Kerfoot K M, Vigh B J
Nurs Econ. 1991 Jul-Aug;9(4):287-9.
As Cohen states (1991, p. 25), "The future role that nursing will play in the health care delivery system is one of many major issues faced by contemporary nursing... Nursing must be able to determine realistically the cost of and evaluate the effectiveness of nursing care provided to its patients." A unit-based financial management committee is one very effective way of teaching the skills needed for the professional nurse to advance the practice in financial management. This will help nursing gain the professional status that they have always worked for. But beyond these very lofty ideals, a staff nurse managed financial management committee can make the nurse manager's life much easier. Staff nurses need to understand and accept the importance of managing the financial as well as the quality side of patient care. When this happens, the budget becomes theirs. Nurses develop a sense of ownership of the budget and learn how to effectively manage the unit's finances. Much staff nurse brain power is not used. Systems must be developed to access nurses' effective ideas for financial management--first in a financial management committee and then on the unit. Not only will this develop the professional status that nurses need and deserve, but it will also impact the cost of health care. In a society where the cost of an appendectomy requires Dayton Hudson to sell 39,000 Ninja Turtle action figures, Atlantic Richfield to sell 192,000 gallons of gas a day, Anheuser-Busch to sell 11,627 6-packs of 12 oz.(ABSTRACT TRUNCATED AT 250 WORDS)
正如科恩(1991年,第25页)所说:“护理在医疗保健提供系统中未来将扮演的角色是当代护理面临的众多重大问题之一……护理必须能够切实确定为患者提供护理的成本,并评估护理的效果。” 一个基于科室的财务管理委员会是教授专业护士提升财务管理实践所需技能的一种非常有效的方式。这将有助于护理获得他们一直为之努力的专业地位。但除了这些崇高的理想之外,由 staff nurse(此处可能有误,推测是staff nurse,即普通护士)管理的财务管理委员会可以让护士长的生活轻松得多。普通护士需要理解并接受管理患者护理的财务方面以及质量方面的重要性。当做到这一点时,预算就成了他们的。护士们会产生对预算的主人翁意识,并学习如何有效地管理科室的财务。很多普通护士的智慧没有得到利用。必须建立系统来获取护士们关于财务管理的有效想法——首先在财务管理委员会,然后在科室层面。这不仅会提升护士们应得的专业地位,还会影响医疗保健的成本。在一个社会中,阑尾切除术的费用需要代顿·哈德森卖出39000个忍者神龟人偶、大西洋富田每天卖出192000加仑汽油、安海斯-布希卖出11627件12盎司装的6连包啤酒(摘要截取自250个单词)