The Masters Prepared Nurse

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Nursing needs articulate and well informed leaders and practitioners who are ready for the changes that healthcare needs to make. They will need the ability to reason clinically and the ability not only to reach a decision through critical analysis of the evidence but also to be able to convince others that the decision is a valid one (Whyte, Lugton, & Fawcett, 2000)…

Introduction


"The Hospital That Could Cure Health Care" in the December 2009 Newsweek talks about the Cleveland Clinic. This is a the hospital that President Obama visited in July to determine what efficient healthcare was like. The Cleveland Clinic has such things as a miniature robot that repairs a heart valve through an inch long incision, a computer system that allows doctors to read patients charts and write orders from anywhere in the world and interactive supply closets. When a nurse removes something from a supply shelf, the supply is registered and a self guided robot cart brings replacements from the warehouse. They are an upscale hospital who built their efficiency after the Toyota factory and the Japanese inspired lean thinking model (Adler & Interlandi, 2009)
The CEO here is unusual and forward thinking. He has already banned the hiring of smokers and does urine tests on employees for nicotine. He presently wants a policy to ban hiring people who are obese but the law will not yet allow him to do that. Things like potato chips have been banned from the hospital vending machines. However, Cleveland Clinic has produced the most cost efficient care in the United States in the last two years. ...
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