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Related Experiment Videos

Theory M: A restructuring process

L A Mularz, M Maher, A P Johnson

    Nursing Management
    |January 1, 1995
    PubMed
    Summary
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    The Nursing Incentive Reimbursement Award (NIRA) Program tested "Theory M," a new nursing model. This model involved restructuring roles, staffing, and training, showing significant impacts on nursing units.

    Area of Science:

    • Nursing Science
    • Healthcare Management
    • Organizational Behavior

    Background:

    • The Nursing Incentive Reimbursement Award (NIRA) Program aimed to improve nursing practices.
    • A medical center implemented a novel nursing model,
    • "Theory M".

    Purpose of the Study:

    • To evaluate the impact of the staff-developed "Theory M" nursing model.
    • To assess changes in nursing unit structure, staffing, and management.

    Main Methods:

    • A two-year study comparing one experimental nursing unit with three control units.
    • Implementation of role redefinition, modified RN to NA staffing ratios, matrix management, and new training programs.
    • Renovation of the experimental nursing unit.

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    Main Results:

    • The experimental unit incorporated significant structural and operational changes.
    • The study assessed the effects of these changes on nursing practice and outcomes.

    Conclusions:

    • The
    • "Theory M"
    • model represents a comprehensive approach to nursing unit redesign.
    • Further analysis is needed to fully understand the model's impact on patient care and nursing satisfaction.