{"title":"Effects of the acute care nurse practitioner role on epilepsy monitoring outcomes.","authors":"S Sarkissian, R Wennberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study demonstrated the effectiveness of the implementation of the Acute Care Nurse Practitioner (ACNP) role in the management of patients with seizure disorders in an Epilepsy Monitoring Unit. Findings indicated that the ACNP, functioning in an expanded role in the epilepsy program, can make a substantial contribution to organizational outcomes. This is achieved through patient satisfaction and reduction in the number of laboratory tests performed, hospital length of stay, and overall costs.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718526","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":"Methodological considerations with secondary analyses.","authors":"C D Pollack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of secondary data sets has begun to receive increased attention in nursing research. Shrinking grant dollars, continuing pressure to produce replicable generalizable research results, and a growing interest in outcomes management and research have all contributed to an interest in examining how data may be used for multiple purposes. Secondary data analysis may offer the practitioner and researcher ready access to large data sets with multiple variables; yet, there are potentially significant methodological concerns that should be well understood and managed in the initial query design. Considered here will be some of the issues regarding the reliability and validity of large data sets used for secondary analysis, including a discussion on maintaining the integrity of those files as they are moved, merged, and transformed. Finally, methods for managing missing data are reviewed.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718521","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":"Agitation as a nursing-sensitive patient outcome in the neurologic patient population.","authors":"V Gordon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Clinically, nursing has long recognized agitation as a significant patient problem. The adverse effects of agitation are well documented and include increased morbidity and mortality, patient self-injury, increased nursing resources, and increased length of stay. Agitation, however, can be influenced by the nursing care given, and alterations in levels of agitation can provide a measure for the effectiveness of nursing care to reduce agitation and prevent associated complications. This article presents a definition of agitation as a nursing-sensitive patient outcome in the neurologically impaired patient population. The author describes nursing interventions to prevent or reduce agitation, examines current tools to measure agitation, and offers recommendations for further research.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21718523","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":"Outcomes management for patients with asthma.","authors":"L A LaRocco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Given the recent rise in the occurrence of asthma, measuring health care outcomes is important. Such measurements can furnish health care providers with the knowledge necessary to offer their patients the most appropriate interventions for managing their illness. This article examines clinical and functional outcomes of asthma and their measurement.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21719818","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":"Defining outcome statements for high-risk psychosocial patients.","authors":"K S Klingbeil, L S Nemeth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"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}
{"title":"Developing an infrastructure for coordinated care.","authors":"L S Nemeth, J M Spisso","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"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}
{"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":null,"pages":null},"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}
{"title":"Nursing outcome indicator: preventing falls for elderly people.","authors":"J Bezon, K H Echevarria, 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":null,"pages":null},"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}