The vision gives wings: a study of two hospitals run as limited companies
Within this article, two hospitals in the south of Sweden were reorganized as limited companies. Hospital control moved from a local or political method of control to that of a business. Adopting business practices sped up the rate of decision making. The hospitals were able to make a profit while reducing the wait lists for services. Measurement of staff production is used as incentive rather than as punishment. The shared goals of the staff and hospital increased production, leading to improved finances, as well as shorter waiting lists. All healthcare delivery systems have to make money or at least not lose money in order to remain in service. Operating as a business ensures the viability of the healthcare delivery system as well as the positions for healthcare providers. It also ensures the availability of services for patients.
Interactional nursing – a practice-theory in the dynamic field between the natural, human and social sciences
Scheel & Pedersen (2010) studied interactional nursing, in relation to natural, human, and social sciences. These three sciences are necessary to a valid nursing practice and are equally dependent to maintain a holistic view of man and society within interactional nursing practice. The authors cite Aristotle’s works on ethics and Habermas’ three forms of knowledge to reinforce the multidimensionality of nursing. It is felt that practice forms theory and theory forms practice. In order to learn about nursing, one needs to learn about people.
Caring is vital to nursing, with the nurse being receptive to the patient’s needs. Caring is helping, supporting, consoling, and furthering health and development of the patient, or enabling the patient to experience a dignified and peaceful death. The performance of nursing without caring cannot be called nursing (Scheel, 2008). Interactional nursing incorporates scientific thinking that draws on the works of various philosophers. Exploring how interactional nursing is a practice-theory between the natural, human and social sciences, reinforces the need for nurses to define any concepts used to explain nursing theories. Defining the concepts used is necessary to paint a word picture of all that nurses do. While concepts seem very abstract at times, defining them can lead to greater understanding by all, leading to increased appreciation of nurses.
A sociological approach to ageing, technology and health
Rapid advances of science and technology are occurring as our population is aging. For elders, perceptions of health and illness may not be associated with acute illness, but with everyday realizations of the changing state of health due to the aging process. Elders have become creative in their use of technology to better adapt to the aging process. Elders utilizing technology to deal with aging, health, and illness in...