The Health Care Environmental Checklist
Directions: Check yes or no next to the attributes on the list to determine to what extent your organization/complex is consistentwith the stated priorities for today’s health care.
Attribute
• Wellness and prevention programs are offered to the public.
• Patients are discharged in a timely manner.
• Case management is the system of nursing care delivered for inpatient and outpatient care.
• Home care services are provided.
• Ambulatory or outpatient surgery services are offered.
• Opportunities exist for advanced practice nurses.
• Standardization of medical and nursing care plans are in effect using criticalpaths and evidence-based care.
• Skilled nursing units are available.
• Staf?ng requirements are based on acuity levels and optimum staf?ng models.
• Supervision of nonlicensed personnel is by professional nurses.
• Information systems are in place.
• Ef?ciency methods are sought in departments.
• Opportunities exist for nurses.
• Nursing leadership and management roles are prominent.
The extent to which your current work environment reflects these elements is the degreeto which it is congruent with current health caredelivery systems. Your desire for continuedparticipation in an organization depends onyour personal priorities in the practice of nursing and how well your priorities fit within theorganization.

What are the three most important areas that you would address as a nurse manager?
Support your arguments with evidence from the literature.
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