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Nurses and the Ethics of Big Data. 护士与大数据伦理。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
John M Welton
{"title":"Nurses and the Ethics of Big Data.","authors":"John M Welton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As we move toward a value-based health care system and payment models based on individual performance of providers, nurses are faced with a dilemma. Should we as a profession actively pursue the development of individual nurse performance metrics, analysis, benchmarks, and practice standards, similar to those being implemented for physicians? Or should we wait until these metrics are imposed by payers and policymakers with little or no input from nurses?</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Leadership Development Program Through Mentorship for Clinical Nurses in Turkey. 领导发展计划通过指导临床护士在土耳其。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Fahriye Vatan, Ayla Bayιk Temel
{"title":"A Leadership Development Program Through Mentorship for Clinical Nurses in Turkey.","authors":"Fahriye Vatan,&nbsp;Ayla Bayιk Temel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mentoring programs can enhance nursing satisfaction, improve retention, ensure optimal patient outcomes, and may have a positive organizational effect in developing leadership skills in nursing. In this study, the effects of a formal mentoring program were explored on a sample of 18 professional nurse leaders (nine mentors and nine proteges) at a university hospital in Turkey. After receiving a formal mentoring training program, mentors and proteges were paired with each other for a 6-month monitoring period. An overall assessment revealed both mentors and proteges perceived benefits from the mentoring program. The formal mentoring program created positive change in leadership behaviors for both mentors and proteges and contributed toward relational job learning for mentors and personal skill development for proteges. Suggestions are provided for the integration of formal mentoring programs into the organizational culture.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Election 2016: Where Are We with the Affordable Care Act? 2016年大选:《平价医疗法案》进展如何?
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Deborah B Gardner
{"title":"Election 2016: Where Are We with the Affordable Care Act?","authors":"Deborah B Gardner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As this election campaign, like many, has been more about personality than policy, it is important to remember that positions on policy are the real substance of election outcomes. Although health care is ranking lower than other national issues in the minds of voters, it remains a vital topic. Nurses need to stay informed on this important issue, especially regarding the policy proposals from both parties and candidates</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is There a Business Case for Nursing Home Quality Improvement? 是否有改善养老院质量的商业案例?
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Kathleen Abrahamson, Heather Davila, Nancy Rehkamp, Greg Arling
{"title":"Is There a Business Case for Nursing Home Quality Improvement?","authors":"Kathleen Abrahamson,&nbsp;Heather Davila,&nbsp;Nancy Rehkamp,&nbsp;Greg Arling","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Evidence supporting a relationship between costs and quality in nursing homes has been inconsistent. The Minnesota Performance-based Incentive Payment Program (PIPP) is an innovative public policy that promotes quality improvement (QI) in the state's nursing facilities. The objective of this study was to investigate the economic or business perspective surrounding QI participation by exploring nursing home leader perceptions regarding market-based motivations for improvements, or a business case for engaging in a quality improvement project. There appeared to be a perception that without the increased rates provided by PIPP, needed changes to improve quality would not have occurred.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Policy, Politics, and the Presidential Campaign: What's at Stake for Nursing? 政策，政治和总统竞选:护理的利害关系是什么?
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Donna M Nickitas
{"title":"Policy, Politics, and the Presidential Campaign: What's at Stake for Nursing?","authors":"Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36284274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing Leadership in ACO Payment Reform. 护理管理费用支付改革中的护理领导。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Jessica Morrison
{"title":"Nursing Leadership in ACO Payment Reform.","authors":"Jessica Morrison","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Accountable Care Organizations (ACOs) are a promising new model for payment reform in the complex and fragmented health care system in the United States. Nursing vision and leadership are essential for the success of an organization participating in an ACO. By understanding the political, financial, and cultural facilitators and barriers to change, as well as models for helping organizations transition toward change (e.g., Kotter Model of Change Management), nurses have the potential to be leaders in health care change.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cost Analysis of an Advanced Practice Registered Nurse Transitional Care Model for Cardiac Patients. 高级执业注册护士对心脏病患者过渡护理模式的成本分析。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Sherry M Bumpus, Barbara L Brush, Jack Wheeler, Susan J Pressler, Kim A Eagle, Melvyn Rubenfire
{"title":"Cost Analysis of an Advanced Practice Registered Nurse Transitional Care Model for Cardiac Patients.","authors":"Sherry M Bumpus,&nbsp;Barbara L Brush,&nbsp;Jack Wheeler,&nbsp;Susan J Pressler,&nbsp;Kim A Eagle,&nbsp;Melvyn Rubenfire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Interest in care transitions has intensified in light of emphasis placed on hospital readmissions. This study provides a comparative analysis of the costs of providing transitional care through a program for cardiac patients against hospital readmission costs. The advanced practice registered nurse-managed BRIDGE model reduced health care costs associated with readmissions that were in excess of program costs. On average, there was a per-patient savings of $4,944 in avoided readmissions within 30 days of hospital discharge. Over the duration of the program, this equates to a $306,537 savings in patients with acute coronary syndrome. Nurse practitioners have a unique, holistic, and supportive approach to providing care that may make them ideal for the transitional care setting.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why We Should Be Paying Attention to the Evolving World Of Staffing Technology Solutions. 为什么我们应该关注不断发展的人力资源技术解决方案。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-09-01
Kathy S Douglas
{"title":"Why We Should Be Paying Attention to the Evolving World Of Staffing Technology Solutions.","authors":"Kathy S Douglas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Staffing solutions are evolving at remarkable speed. It no longer takes large, complicated, technical teams to create powerful, reliable, high-quality solutions. Today's cloud-based solutions can be implemented in hours and configured as fast as an organization can tolerate. These new, \u0000well-designed systems are highly intuitive and adopted rapidly. Data can be displayed in different ways for different users with different responsibilities. Upgrades are no longer big, costly events; they are done automatically. Large outlays for licensing fees and big start-up costs are also things of the past.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36286371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. 医疗保险和医疗补助服务报销政策和护理敏感的不良患者结果中心。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Sung-Heui Bae
{"title":"The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes.","authors":"Sung-Heui Bae","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Centers for Medicare & Medicaid Services (CMS) reimbursement policy identified 11\u0000preventable adverse outcomes. Of these 11 patient outcomes, four (severe pressure ulcers, falls and trauma, catheter-associated\u0000urinary tract infections, and vascular catheter-associated infections) are considered nursing-sensitive quality outcomes that\u0000can be decreased with greater and better nursing care. A cross-sectional study examined the CMS reimbursement policy\u0000focusing on nursing-sensitive adverse patient outcomes. The percentage of Medicare patients served as a proxy for a\u0000measure of the CMS changes in reimbursement. The CMS reimbursement policy measured by the proxy variable\u0000was not related to a reduction of the four adverse outcomes.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Video Monitoring to Reduce Falls And Patient Companion Costs For Adult Inpatients. 视频监控减少成人住院病人跌倒和陪伴费用。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2016-07-01
Lisbeth Votruba, Bridget Graham, Jeana Wisinski, Ayesha Syed
{"title":"Video Monitoring to Reduce Falls And Patient Companion Costs For Adult Inpatients.","authors":"Lisbeth Votruba,&nbsp;Bridget Graham,&nbsp;Jeana Wisinski,&nbsp;Ayesha Syed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With increasing acuity and simultaneous pressures for optimal productivity, reducing unnecessary patient companions has been a focus for many health care organizations. At the same time, nursing leaders are seeking to accelerate improvement in patient safety, specifically the prevention of falls. This study suggests the use of remote video monitoring is a safe tool for fall prevention. While there was a decrease in 1:1 sitter usage, there was no corollary increase in falls. In fact, falls decreased 35%. Not only was video monitoring a safe intervention, it was more effective than patient companions alone in decreasing falls by expanding the number of patients who are directly observed 24/7.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36285868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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