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Outcomes management for nursing practice最新文献

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Quantifying patient engagement with nurses: validation of a scale with AIDS patients. 量化患者对护士的参与:艾滋病患者量表的验证。
Outcomes management for nursing practice Pub Date : 1999-10-01
J K Kemppainen, L O'Brien, H Williams, L Evans, K N Weiner, W L Holzemer
{"title":"Quantifying patient engagement with nurses: validation of a scale with AIDS patients.","authors":"J K Kemppainen,&nbsp;L O'Brien,&nbsp;H Williams,&nbsp;L Evans,&nbsp;K N Weiner,&nbsp;W L Holzemer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to develop and test a measure of patient engagement with nurses, which is a quantifiable outcome of nurse-patient encounters. This measure, based on verbatim patient statements, was tested with a multi-site sample of 162 hospitalized patients with acquired immune deficiency syndrome (AIDS). Although developed and tested with acutely ill AIDS patients, the scales are not AIDS specific and hold promise as a general measure of the outcomes of nurse-patient encounters in other acute and chronic illnesses.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 4","pages":"167-74"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21719816","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
Defining outcome statements for high-risk psychosocial patients. 确定高危心理社会患者的结局陈述。
Outcomes management for nursing practice Pub Date : 1999-10-01
K S Klingbeil, L S Nemeth
{"title":"Defining outcome statements for high-risk psychosocial patients.","authors":"K S Klingbeil,&nbsp;L S Nemeth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 4","pages":"141-3"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718519","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
Developing an infrastructure for coordinated care. 发展协调医疗的基础设施。
Outcomes management for nursing practice Pub Date : 1999-07-01
L S Nemeth, J M Spisso
{"title":"Developing an infrastructure for coordinated care.","authors":"L S Nemeth,&nbsp;J M Spisso","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"92-4"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461067","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
Assessing health care setting readiness for point of care computerized clinical decision support system innovations. 评估卫生保健设置准备护理点计算机临床决策支持系统的创新。
Outcomes management for nursing practice Pub Date : 1999-07-01
R Snyder-Halpern
{"title":"Assessing health care setting readiness for point of care computerized clinical decision support system innovations.","authors":"R Snyder-Halpern","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increasing interest in linking high-quality and cost-effective clinical practice processes to patient outcomes has enhanced interest in computerizing clinical practice guidelines to support clinician decision making. This article describes a Clinical Information Technology Innovation Model (CITIM) that was used to assess health care setting readiness for a clinical decision support system (CDSS) to decrease innovation risk and enhance the potential for innovation success. A case illustration shows CITIM application in the assessment of a hospital's readiness for a computerized knowledge-based system to support RN acute pain management decision making with patients who had coronary artery bypass graft surgery.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"118-27"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461625","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
Nursing outcome indicator: preventing falls for elderly people. 护理结果指标:预防老年人跌倒。
Outcomes management for nursing practice Pub Date : 1999-07-01
J Bezon, K H Echevarria, G B Smith
{"title":"Nursing outcome indicator: preventing falls for elderly people.","authors":"J Bezon,&nbsp;K H Echevarria,&nbsp;G B Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Falls among elderly people living in the community are costly for all concerned in both monetary terms and quality of life. Faculty and students in a nurse-managed clinic in partnership with elderly residents of a public housing unit were able to reduce the number of falls from 30% to 3%. Falls were reduced through a preventive plan that included assessment of intrinsic and extrinsic factors that cause falling and interventions for these recognized risk factors.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"112-6; quiz 116-7"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461073","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
Software spotlight. A medical outcomes database. 软件焦点。医疗结果数据库。
Outcomes management for nursing practice Pub Date : 1999-07-01
D Huber
{"title":"Software spotlight. A medical outcomes database.","authors":"D Huber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"136-7"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461627","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
Evaluation of the multifunctional worker role: a stakeholder analysis. 多功能工作者角色的评估:利益相关者分析。
Outcomes management for nursing practice Pub Date : 1999-07-01
K R Jones, R W Redman, T M VandenBosch, C Holdwick, F Wolgin
{"title":"Evaluation of the multifunctional worker role: a stakeholder analysis.","authors":"K R Jones,&nbsp;R W Redman,&nbsp;T M VandenBosch,&nbsp;C Holdwick,&nbsp;F Wolgin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Health care organizations are rethinking how care is delivered because of incentives generated by managed care and a competitive marketplace. An evaluation of a work redesign project that involved the creation of redesigned unlicensed caregiver roles is described. The effect of model implementation on patients, multiple categories of caregivers, and physicians was measured using several different approaches to data collection. In this evaluation, caregivers perceived the institutional culture to be both market-driven and hierarchical. The work redesign, along with significant changes in unit configuration and leadership over the same period, significantly reduced job security and satisfaction with supervision. Quality indicators suggested short-term declines in quality during model implementation with higher levels of quality after implementation issues were resolved. Objective measurement of the outcomes of work redesign initiatives is imperative to assure appropriate adjustments and responses to caregiver concerns.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"128-35"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461633","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
Integration of evidence into practice and the change process: fall prevention program as a model. 证据与实践的整合与变革过程:以跌倒预防项目为例。
Outcomes management for nursing practice Pub Date : 1999-07-01
C B Stetler, B Corrigan, K Sander-Buscemi, M Burns
{"title":"Integration of evidence into practice and the change process: fall prevention program as a model.","authors":"C B Stetler,&nbsp;B Corrigan,&nbsp;K Sander-Buscemi,&nbsp;M Burns","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A Fall Prevention Program was initiated at an acute care academic medical center grounded on a dynamic evidence-based framework. Multiple sources of evidence were collected and integrated to engage clinical managers and staff in an evolving process designed to both reduce falls and enhance evidence-based thinking. Clinical practice now is based more frequently on evidence rather than ritual, unsystematic clinical experiences, or tradition. This article provides details on this replicable method of enhancing professional practice.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 3","pages":"102-11"},"PeriodicalIF":0.0,"publicationDate":"1999-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21461626","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
Linking outcomes management and practice improvement. Structured care methodologies: evolution and use in patient care delivery. 将成果管理与实践改进联系起来。结构化护理方法:在病人护理交付中的演变和使用。
Outcomes management for nursing practice Pub Date : 1999-04-01
L Cole, S Houston
{"title":"Linking outcomes management and practice improvement. Structured care methodologies: evolution and use in patient care delivery.","authors":"L Cole,&nbsp;S Houston","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Structured care methodologies are tools that provide a comprehensive approach to patient care delivery. These tools have evolved in their application and purpose over the years. In many situations, multiple tools are needed to obtain the best outcomes for a patient. The presence of a SCM does not preclude clinical judgment. On the contrary, the fundamental purpose of any SCM is to assist practitioners in implementing practice patterns associated with good clinical judgment, research-based interventions, and improved patient outcomes. These tools support smooth operation and appropriate use of resources, establish a means of patient management across the continuum of care, facilitate collaboration among disciplines, reflect patient outcomes, and provide outcomes data. Data from SCMs permit benchmarking, comparison of pre-implementation and post-implementation outcomes, development of action plans for quality enhancement, identification of high-risk patients, identification of issues and problems in the system that require interventions, and the development of research protocols and studies. Structured care methodology development and implementation can be challenging, rewarding, and at times frustrating. When used appropriately, these tools can have a major impact on the standardization of care and the achievement of desired outcomes. However, individual patient needs may supersede adherence to a tool. The challenge then becomes one of balancing the unique needs of each patient and appropriate use of SCMs. Change comes slowly, but persistence pays off.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 2","pages":"53-9; quiz 59-60"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21293705","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
Risk adjustment in nursing effectiveness research. 护理效果研究中的风险调整。
Outcomes management for nursing practice Pub Date : 1999-04-01
M L Maas, P Kerr
{"title":"Risk adjustment in nursing effectiveness research.","authors":"M L Maas,&nbsp;P Kerr","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":"3 2","pages":"50-2"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21293700","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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