{"title":"Socioeconomic status as quarantine: unfortunate consequences of the inability to afford health care.","authors":"K Moore","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Socioeconomic status is a powerful determinant of health care outcomes. Affordability of health care probably has more effect on the treatment patients receive than do clinical factors or practitioner expertise. This article reviews and displays the research base for aspects of socioeconomic factors and measurement issues and their impact on outcomes. A strong and consistent relationship between socioeconomic factors and outcomes challenges nurses to find strategies for working effectively with vulnerable populations. The documentation of discrepancies in outcomes provides evidence of domains in which clinicians and policy makers can have measurable impact.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"1 1","pages":"41-8"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358686","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":"Advancing nursing's accountability for outcomes.","authors":"M L Maas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing outcomes accountability is in its infancy. Progress awaits the use of standardized nursing diagnoses, interventions, and nursing-sensitive patient outcomes in nursing clinical decision making and documentation. Changes in nursing delivery systems also are required so that nurses are empowered as individuals and as a professional collective to demonstrate their accountability for the outcomes of patients. Finally, the attitudes and behaviors of nurse clinicians, administrators, and educators, individually and collectively, are important in advancing nursing's accountability as a single discipline and as a member of the interdisciplinary team. In subsequent columns, each of these issues and needed actions will be explored more fully.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"1 1","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358683","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":"Client satisfaction with prenatal care and pregnancy outcomes.","authors":"L W Lowry, J Saeger, S Barnett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Client satisfaction and pregnancy outcomes of two groups of low socioeconomic women were compared. One group received prenatal care from a public health clinic, the other from a prototype tertiary multidisciplinary clinic. Sixty-two women from each clinic completed the Risser Patient Satisfaction instrument, after no less than three clinic visits. Clients from the multidisciplinary clinic were significantly more satisfied on three variables related to nursing care (technical skills, teaching, and interpersonal relationships), and one variable related to setting. Postdelivery log reviews revealed that infant birth weights, Apgar scores, and gestational ages were not significantly different between the two groups. Nurse case managed care and removal of barriers contributed to more satisfied consumers. Continuity of prenatal care was associated with healthy infants regardless of client perceptions of satisfaction.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"1 1","pages":"29-35"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358681","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}