• J Nurs Adm · Jul 1991

    A nurse-managed special care unit.

    • B J Daly, C Phelps, and E B Rudy.
    • University Hospitals of Cleveland, OH.
    • J Nurs Adm. 1991 Jul 1; 21 (7-8): 31-8.

    AbstractThe authors describe the first year of operation of a nurse-managed intensive care unit (ICU). Concerned with the problems, costs, and inadequacies of caring for long-term patients in traditional ICUs, nurse administrators designed a special care unit that incorporates a physical design facilitating family involvement and rehabilitative care, registered nurse case management, and a shared governance management philosophy. Compared with traditional ICUs, the effectiveness of the special care unit is tested in terms of patient and nurse outcomes. Implications of this innovation for health-care delivery systems and the nursing profession are discussed.

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