J F McComish, R Greenberg, J Ager, H Chruscial, M A Laken
{"title":"Survival analysis of three treatment modalities in a residential substance abuse program for women and children.","authors":"J F McComish, R Greenberg, J Ager, H Chruscial, M A Laken","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retaining women in substance abuse treatment is difficult. Increased length of stay (LOS) has been found to be predictive of positive treatment outcomes, including lower drug use, criminal behavior, and unemployment among adults, and improved growth and development for children. This study used survival analysis statistical methods to examine LOS in a residential treatment program for women and children as the program shifted from a traditional therapeutic community, to gender-specific programming, to interdisciplinary, family-focused treatment. Results suggest that with implementation of family-focused treatment, LOS increases more than with gender-specific programming alone.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935044","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}
{"title":"Meta-analytic methods that support outcomes management.","authors":"J A Floyd","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21936367","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}
{"title":"Discussion of generic and disease-specific outcome tools for patients in cardiac rehabilitation.","authors":"A A Abbott","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Morbidity and mortality alone are not sufficient outcome measures in evaluating the effectiveness of interventions aimed at controlling or reducing complications of coronary heart disease. Outcomes are considered to be indicators of the quality of care. As a result, the selection of interventions, treatments, and reimbursement for services has become outcome driven. The purpose of this article is to discuss generic and disease-specific health-related quality of life tools and how to select appropriate tools for measuring long-term outcomes of cardiac rehabilitation. Choosing the appropriate tools to evaluate outcomes is critical for evaluation of patient progress and quality of life and for the success of cardiac rehabilitation programs.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935045","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}
{"title":"Relationship of cardiac inpatients' outcomes to mood state.","authors":"S Allison, M J Bernier, S V Owen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This descriptive study used a computerized charge capture system (CCCS) to explore the differences of cost and length of stay (LOS) between cardiac inpatients with a diagnosis of depression (n = 144) and cardiac inpatients without depression (n = 9,099). Level of severity, gender, and mood state (depression vs. nondepression) were also compared. A matched sample of 352 nondepressed patients was compared with a sample of 94 depressed patients. There were no significant differences between the depressed and nondepressed groups. However, the study did indicate interesting findings regarding mood state, gender, and cardiac outcomes. Depression was significantly overrepresented among females (chi 2 = 24.0, df = 1, P < 0.05). When gender and mood state were considered together, women with cardiac disease who were depressed had significantly longer lengths of stay (LOSs) and increased costs than men with depression (F = 6.6, df = 1, P = 0.01). A major unanticipated finding was the extremely low incidence of depression detected in these patients (1.6%) when compared with patients in other studies. One possible reason for the low incidence of depression was related to the use of a financial, rather than a clinical, data set.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935046","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}
{"title":"Satisfaction and adequacy of prenatal care utilization among rural low-income women.","authors":"M A Omar, R F Schiffman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was designed to describe adequacy and satisfaction with prenatal care in a group of rural low-income women (n = 60) and to determine whether either was correlated with birth outcomes. Despite less than adequate prenatal care in 50% of the women, they were satisfied with their care, and outcomes for infants were good. When compared with women who received adequate prenatal care, there were no differences between the two groups. Tailoring prenatal care to individual needs, including care provided by certified nurse midwives with fewer prenatal visits, could be cost-effective without sacrificing quality. It is time to reexamine the recommended prenatal visit structure and care delivery in this country.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935047","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}
{"title":"Internet resources for outcomes management","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21936364","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}
{"title":"Age, developmental, and job stage influences on nurse outcomes.","authors":"D K McNeese-Smith, G van Servellen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This descriptive study surveyed 412 nurses in three hospitals and found that older nurses and nurses in more mature developmental stages showed greater job satisfaction, productivity, and organizational commitment. Job stages of entry, mastery, and disengagement were examined, and 24% of nurses reported being disengaged from their jobs, with lower satisfaction and commitment. Implications include the compelling need for nurses and organizations to do career planning together to avoid disengagement of nurses so critical to patient and organizational outcomes.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935048","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}
{"title":"Service utilization and outcomes in rural home health agencies.","authors":"C E Adams, C F Corbett, Y Michel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As home health reimbursement moves from fee-for-service to prospective payment, data describing the relationship between service utilization and patient outcomes will be the basis for planning services. The investigators measured the relationship between service utilization and generic patient outcomes for 1,704 home health episodes of care. Few significant relationships were found. The average study patient received 17 visits, well below the average number for the state and nation. Investigators suggested the possibility that visit numbers were too low to stimulate improvement in outcomes and that when services are curtailed, home health staff may do well to focus quality improvement efforts on condition-specific patient outcomes rather than generic outcomes.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21935043","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}
{"title":"Point-of-care database solutions for critical care: tapping the Internet to communicate critical information.","authors":"L Nemeth, J E Heffner, S Brown","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21936366","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}
C M Sheehy, K J Saewert, S K Bell, A Steinbinder, S L Cromwell, A M McNamara
{"title":"Using clinical models to frame outcomes evaluation: the Arizona Nurses' Association Nursing Report Card Project.","authors":"C M Sheehy, K J Saewert, S K Bell, A Steinbinder, S L Cromwell, A M McNamara","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The American Nurses Association (ANA) inaugurated Nursing's Safety and Quality Initiative in 1994. This multiphased initiative provides a framework for the application of the Nursing Care Report Card for Acute Care that aims to evaluate the nature and strength of the linkages between nursing care and nursing-sensitive quality indicators in the acute care setting. Arizona is one of six states participating in this investigation. This article describes the development of the Arizona Nurses' Association (AzNA) Nursing Report Card Project and associated model.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2000-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21861866","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}