Health and Medical Administration Commons^™

Evaluating Shared Governance For Nursing Excellence, Evette Michelle Wilson

UNLV Theses, Dissertations, Professional Papers, and Capstones

The national challenges of nursing shortages, decreased staffing levels, and increased patient acuities have contributed to nurse's increased workload and job dissatisfaction. Nurses have become frustrated with the professional practice environment. The inability to make decisions about issues that affect their nursing practice and the care provided to their patients results in nurses leaving the work environment in search of higher job satisfaction. Employers are becoming more creative in their strategies to improve the work environment and retain nurses within their organizations. Healthcare leaders have implemented management strategies such as shared governance models. These models focus on providing a satisfying …

Barriers To Health Care For People With Disabilities And Practice Administrators’ Knowledge Of The Ada: Nevada Compared With The Nation, Jennifer Pharr, Michelle Chino

Interdisciplinary Research Scholarship Day

The purpose of this study was to determine if the number of barriers reported in the clinics could be predicted by characteristics of the administrators or
characteristics of the practice.To increase accessibility to health care, interventions should focus on practices located in buildings built before 1993, practices with administrators who are younger and have limited experience as administrators, administrators with low levels of ADA knowledge and practices with smaller number of patients.

Evaluation Of The Impact Of A Health Care Administration Student Practicum, Christopher R. Cochran, Michelle Sotero

Nevada Journal of Public Health

As the health care industry becomes increasingly complex, many leaders and practitioners in the field are worried about the quality and preparation of health care administration graduates (Robbins, Bradley, & Spicer, 2001). Academic health care administration programs prepare students for a professional career in the health care field. One of the biggest challenges for university health care administration programs is to meet industry needs by effectively incorporating practical skills and knowledge into the academic curricula. For students, coursework provides some insight into the demands of the industry, but they also require hands-on experience to be relevant in a highly competitive …

Health Care Insurance And Advance Directive Completion: A Population Based Study, Wei Yang, Sally P. Hardwick, Noel Tiano, Clare T. Pettis

Nevada Journal of Public Health

Background: The relationship between advance directive (AD) completion and health insurance status is rarely studied.

Method: AD completion information was collected through the 2008 Nevada Behavior Risk Factor Surveillance System (BRFSS), a statewide cross-sectional telephone survey. Nevada non-institutionalized population over 18 were randomly selected as a population sample. Respondents were divided to “health care plan group” (HCPG) and “no health care plan group” (NHCPG). Demographic and behavior risk factors were also collected. Weighted multiple logistic regressions were utilized to assess the relationships between ADs, healthcare coverage and other factors.

Results: Of 4,461 respondents completing the survey, HCPG were six times …

Financial Position And Adoption Of Electronic Health Records: A Retrospective Longitudinal Study, Jay J. Shen, Gregory O. Ginn

School of Public Health Faculty Research

AIM: Financial barriers are a major factor of slow electronic health record (EHR) adoption among US hospitals. All existing literature focuses on relationships between current or short-term financial position and EHR adoption. This study examines relationship between financial position in previous years and the current level of EHR adoption.

METHODS: Retrospective longitudinal data were extracted from (1) the 2009 American Hospital Association (AHA) EHR implementation survey; (2) the 2002 and 2006 Centers for Medicare & Medicaid Cost Reports; and (3) the 2002 and 2006 AHA Annual Survey containing organizational and operational data. The final sample was 2,701 acute care hospitals …

The Impact Of Physician Job Satisfaction On The Sustained Competitive Advantage Of Health Care Organizations, Olena Mazurenko, Stephen J. O’Connor

School of Public Health Faculty Research

This paper employs the resource-based theory of the firm to explain the influence of human resources on the sustained competitive advantage of an organization. Based on previous conceptual and empirical literature, we posit that the presence of a high potential employee workforce, coupled with adequate human resource management policies, can result in improved profit generating potential. We developed a conceptual framework with several propositions that illustrate the associations between job satisfaction and organizational productivity. We apply this concept in the health care field, suggesting that the satisfaction of physicians’ needs leads to greater organizational productivity and sustained competitive advantage.

Trends Of Increase In Western Medical Services In Traditional Medicine Hospitals In China, Jay J. Shen, Ying Wang, Fang Lin, Jun Lu, Charles B. Moseley, Mei Sun, Mo Hao

School of Public Health Faculty Research

Background:

Compare changes in types of hospital service revenues between traditional Chinese medicine (TCM) hospitals and Western-medicine based general hospitals.

Methods:

97 TCM hospitals and 103 general hospitals were surveyed in years of 2000 and 2004. Six types of medical service revenue between the two types of hospitals were compared overtime. The national statistics from 1999 to 2008 were also used as complementary evidence.

Results:

For TCM hospitals, the percentage of service revenue from Western medicine increased from 44.3% to 47.4% while the percentage of service revenue from TCM declined from 26.4% to 18.8% from 1999 to 2004. Percentages of …

Inside Unlv, Diane Russell, Shane Bevell, David Ashley, Lori Bachand, Grace Russell, Mamie Peers

Inside UNLV

No abstract provided.

Inside Unlv, Diane Russell, Shane Bevell, Carol C. Harter, Lori Bachand, Cate Weeks, Mamie Peers

Inside UNLV

No abstract provided.

Retaining Intensive Care Nurses In Las Vegas: The Importance Of Nurse Manager Leadership, Megan Vendetti

UNLV Theses, Dissertations, Professional Papers, and Capstones

In today's healthcare climate, retaining staff nurses is desirable and may be a more permanent solution to improve the nursing shortage. Employing a leadership style that is conducive to staff nurse job satisfaction may be needed to achieve that goal. The purpose of this study was to determine the relationship of the unit manager leadership style with job satisfaction and intent to stay in the intensive care setting. Staff nurses in two Las Vegas hospitals, one private and one public, were surveyed. A questionnaire was developed and voluntarily completed by 125 registered nurses employed in adult and pediatric intensive care …