * One-on-One: Asking the Right Questions * Tool #1: Sample Surveys * Tool #2: Overcoming the Resistance * Walk a Mile in My Shoes * Tool #3: Patient-Focused Caring Unit Assessment * Managerial Rounds * Tool #4: Guidelines for Making Managerial Rounds * Identifying What’ s Ending * Tool #5: Assessing the Emotion of Change * Professional Stereotyping * Tool #6: Assessing the Priorities * From Novice to Expert: Where Are Your People? * Tool #7: Nursing Expertise Self-Report Scale And What Are They Doing? * Tool #8: Baseline Work Sampling * Tool #9: Components of CHMC Diagnostic Assessment * Identifying Paradoxes * Tool #10: Dilemmas and Contradictions * Tool #11: Visual Images * The Overall View * Tool #12: Questions with a System Approach * PLANNING FOR SUCCESS * One Consultant’ s Road Map * Vision of Reengineering Projects: What’ s the Purpose? * Success Stories and Tools for Establishing Work * Teams and Vision * Tool #13: Planning/Visioning Process * Tool #14: Discussing Values * Tool #15: Defining the Purpose of the Organization or Department * Tool #16: Putting Together Purpose and My Value to the Organization * Tool #17: Using Visual Imagery * Tool #18: Sample of Vision Framework from Norman, Oklahoma * Tool #19: Legacy Patient-Focused Vision * Teamwork Tools * Tool #20: Performance/Outcomes Agreement * Tool #21: Action Plan * Organizational Commitment to Success * Manager and Staff Roles in Planning: That Means Everyone! * Tool #22: Checklist for Planning Time for the Manager * Shared Governance Councils,Self-Directed Teams, and Union Committees: Roles in Planning Planning: Creation of Roles * Tool #23: Planning for Care Redesign Checklist * Tool #24: Planning for Assistive Personnel Planning Case Study: CMHC, Seattle, Washington * INTERVENTIONS TO MAKE IT ALL HAPPEN * Damage Control: An Overview of the Intervention Process * Training: Making the Decision to Support Change * Workshop Presentations * Tool #25: Sample Agendas * Tool #26: Ground Rules: An Illustration * Tool #27: Covenants for Conducting Management Council * Change Management * Tool #28: The Four Ps of Successful Change * Clarifying Roles * Tool #29: Valley Medical Center Patient Care Services Direct Caregiver Scope of Practice * Tool #30: Clarifying the Roles of the Members of the Team * Developing Accountability * Tool #31: Developing Accountability * Tool #32: When is My License on the Line? * Tool #33: Scope of Practice Grid * Tool #34: The Four Rights of Collaborative Teamwork * Tool #35: Effective Communication * Tool #36: Giving and Receiving Feedback * Working It All Out * Tool #37: Outcome Planning * Tool #38: A Positive Approach to Problem Solving * Tool #39: Five Choices for Negotiating Conflict among the Team Multiskilling and Patient-Focused Care * Tool #40: Process of Role Development * Tool #41: Expanded Role of the Clinical Assistant To Include Phlebotomy * Tool #42: Respiratory Therapists in an Expanded Role * Team Building * Tool #43: The Domino Game * Tool #44: Terms of Agreement * EVALUATING OUR PROGRESS AND CELEBRATING SUCCESS * Evaluation: What’ s Happening? * Tool #45: Evaluating an Organization for Successful Restructuring * Measures for Success * Evaluation of Overall Success and Quality Initiatives * Tool #46: Measures of Success * Measuring Progress * Using Shared Governance * Teams and Labor Management Groups * Tool #47: Unit Evaluation * Tool #48: Ares of Focus/Resources Required * Tool #49: Sample Agenda * Tools for Measuring Success from a Managerial Perspective * Tool #50: Performance/Outcomes Agreement * Tool #51: Role Acceptance and Role Behavior * Tool #52: Job Description Draft for Staff RN * Tool #53: Coworker/Customer Performance Feedback * Tool #54: Generic Medical Surgical Nursing Competency Checklist * Tool #55: MA Competencies Evaluation checklist 1996 * Tool #56: Annual Review Checklist * Meeting Evaluation and Ratings * Tool #57: Meeting Evaluation * Tool #58: Meeting Evaluation * Evaluation of Training * Tool #59: Evaluation of the Four Ps of Successful Teamwork * Tool #60: RN Delegation Review * Tool #61: Scenarios * Tool #62: Homework Assignment * Tool #63: RN Role Development Workshop Follow-Up * Keeping It All Going: Ongoing Evaluation Criteria * Tool #64: Evaluation Criteria * Index
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