{"title":"Nursing's role in interdisciplinary accountability for patient outcomes.","authors":"M L Maas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Few disagree that health care is improved by effective interdisciplinary teamwork. Most nurses are anxious to collaborate with members of other disciplines in the delivery of cost-effective care. Unfortunately, some overly zealous and mistaken proponents of the interdisciplinary approach argue that a disciplinary focus is incongruous with interdisciplinary teamwork. Nurses must resist this notion, work to strengthen the discipline, and gain the tools needed to be visible and accountable. Nursing has an important role in interdisciplinary care, and interdisciplinary teams depend on nurses' contributions to be effective and accountable.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688798","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":"Collaborative practice teams: from multidisciplinary to interdisciplinary.","authors":"M L Warren, S Houston, R Luquire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The current competitive health care market includes consumers and payers who are demanding that providers demonstrate and validate the effectiveness of their interventions in promoting patient outcomes. Collaboration in the form of interdisciplinary teams is an effective mechanism for enhancing patient outcomes. The CPT acts as the vehicle for driving the outcomes management process. Seven skills used by CPT members enhance collaboration: clinical competence, credibility, consistency, assertiveness, structured meetings, valuing of time, and marketing of the CPT. Change is inevitable, and strategies for change will be useful in achieving the outcomes of carefully planned objectives and goals.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688799","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":"Implementing the Nursing Outcomes Classification in a practice setting.","authors":"M Johnson, M Maas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outcomes management has received increased attention in the current health care environment, but nursing participation has been limited due to the lack of standardized data about the effects of nursing practice. The Nursing Outcomes Classification (NOC) provides a standardized language that can be used to measure the effects of nursing practice on patient outcomes. An overview of the classification and implementation methods is provided.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688801","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 performance measures go public.","authors":"P L Spath","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Over 100 years ago, Florence Nightingale showed caregivers how to analyze mortality data to improve their clinical processes. The nurses of today are facing a new performance measurement challenge. Consumers of health care services want information that will help them compare quality among providers. This article describes the types of nursing performance measures most appropriate to include on these public-oriented report cards and several issues that influence report card design and dissemination.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20687983","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":"The Outcomes Research in Nursing Administration Project: methodological issues in implementation.","authors":"B A Mark, J Salyer, N Geddes, C Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the Outcomes Research in Nursing Administration (ORNA) project--a longitudinal, multisite study investigating the interrelationships of various hospital-level and nursing-unit-level characteristics, nursing unit organizational structure, and administrative and patient outcomes. A variety of methodological challenges were encountered in the actual conduct of the project in relation to the design, sampling plan, management of attrition, and data collection. The article describes these challenges and how they were successfully resolved.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20687978","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":"Impact of risk classification on nursing resource utilization, postoperative length of stay, and hospital costs for cardiac surgical patients.","authors":"K H Miller, C G Grindel, C A Patsdaughter","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Outcomes after cardiac surgery are a concern for patients, health care providers, and insurers. Because of the current economic climate, there is a demand for positive outcomes and an evaluation of negative results. The results of this study showed significant differences in nursing resource utilization, postoperative length of stay, and hospital costs by risk classification group. Risk classification models could serve as a template for staffing patterns and reimbursement based on patients' clinical profiles.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20687980","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}
M A Rankin, M P Donahue, K Davis, J K Katseres, J A Wedig, M Johnson, M Maas
{"title":"Dignified dying as a nursing outcome.","authors":"M A Rankin, M P Donahue, K Davis, J K Katseres, J A Wedig, M Johnson, M Maas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The goal for humanistic end-of-life care is to maintain quality of life and personal dignity. The nursing outcome called \"dignified dying\" is defined as maintaining personal control and comfort with the approaching end of life and lists indicators for measuring this. These criteria enable nurses to measure the effectiveness of their nursing interventions, monitor patient progress over time, and summarize research data. This article describes the development of this outcome and illustrates its use with a case study.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20688661","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":"Structure and process constraints on nursing accountability.","authors":"M L Maas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20504994","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":"Questions to ask: implementing a system for clinical pathway variance analysis.","authors":"S W Brown, L S Nameth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although it is agreed that there is a need for clinical pathway variance analysis, methods for creating a system are less well defined. To help others down this path, we have developed a list of questions around four core issues: data collection, data entry and analysis, data reporting, and organizational support. Our goal is to identify key questions related to variance management and provide a framework for clinical pathway variance analysis.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20505000","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":"Heart failure collaborative care: an integrated partnership to manage quality and outcomes.","authors":"L D Urden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heart failure is a prevalent chronic condition with increasingly high rates of mortality and morbidity, frequent exacerbations, and multiple hospitalizations. The financial impact of this disease is staggering, with more than $10 billion spent annually. This article describes a heart failure service that provides five essential components of integrated care management for heart failure patients across the continuum. The program may serve as a model to others in developing programs to meet the unique needs of heart failure patients and patients with chronic diseases.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20503534","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}