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Outcomes management for nursing practice最新文献

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Patient outcomes studies: call for action. 患者结果研究:呼吁采取行动。
Outcomes management for nursing practice Pub Date : 1998-01-01
M Oermann, D Huber
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引用次数: 0
Costs of interdisciplinary practice in a school-based health center. 校本卫生中心跨学科实践的成本。
Outcomes management for nursing practice Pub Date : 1998-01-01
P H Walker, J J Baker, P Chiverton
{"title":"Costs of interdisciplinary practice in a school-based health center.","authors":"P H Walker,&nbsp;J J Baker,&nbsp;P Chiverton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the context of market-driven health care reform, interest in cost and quality outcomes has increased. Quality, as defined by Donabedian, includes assessment of structure, process, and outcomes. However, the definition of quality in health care must be expanded to include the expectations and opinions of patients, their representatives, and society. The purpose of this article is to examine the outcome variable of costs in a specific nursing practice setting. Cost is frequently defined as the judicious use of resources consumed by structures and processes of care. This article presents activity-based costing methodology and results of a cost study of primary care and mental health services provided by advanced practice nurses (APNs) in a school-based health center. The application of the methods and outcomes of this pilot study has significant implications for the delivery of health care by APNs in a variety of settings, including community nursing centers, freestanding birthing centers, and rural and urban neighborhood centers. Because much of the health care delivered by APNs in these community-based settings includes health promotion, screening, counseling, and anticipatory guidance, it is important to explore methods such as activity-based costing to identify actual costs of care (versus charges) in emerging community-based practices where primary care is delivered by APNs.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20394943","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 a variance reporting system to facilitate quality improvement. 开发差异报告系统以促进质量改进。
Outcomes management for nursing practice Pub Date : 1998-01-01
S W Brown, L S Nemeth
{"title":"Developing a variance reporting system to facilitate quality improvement.","authors":"S W Brown,&nbsp;L S Nemeth","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A major challenge of clinical pathway programs is measurement of elements of patient care that affect health outcomes and applying this knowledge to institute systematic improvement. Development of a variance reporting system requires planning, teamwork, and an understanding of the underlying quality process. This article describes a sample approach for using data as part of a comprehensive strategy to reach quality and fiscal goals.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20394945","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
Patient care report cards: an analysis. 病人护理报告卡:分析。
Outcomes management for nursing practice Pub Date : 1998-01-01
K A Badger
{"title":"Patient care report cards: an analysis.","authors":"K A Badger","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the competitive health care market of the 1990s, health care institutions face a significant number of fiscal challenges that threaten their survival. As part of the survival process, institutions must demonstrate--to the public and to regulatory agencies--that they are measuring the effect of their care structures and processes. Institutions must be willing to share these measurements with the public as well as to use them internally to identify performance problems and document the impact of process improvements or other changes. The report card is a simple, easily understood method for reporting quality data and comparing varying aspects of patient care processes and outcomes. However, as measurements, report cards are not robust enough to serve as the sole source of quality-related data, and interinstitutional comparisons may be misleading. This article explores the new phenomenon known as patient care report cards and discusses their usage in quality measurement and improvement.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20395767","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
Effectiveness of a pneumonia clinical pathway: quality and financial outcomes. 肺炎临床途径的有效性:质量和财务结果。
Outcomes management for nursing practice Pub Date : 1998-01-01
K F Phillips, H C Crain
{"title":"Effectiveness of a pneumonia clinical pathway: quality and financial outcomes.","authors":"K F Phillips,&nbsp;H C Crain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In today's health care environment, it is imperative to evaluate planned changes within a health care system. We report the outcomes of a study on the effectiveness of a pneumonia clinical pathway. Important elements of effectiveness studies are discussed and used in presenting study findings. These findings are a preliminary demonstration that clinical pathways can improve patient and process outcomes. Their relation to financial outcomes is less clear.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20394947","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
Outcomes management: getting started. 结果管理:开始。
Outcomes management for nursing practice Pub Date : 1997-10-01
R Luquire, S Houston
{"title":"Outcomes management: getting started.","authors":"R Luquire,&nbsp;S Houston","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20359936","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
Report cards: tools for managing pathways and outcomes. 成绩单:管理途径和结果的工具。
Outcomes management for nursing practice Pub Date : 1997-10-01
J Schriefer, L D Urden, S Rogers
{"title":"Report cards: tools for managing pathways and outcomes.","authors":"J Schriefer,&nbsp;L D Urden,&nbsp;S Rogers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An overriding concern of many health care providers is how to maintain quality in such a turbulent, cost-driven environment. It is essential for health care providers to determine the effectiveness of their care and to institute changes in practice to affect patient outcomes in a positive fashion. Determining the appropriate outcomes to measure and formatting the report in an easy-to-read manner with meaningful information is important for presentation to a variety of audiences. We describe a report card methodology for disseminating outcome information that can easily be adapted in other settings.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358679","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
Patient care outcomes: a league of their own. 病人护理结果:自成一派。
Outcomes management for nursing practice Pub Date : 1997-10-01
D L Flarey
{"title":"Patient care outcomes: a league of their own.","authors":"D L Flarey","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Managed care has ushered in a whole new way of providing patient care. This era of health care delivery is heavily focused on the attainment of defined outcomes. While many types of outcome indicators exist, the types gaining in importance are related to patient care. This article examines the concept of patient outcomes and relates them to an actual example of one condition and related medical and nursing diagnoses. The importance of measurements in the overall care delivery process and the documentation of discharge outcomes are also discussed. A methodology for outcomes measurement determination is featured.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358687","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
Measuring the effectiveness of nursing care. 衡量护理的有效性。
Outcomes management for nursing practice Pub Date : 1997-10-01
K D Marek
{"title":"Measuring the effectiveness of nursing care.","authors":"K D Marek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Identification and measurement of the outcomes of nursing care have received great attention in the past decade. With advances in information technology, large clinical data bases are being developed for use in outcomes evaluation. It is important that nurses be thoughtful in designing the data elements that will be included in these data bases. Key data elements include nursing diagnoses, interventions, and nursing sensitive outcomes. Multiple variables influence the outcome of health care. It is important in evaluation that system, patient, and provider characteristics be considered, especially when developing benchmarks for comparison of outcome achievement. Data related to the process of care are needed beyond provider encounter, and nurses must be cautious that the care they give is not credited to other providers. Longitudinal clinical data bases that contain key variables related to the delivery of nursing care can yield valuable knowledge on the best methods to measure and interpret the contribution of nursing care to the health of the nation.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20359937","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
Patient satisfaction with nursing care in hospitals. 患者对医院护理的满意度。
Outcomes management for nursing practice Pub Date : 1997-10-01
A K Jacox, B R Bausell, D M Mahrenholz
{"title":"Patient satisfaction with nursing care in hospitals.","authors":"A K Jacox,&nbsp;B R Bausell,&nbsp;D M Mahrenholz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Patient satisfaction has become one measure of quality of nursing care. This article reports on two preliminary studies and one major study of the Patient Satisfaction with Nursing Care Questionnaire. This questionnaire includes four general questions related to the patient's satisfaction with the overall stay in the hospital, food provided, and medical and nursing care received and 15 items that measure satisfaction with three dimensions of nursing care: caring about patients (interpersonal), technical skills, and patient education.</p>","PeriodicalId":79526,"journal":{"name":"Outcomes management for nursing practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20358680","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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