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Tables of Contents for Nursing Staff in Hospitals and Nursing Homes
Chapter/Section Title
Page #
Page Count
Summary
1
18
PART I: REVIEW AND RECOMMENDATIONS
Introduction
19
12
Immediate Origins of the Institute of Medicine Study
20
1
Committee Charge
21
1
Definitions
22
3
Study Approach
25
2
Underlying Assumptions and Values
27
1
Organization of the Report
28
3
Implications of Population Change
31
11
Introduction
31
1
Growth of the Population
32
2
Diversity of the Population
34
4
Health Status and Disabling Conditions
38
3
Conclusion
41
1
Evolving Health Care Scene
42
26
Overview
42
4
Private Insurance and Public Payers for Health Care
46
1
Managed Care
47
3
Ownership Structure
50
1
Hospitals
51
7
Nursing Homes
58
8
Implications for Nursing Services
66
2
Nursing Personnel in a Time of Change
68
24
Supply of Nursing Personnel
69
10
Changing Demand for Nursing Personnel
79
8
Is Supply Adequate for the Demands of the Next Century?
87
4
Summary
91
1
Staffing and Quality of Care in Hospitals
92
36
Restructuring in the Hospitals
94
12
Measuring Quality of Care in Hospitals
106
10
Relationship of Nursing Staff to Quality of Patient Care
116
8
Legislative and Regulatory Requirements
124
2
Summary
126
2
Staffing and Quality of Care in Nursing Homes
128
41
Measurement of Quality
129
3
Status of Quality of Care in Nursing Facilities
132
4
Has Quality of Care Improved Since OBRA 87?
136
10
Relationships Among Nursing Staff, Management, and Quality of Care
146
16
Effects of Reimbursement and Other Factors on Nursing Staff
162
3
Residents, Families, Volunteers, and Ombudsmen
165
2
Conclusion
167
2
Staffing and Work-Related Injuries and Stress
169
20
Overview
169
1
Incidence of Work-Related Injuries and Illness
170
7
Violence, Abuse, and Conflict
177
6
Work-Related Stress
183
4
Summary
187
2
Epilogue
189
20
APPENDIXES
A Presentations Made to the Committee
195
2
B Liaison Panel
197
2
C Separate Statement
199
6
James F. Blumstein
Responses by Committee Members
202
3
Acronyms
205
4
REFERENCES
209
21
BIOGRAPHICAL SKETCHES OF COMMITTEE MEMBERS
230
303
PART II: RESOURCES FOR THE STUDY
Study Activities
Written and Oral Testimony Submitted to the Committee
241
18
Site Visits Conducted by the Committee
259
18
Statistical Resources
277
256
Commissioned Papers
Quality of Care, Organizational Variables, and Nurse Staffing
308
25
Joyce A. Verran
Professional Nursing Education---Today and Tomorrow
333
28
Angela Barron McBride
Nursing Staff and Quality of Care in Nursing Homes
361
65
Meridean Mass
Kathleen Buckwalter
Janet Specht
Quality of Care and Nursing Staff in Nursing Homes
426
27
Jean Johnson
C. McKeen Cowles
Samuel J. Simmens
Nursing Facility Quality, Staffing, and Economic Issues
453
50
Charlene A. Harrington
Nursing Injury, Stress, and Nursing Care
503
30
Bonnie Rogers
Index
533