title: Challenges to achieving quality care: efficiency, effectiveness and beneficence.
abstract: At first glance it would seem strange to suggest that efficiency, effectiveness and beneficence, all positive and desirable goals, could challenge nurses' achievement of quality health care. However, as shown below, attitudes and actions reflecting either the overly zealous pursuit of any of these or an attitude of complacency can compromise or threaten the quality of care.
authors.affiliation: College of Nursing, University of Saskatchewan, Saskatoon, Canada.
authors.forename: J E
authors.initials: JE
authors.lastname: Sawatzky
authors.forename: M M
authors.initials: MM
authors.lastname: MacDonald
mesh_terms: D002170:Canada / Q000453:epidemiology; D003659:Decision Making, Organizational; D016002:Discriminant Analysis; D017598:Efficiency, Organizational; D004993:Ethics, Nursing; D006293:Health Promotion / Q000458:organization & administration*; D006694:Holistic Health; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000451:nursing; D008019:Life Style; D016294:Models, Nursing; D015233:Models, Statistical; D009732:Nursing Care / Q000458:organization & administration*; D009937:Organizational Objectives; D017063:Outcome Assessment, Health Care; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012307:Risk Factors