Marie Manthey

Last updated

Marie Manthey
Born (1935-07-17) July 17, 1935 (age 88)
Alma materSt. Elizabeth Hospital(Diploma)
University of Minnesota (B.S.N.)
University of Minnesota (M.S.N)
OccupationPresident Emeritus
Known for Primary Nursing
Awards Living Legend of the American Academy of Nursing (2015)
Website https://mariesnursingsalon.wordpress.com/

Marie Schuber Manthey (born July 17, 1935) is an American nurse, author, and entrepreneur. She is recognized as one of the originators of Primary Nursing, an innovative system of nursing care delivery.

Contents

Manthey was named a Living Legend of the American Academy of Nursing in 2015. The Living Legends designation honors individuals with "extraordinary contributions to the nursing profession, sustained over the course of their careers." [1]

Education

Manthey received a diploma in nursing from St. Elizabeth Hospital in Chicago, Illinois in 1956. After passing the Illinois State Boards, she joined the University of Chicago Medical Center as a staff nurse, and then became an assistant head nurse and then head nurse on a twenty-bed surgical floor there. [2] She received her Bachelor of Science in Nursing Administration in 1962 and her Master of Science, Nursing Administration in 1964, both from the University of Minnesota School of Nursing in Minneapolis. Manthey was awarded an honorary doctorate from the University of Minnesota in 1999. [3]

Primary Nursing

Primary Nursing emphasizes continuity of care and acceptance of responsibility for care over a period of time by the patient's Primary Nurse - usually a registered nurse (RN). The care team consists of the Primary Nurse and additional staff - a licensed practical nurse (LPN) and/or nursing assistant (NA) - and together they provide complete care for a group of patients within a hospital unit or department.

While serving as assistant director of Nursing at the University of Minnesota Hospital, Manthey was head of a team of nurses that implemented Primary Nursing in 1968–1969 on Unit 32, an acute medical care ward. [4] Manthey was later named associate director of Nursing at the University of Minnesota.

In 1968 Primary Nursing evolved from the work of a team of direct care providers on Unit 32 at the University of Minnesota Medical Center who were experiencing extreme frustration with their chaotic work environment. The result was a nursing delivery system that was "too fragmented and diffuse -- one in which 'everybody's responsible for everything and nobody's responsible for anything'." [5]

At the time, it was quite revolutionary to allow the nurse providing care for the patient to determine the amount and type of nursing care the patient would receive. Nurses had been expected to follow policies and orders rather than making decisions based on their own professional judgment. Nurses providing direct care also did not generally communicate with physicians. Instead, patient information was communicated by the unit manager or nurse in charge. These individuals served as a go between, transmitting patient information/messages and orders between the nurses providing patient care and the patient's physician.

"The change to primary nursing eliminated one level of nursing supervision, the traditional team leader, and flattened the well-worn hierarchical structure. Each registered nurse on Station 32 assumed 24-hour responsibility and accountability to plan nursing care for a small group of patients. The results were positive, totally unplanned and nearly palpable. The staff nurse instantly earned, and claimed, the power to make nursing decisions. Almost overnight, communication changed to a direct, person-to-person pattern; physicians discussed patients with the nurse caregiver, not the head or charge nurse." [4]

The Primary Nursing model, which emphasizes 'relationship-based care' is based on 'one nurse taking responsibility for one small group of patients, delivering individualized care for the duration of the stay.' [5] "The essence .. is that primary nursing is really a generic term that simply means one nurse accepting responsibility for managing the care of a small number of patients. Who delivers the care, what the ratio mix is, what the skill level is, what the staffing level is, what the care plans look like, none of those things make a difference. What makes a difference is whether the nurse accepts responsibility for managing the care of the patients." [6]

At the core of Primary Nursing is an empowered staff led by empowering leaders. "It [Primary Nursing] not only put a relationship focus on the nurses' role, it also had the effect of decentralizing power and empowering the individual at the bedside... Nurse managers and directors and vice presidents had to really make a considerable shift in their job focus -- from control to development." [5]

The principles of Primary Nursing were later expanded to include people in all health care disciplines and departments, and clinicians seeing themselves as the "primary" caregiver or service provider to each patient and family became the core of the Relationship-Based Care Model of care delivery (Koloroutis, 2004). Marie Manthey's leadership has allowed the work started by the nurses on Unit 32 at the University of Minnesota Medical Center to be expanded and shared worldwide.

Later career

After leaving the University of Minnesota, Manthey became Assistant Administrator and Director of Nursing at Miller Hospital as it merged with St. Lukes to become United Hospitals of Saint Paul, Minnesota. Manthey moved to New Haven, Connecticut in January 1976, and served as the Vice President of Patient Services at Yale New Haven Hospital. [7] During that time in Connecticut she also served as associate professor at the University of Connecticut and associate clinical professor at Yale School of Nursing. [6] [8]

In 1978, she founded a consulting firm specializing in the organization and delivery of health care services. Originally named Creative Nursing Management, now known as Creative HealthCare Management since 2002, headquartered in Eden Prairie, Minnesota, USA.

Manthey provided technical guidance to the U.S. Department of Health and Human Services for their study of Primary Nursing, published in 1983. [9]

Manthey has also remained active with the University of Minnesota School of Nursing, including serving as the President of the Nursing Alumni Society from 1999 to 2003.

Throughout her career, Manthey has continued to nourish and support the profession of nursing as it continues to evolve.

"The profession of nursing must continue to define itself. .. Nurses must ask themselves some important questions.. in short, what is the nursing imperative? I would ask you to mount your own inquiry, and come up with your own answers. Here are mine:

"The nursing imperative is a two-sided coin. On one side there is the imperative to be clinically competent in both technical skills and clinical judgement. The other side is the willingness to step in to being with the human being for whom the nurse in caring. In healthcare, people experience vulnerability at every level of their being: mental, emotional, physical, and spiritual. The privilege of nursing is having the knowledge and skill, the position and relationship, to interact with a vulnerable human being in a way that alleviates pain and increases mental, emotional, physical, and spiritual comfort. This is the privilege of nursing -- the being with a vulnerable human being. If this privilege is ignored or overlooked, nursing isn't happening. No matter what is happening in a care environment, authentic human connection with the vulnerable human beings in our care can and must happen. That, to my mind, is the nursing imperative." [10]

Awards and honors

Published works

See also

Related Research Articles

<span class="mw-page-title-main">Nurse anesthetist</span> Nurse trained to provide anaesthesia care

A nurse anesthetist is an advanced practice nurse who administers anesthesia for surgery or other medical procedures. They are involved in the administration of anesthesia in a majority of countries, with varying levels of autonomy.

<span class="mw-page-title-main">Hildegard Peplau</span> American nurse (1909–1999)

Hildegard E. Peplau was an American nurse and the first published nursing theorist since Florence Nightingale. She created the middle-range nursing theory of interpersonal relations, which helped to revolutionize the scholarly work of nurses. As a primary contributor to mental health law reform, she led the way towards humane treatment of patients with behavior and personality disorders.

Nursing theory is defined as "a creative and conscientious structuring of ideas that project a tentative, purposeful, and systematic view of phenomena". Through systematic inquiry, whether in nursing research or practice, nurses are able to develop knowledge relevant to improving the care of patients. Theory refers to "a coherent group of general propositions used as principles of explanation".

Pediatric nursing is part of the nursing profession, specifically revolving around the care of neonates and children up to adolescence. The word, pediatrics, comes from the Greek words 'paedia' (child) and 'iatrike' (physician). 'Paediatrics' is the British/Australian spelling, while 'pediatrics' is the American spelling.

Psychiatric nursing or mental health nursing is the appointed position of a nurse that specialises in mental health, and cares for people of all ages experiencing mental illnesses or distress. These include: neurodevelopmental disorders, schizophrenia, schizoaffective disorder, mood disorders, addiction, anxiety disorders, personality disorders, eating disorders, suicidal thoughts, psychosis, paranoia, and self-harm.

<span class="mw-page-title-main">Nurse practitioner</span> Mid-level medical provider

A nurse practitioner (NP) is an advanced practice registered nurse and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion. One study found that although reasons for referrals to specialists are similar for both physicians and NPs, the quality of documentation in the referrals may be lower for NPs.

Home health is a nursing specialty in which nurses provide multidimensional home care to patients of all ages. Home health care is a cost efficient way to deliver quality care in the convenience of the client's home. Home health nurses create care plans to achieve goals based on the client's diagnosis. These plans can include preventive, therapeutic, and rehabilitative actions. Home health nurses also supervise certified nursing assistants. The professional nursing organization for home health nurses is the Home Healthcare Nurses Association (HHNA). Home health care is intended for clients that are well enough to be discharged home, but still require skilled nursing personnel to assess, initiate and oversee nursing interventions.

A clinical nurse specialist (CNS) is an advanced practice nurse who can provide advice related to specific conditions or treatment pathways. According to the International Council of Nurses (ICN), an Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice.

Case management is a managed care technique within the health care coverage system of the United States. It involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. Case managers are employed in almost every aspect of health care and these employ different approaches in the control of clinical actions.

Primary nursing is a system of nursing care delivery that emphasizes continuity of care and responsibility acceptance by having one registered nurse (RN), often teamed with a licensed practical nurse (LPN) and/or nursing assistant (NA), who together provide complete care for a group of patients throughout their stay in a hospital unit or department. While the patient is on the nurses' unit, the primary nurse accepts responsibility for administering some and coordinating all aspects of the patient's nursing care, with the support of other members of the nursing staff. This results in the nurse having greater insight into the patient's condition, both medical and emotional.

<span class="mw-page-title-main">Flight nurse</span> Specialist in rescue/evacuation patient care

A flight nurse is a registered nurse who specialises in the field of providing comprehensive pre-hospital, emergency critical care, and hospital care to a vast scope of patients. The care of these patients is generally during aeromedical evacuation or rescue operations aboard helicopters, propeller aircraft or jet aircraft. On board a rescue aircraft you would find a flight nurse accompanied by flight medics and respiratory practitioners, as well as the option of a flight physician for comprehensive emergency and critical transport teams. The inclusion of a flight physician is more commonly seen in pediatric and neonatal transport teams. A critical care flight nurse must be able to deal with all age groups with broad critical emergencies. With no physicians on site the nurses scope of practice is expanded. The critical care experience is transferred over to a flight nurse with impacting factors such as altitude and changes in pressure, gravitational forces, and weather. Some patients may experience exacerbation because of factors related to the cabin environment including hypoxia, limited mobility, gas expansion, and risk of injury related to turbulence and resources with definitive care are limited. Aeromedical evacuation crews coordinate with other organizations to plan for the safe and timely care and evacuation of patients. Crews must be prepared for patients with trauma and mental health illnesses.

<span class="mw-page-title-main">Nursing</span> Health care profession

Nursing is a profession within the healthcare sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life. Nurses can be differentiated from other healthcare providers by their approach to patient care, training, and scope of practice. Nurses practice in many specialties with differing levels of prescription authority. Nurses comprise the largest component of most healthcare environments; but there is evidence of international shortages of qualified nurses. Nurses collaborate with other healthcare providers such as physicians, nurse practitioners, physical therapists, and psychologists. There is a distinction between nurses and nurse practitioners; in the U.S., the latter are nurses with a graduate degree in advanced practice nursing, and are permitted to prescribe medications unlike the former. They practice independently in a variety of settings in more than half of the United States. Since the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing.

The healthcare error proliferation model is an adaptation of James Reason’s Swiss Cheese Model designed to illustrate the complexity inherent in the contemporary healthcare delivery system and the attribution of human error within these systems. The healthcare error proliferation model explains the etiology of error and the sequence of events typically leading to adverse outcomes. This model emphasizes the role organizational and external cultures contribute to error identification, prevention, mitigation, and defense construction.

Integrated care, also known as integrated health, coordinated care, comprehensive care, seamless care, interprofessional care or transmural care, is a worldwide trend in health care reforms and new organizational arrangements focusing on more coordinated and integrated forms of care provision. Integrated care may be seen as a response to the fragmented delivery of health and social services being an acknowledged problem in many health systems. This model of care is working towards moving away from a siloed and referral-based format of care to a team-based model.

<span class="mw-page-title-main">History of nursing in the United States</span> Professionalization of nursing since the Civil War

The history of nursing in the United States focuses on the professionalization of Nursing in the United States since the Civil War.

Community nursing is nursing care delivered outside acute hospitals, for example in the home, within General Practice facilities, in community hospitals, in police custody, at a school or in a care home. In the UK, a community nurse needs a degree approved by the Nursing and Midwifery Council, as well as 1–2 years’ experience as a qualified Adult Nurse.

Creative Health Care Management (CHCM) is a private U.S. corporation, which provides consultation and training in the health care sector. CHCM is based in Bloomington, Minnesota. Founded in 1982 by Marie Manthey, it was originally called Creative Nursing Management. The name change to CHCM was in recognition of the systemic nature of change.

<span class="mw-page-title-main">Helga Jónsdóttir</span> Icelandic academic

Helga Jónsdóttir is a professor in nursing at the Faculty of Nursing in the School of Health Sciences at the University of Iceland and Academic Chair of Nursing Care for Chronically Ill Adults in a joint position at Landspítali the National University Hospital.

<span class="mw-page-title-main">June Werner</span> American nursing executive and educator

Elizabeth June Werner was an American nursing executive and educator. She was chair of the department of nursing for 19 years at Evanston Hospital, Illinois, and retired in 1990 as chairperson emerita. During this period she launched the nation's first primary nursing model, transforming the relationship between patients and their caregivers. She also formalized mentoring and professionalized the nursing staff.

<span class="mw-page-title-main">Louise M. Powell</span> American nurse and educator

Louise M. Powell (1871–1943) was an American nurse and educator who led the University of Minnesota School of Nursing, during its formative years. During her tenure there (1910–1924), the university established a five-year baccalaureate nursing degree program. In honor of her achievements, the nurses residence hall was named for her in 1939. She was later dean of nursing at Western Reserve University.

References

  1. ↑ "Academy Living Legends". American Academy of Nursing . Retrieved 13 December 2017.
  2. ↑ Tobbell, Dominique A, PhD (2010). "Marie Manthey Interview - Academic Health Center Oral History Project" University of Minnesota. 2010. P 3-7
  3. 1 2 Silberg, Barbara (2002). "The Human Face of Health Care" MINNESOTA: The Magazine of the University of Minnesota Alumni Association. March/April 2002. P 33
  4. 1 2 Manthey, Marie (1999). "I Never Saw Myself as a Change Agent". Reflections. Vol. 25, no. 2. Sigma Theta Tau International Honor Society of Nursing. pp. 19–21. ISSN   0885-8144.
  5. 1 2 3 Williams, Sarah T (2014). "One Woman's Effort to Understand the Problem of Nursing and Addiction." MinnPost. 5/28/14
  6. 1 2 3 Villaire, Michael (1993) Marie Manthey interview on Evolution of Primary Nursing.
  7. ↑ Zyda, Joan (1978) Chicago Tribune.
  8. ↑ Manthey, Marie (1999). "Financial Management for Entrepreneurs" Nursing Administration Quarterly, by Aspen Publication. Summer 1999. P 81-82. Vol. 23, No 4 J0392. ISSN   0363-9568
  9. ↑ 'The Application of Primary Nursing in a Hospital Setting,' a Study by the U.S. Department of Health and Human Services, 1983. p iv.
  10. ↑ Manthey, Marie (2013) Foreword: Advancing Professional Nursing Practice.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.