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Full-Text Articles in Medicine and Health Sciences

An Assessment Of Personal Characteristics, Job Satisfaction And Semantic Descriptors Of Virginia Acute And Tertiary Care Hospitals' Chief Executive Officers, Justin C. Matus Jul 1994

An Assessment Of Personal Characteristics, Job Satisfaction And Semantic Descriptors Of Virginia Acute And Tertiary Care Hospitals' Chief Executive Officers, Justin C. Matus

Health Services Research Dissertations

The purpose of the study was to identify the determinants of job satisfaction of Virginia Hospital CEO's and to identify those descriptors that best characterize the role of the hospital CEO as defined by the CEO's themselves. The study sample consisted of all hospital CEO's in Virginia as listed by the Virginia Hospital Association. The study employed a four part survey instrument that investigated four major areas: (1) personal and hospital demographics; (2) self rated performance; (3) a semantic scale measuring the concept of Hospital CEO; and (4) The Minnesota Satisfaction Questionnaire. A survey was mailed to 119 CEO's. The …


An Assessment Of Management Practices Among Virginia Acute Care Hospitals, Ogbonnia Godfrey Ochonma Jul 1994

An Assessment Of Management Practices Among Virginia Acute Care Hospitals, Ogbonnia Godfrey Ochonma

Health Services Research Dissertations

The 1990's will see dramatic changes for the health care industry. At no previous time have both public and private health care institutions faced a more turbulent, confusing and threatening environment. Changes in health care arena will come from Federal, State and local governments; international as well as domestic economic and market forces; demographic shifts and life style changes; and structural evolution of the health care industry including mergers, integrations and competition.

The health care industry faces increasing financial pressures due to fundamentally new forces that affect the very viability of many health care organizations. Such pressures include prospective payment, …


Retention Of Registered Nurse Employees In Rural Community Hospitals Less Than 100 Beds, Joanne Urbanski Jan 1994

Retention Of Registered Nurse Employees In Rural Community Hospitals Less Than 100 Beds, Joanne Urbanski

Masters Theses

Maintaining a stable nursing staff is critical to the effective operation of hospitals, therefore chief nurse executives must not lose sight of the importance of retention efforts. The purpose of this study was to identify factors that maintain or increase job satisfaction among registered nurses working in small, rural hospitals, thereby, motivating them to remain in a rural hospital practice setting. Four hundred and twenty-seven job satisfaction surveys were mailed to 13 rural community hospitals that had less than 100 beds. Two hundred and twenty completed surveys were returned (52%).; Sociodemographic characteristics of short-term (less than one year) and long-term …


An Outcomes Study: Outpatient Versus Inpatient Hernia Repairs, Marie Therese Cantwell Jan 1994

An Outcomes Study: Outpatient Versus Inpatient Hernia Repairs, Marie Therese Cantwell

Theses Digitization Project

The objective of this study was to investigate the quality of clinical outcomes in the surgical setting. Results of the study showed that there is no difference in infection rates between inpatient and outpatient hernia repair patients.


Evaluation Of A Nursing Residency Program, Michele Marie Bird Jan 1994

Evaluation Of A Nursing Residency Program, Michele Marie Bird

Theses Digitization Project

Recruitment and retention of professional nurses are crucial issues for hospital departments of nursing. Recognizing the necessity to bridge the gap that persists between nursing education and nursing services, hospitals have designed programs to assist new nurses make the transition to current nursing practice. By helping individuals make the transition to current nursing practice it is hoped that staff nurses will be retained.


Privacy And Property Versus Accuracy And Access: The Ethical Dilemma Of The Medical Record System, Melissa Pieper Jan 1994

Privacy And Property Versus Accuracy And Access: The Ethical Dilemma Of The Medical Record System, Melissa Pieper

Presidential Scholars Theses (1990 – 2006)

Although there may have been other issues that have not been addressed in this article for the medical record system alternatives, these are the most critical ones at this time. Both the smart card and the regional network technologies are feasible with respect to cost and technology. However, the implementation of each one means something very ethically different from the other. If a decision is made to employ either system, it should be made only after society decides whether privacy and property or accessibility and accuracy is more important.

Making an ethical decision will not be an easy task, yet …


A Causal Model Of Hospital Volume, Structure And Process Indicators, And Surgical Outcomes, Myra Boles Jan 1994

A Causal Model Of Hospital Volume, Structure And Process Indicators, And Surgical Outcomes, Myra Boles

Theses and Dissertations

This research developed and tested a conceptual model to explain why higher volumes of certain surgical procedures lead to better patient outcomes. The model incorporated hospital structural characteristics and process of care indicators to explain the volume-outcome relationship. The volume-outcome relationship was further examined longitudinally to determine stability over time and to substantiate the causality implied by the conceptual model.

A sample (n=1752) of acute-care, general hospitals was selected from hospitals that performed, in 1990, at least one surgical procedure on Medicare patients of the following: reduction of hip fracture, cholecystectomy, hip replacement, carotid endarterectomy, and pacemaker insertion. For the …