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Clinically based managed mental health care. 临床管理精神卫生保健。
NursingConnections Pub Date : 1997-01-01
D P Olsen
{"title":"Clinically based managed mental health care.","authors":"D P Olsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Managed care models are on a continuum in terms of the amount of clinical involvement of the managed care agent. Managed care constitutes a fundamental shift in provider-reimburser relations. In the literature problems with managed care are identified and examined in the context of this shifting relationship. Models at three points on the continuum of clinical involvement are reviewed with regard to the identified problems, including two models with full clinical involvement. It is predicted that clinically based models will flourish and replace models with less clinical involvement because full clinical involvement solves many problems associated with other models.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 2","pages":"15-23"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20270641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concerns of graduating baccalaureate nursing students. 即将毕业的护理本科学生的担忧。
NursingConnections Pub Date : 1997-01-01
E A McConnell, K A Dadich
{"title":"Concerns of graduating baccalaureate nursing students.","authors":"E A McConnell,&nbsp;K A Dadich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Senior baccalaureate nursing students (N = 397) just weeks away from graduation were asked to complete the \"Worry Clinic Form.\" This form invites subjective responses from the students' perspectives about their \"current\" and \"greatest-to-date\" professional concerns. Content analysis was used to determine the categories of these concerns. Categories of both current and greatest-to-date professional concerns were (1) functioning as a competent registered professional nurse and (2) the environment of work.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 3","pages":"15-27"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Doing business with your patients: is it bad business? 和你的病人做生意:这是不好的生意吗?
NursingConnections Pub Date : 1997-01-01
N C Philipsen
{"title":"Doing business with your patients: is it bad business?","authors":"N C Philipsen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 1","pages":"31-3"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20118824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A model of collaboration: the Academic Practice Council. 合作的典范:学术实践委员会。
NursingConnections Pub Date : 1997-01-01
B J White, S L Jarrett, C J Tolve
{"title":"A model of collaboration: the Academic Practice Council.","authors":"B J White,&nbsp;S L Jarrett,&nbsp;C J Tolve","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>If the profession of nursing is to survive in the changing health care delivery system, new models of collaboration between nursing education and nursing practice must be developed. Nursing is both an academic discipline and a practice profession. The historic dissonance between education and practice has never served the profession of nursing; the pressing challenge is to blend one with the other now. In an effort to respond to the demands of the discipline and profession of nursing, an academic institution and a health care delivery system developed a model of interagency collaboration. This article addresses historical perspectives, and evolution, structure, activities, evaluation, and future plans to the Academic Practice Council.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 1","pages":"5-12"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20118959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Why must a clinical specialist be a nurse practitioner? 为什么临床专科医生必须是执业护士?
NursingConnections Pub Date : 1997-01-01
M Billingsley
{"title":"Why must a clinical specialist be a nurse practitioner?","authors":"M Billingsley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 3","pages":"12-3"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcomes of occupational stressors on nurses: chronic fatigue syndrome--related symptoms. 职业压力源对护士的影响:慢性疲劳综合征相关症状
NursingConnections Pub Date : 1997-01-01
L I Wagner, L A Jason
{"title":"Outcomes of occupational stressors on nurses: chronic fatigue syndrome--related symptoms.","authors":"L I Wagner,&nbsp;L A Jason","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Considering the types and number of occupational stressors involved in caring for patients, nurses may represent a population at high risk for physical illnesses. A sample of 3400 nurses who belong to a statewide or a national nurses organization were randomly chosen for participation. Of this group, 202 reported 6 months or more of debilitating fatigue and completed a three-page questionnaire assessing symptoms related to chronic fatigue syndrome (CFS) and comorbid medical conditions. This group (N = 202) was mailed a follow-up questionnaire 1 year later that reassessed symptoms of CFS and occupational stressors. Many sampled nurses reported a high degree of occupationally related stress but did not report CFS symptoms; however, perceived exposure to the threat of an accident as a nurse and poor physical working conditions were significantly related to symptoms reported. These findings are consistent with previous research.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 3","pages":"41-9"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethics of consumer rights in managed care. 管理式医疗中的消费者权利伦理。
NursingConnections Pub Date : 1997-01-01
M C Silva
{"title":"Ethics of consumer rights in managed care.","authors":"M C Silva","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 2","pages":"24-6"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20270644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Collaboration in research: testing the PIPC model on clinical and nonclinical outcomes. 研究合作:在临床和非临床结果上测试PIPC模式。
NursingConnections Pub Date : 1997-01-01
C A Lengacher, P R Mabe, D Heinemann, M L VanCott, K Kent, S Swymer
{"title":"Collaboration in research: testing the PIPC model on clinical and nonclinical outcomes.","authors":"C A Lengacher,&nbsp;P R Mabe,&nbsp;D Heinemann,&nbsp;M L VanCott,&nbsp;K Kent,&nbsp;S Swymer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This outcomes research used a collaborative framework between a college of nursing and a medical center to test the effects of the Partners in Patient Care delivery model (PIPC) on clinical and nonclinical outcomes. An experimental pretest-postest design was used to compare selected nonclinical outcomes and clinical outcomes of care in two patient units. Results showed that there were significant differences between units in the nonclinical outcomes of nurse satisfaction, salary costs, supply costs, and productivity as measured by documentation time. In addition, there were significant differences in the clinical outcomes of care in terms of patient satisfaction. No significant differences were found in number of falls, medication errors, and intravenous infections; however, when ratios of these indicators were examined in relation to patient days, significant differences in the medication error ratio and the fall ratio were revealed. The results indicate that the PIPC delivery model did have positive effects on patient satisfaction and nurse satisfaction but that there were increased costs and increased time spent in documentation on the pilot unit.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 1","pages":"17-30"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20118822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caring in full circle: the legacy of Edith Honeycutt. 循环关怀:伊迪丝·霍尼卡特的遗产。
NursingConnections Pub Date : 1997-01-01
M K Maeve, J C Clark
{"title":"Caring in full circle: the legacy of Edith Honeycutt.","authors":"M K Maeve,&nbsp;J C Clark","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Edith Folsom Honeycutt, now retired, is the only staff nurse in the United States to be honored by a funded chair at a major university. In 1990, a chair of oncology nursing was established in her name at Emory University by the Metropolitan Atlanta Community Foundation. A life history method was used to examine the professional life of Edith Honeycutt through interviews and with a focus group of nurses who had worked with her. Three themes emerged: teaching by showing; expecting excellent practice; and investing in each other. A synthesized overall theme of \"caring in full circle\" was identified as the core descriptor. The findings of this study demonstrate how clinical education and expertise are shared and learned among staff nurses. Findings also suggest how nursing knowledge can be, and is, developed at the bedside. The connection between Emory University and Edith Honeycutt demonstrates an enduring link between a university setting and a practice arena.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 1","pages":"35-47"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20118826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovative collaboration to prevent repeated adolescent pregnancies. 创新合作，防止少女重复怀孕。
NursingConnections Pub Date : 1997-01-01
R B Saunders, H N Brown
{"title":"Innovative collaboration to prevent repeated adolescent pregnancies.","authors":"R B Saunders,&nbsp;H N Brown","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse educators from a university setting and staff from the county health department collaborated to establish an innovative program to prevent repeated pregnancy in adolescents. Called Dollar-A-Day and patterned after the original in Denver, CO, the program was operated jointly for 5 years and today continues to operate under the auspices of the health department. Success of the venture is attributed to use of skills in assessment, building, managing, and evaluating, as described by Loxley (1997). These elements were used to construct a context for collaboration.</p>","PeriodicalId":77304,"journal":{"name":"NursingConnections","volume":"10 3","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20325947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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