Essential Readings In Nursing Managed Care Book

	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