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首页> 外文学位 >A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.
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A reappraisal of nursing services and shortages: A case study of the University of Virginia Hospital, 1945--1965.

机译：对护理服务和短缺的重新评估：以弗吉尼亚大学医院为例，1945--1965年。

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This exploratory study examined how the changes sweeping through health care and nursing during the post-World War II era impacted the University of Virginia Hospital and its nursing service. Specifically, how the hospital's administrators coped with the nursing shortage and how nurses' services, long considered hospital overhead, began to generate significant income were explored. While other studies have examined this era's shortage, no study has addressed how nursing services began to be recognized for generating revenue that became part of the hospital's profits.; This study used the methods of social history to explore the dynamic interactions between the major events of the era and the groups who dealt with the University of Virginia's nursing shortage. In addition, the economics of health care and women as a labor force were two philosophical underpinnings used to further define the subject matter. Fiscal data from the University of Virginia Hospital's annual budgets and operating reports were analyzed to determine the amount of income generated by the hospital's nursing service department. Other archival sources were used to explore the strategies employed to alleviate the hospital's nursing shortage and oral interviews with retired employees were also obtained. The oral interviews of retired nurses served to corroborate archival data and reflected the challenges of running the hospital during the era and the nurses' actual work.; Throughout the era, hospital and nursing administrators at the University of Virginia, were challenged to meet the increased demand for nursing services. Strategies, unique to the University hospital and reflecting local demographic changes and gender related labor patterns, were developed and implemented. However, regardless of a nursing shortage, nurses' services both directly and indirectly (through cross-subsidization) generated annual income that consistently surpassed the nursing department's costs. The budgetary evidence that nurses' services contributed to the hospital's revenue was not publicly recognized and these services remained embedded in other hospital charges. The post-war era was a prime opportunity for hospital economics and nursing services to intersect, thereby allowing nurses' services to leave fiscal obscurity. However, due to many factors including, professional and cultural, a potential opportunity became a missed-opportunity.
机译：这项探索性研究研究了二战后整个医疗保健领域的变化对弗吉尼亚大学医院及其护理服务的影响。具体来说，探讨了医院管理人员如何应对护理短缺以及长期以来被认为是医院开销的护士服务如何开始产生可观的收入。尽管其他研究调查了这个时代的短缺，但没有研究涉及护理服务如何开始因其产生的收入而被认可，这些收入已成为医院利润的一部分。这项研究使用社会历史学的方法，探索了这个时代的重大事件与处理弗吉尼亚大学护理短缺问题的群体之间的动态互动。此外，卫生保健和妇女作为劳动力的经济学是用来进一步定义主题的两个哲学基础。分析了弗吉尼亚大学医院年度预算和运营报告中的财政数据，以确定医院护理服务部门产生的收入金额。其他档案资料也被用于探索缓解医院护理短缺的策略，还获得了对退休员工的口头访谈。退休护士的口头访谈证实了档案数据，反映了在那个时代经营医院的挑战以及护士的实际工作。在整个时代，弗吉尼亚大学的医院和护理管理人员都面临着满足日益增长的护理服务需求的挑战。制定并实施了大学医院特有的策略，该策略反映了当地人口变化和与性别相关的劳动模式。但是，无论护理短缺如何，护士的直接和间接服务（通过交叉补贴）产生的年收入始终超过护理部门的成本。护士服务为医院收入做出贡献的预算证据尚未公开，这些服务仍包含在其他医院费用中。战后时代是医院经济学和护理服务相交的主要机会，从而使护士的服务摆脱了财政上的模糊。但是，由于许多因素，包括专业和文化因素，潜在的机会成为了错失的机会。

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