ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

The Wound Care Clinic at Naval Hospital Charleston Is a nurse-managed ambulatory clinic that has demonstrated the successful application of nursing case management in caring for patients with chronic and complex wounds. Nursing case management is an outcomes-based system of assessment, planning, provision of nursing services, coordination of interdisciplinary efforts, education, and referral. Nursing case management has been shown, in the literature and at Naval Hospital Charleston, to be an extension of the role of professional nursing practice and results in decreased costs, improved quality of care, faster wound healing times, decreased complications, and greater coordination of care between specialty disciplines. These positive results are illustrated in several case studies. Nursing case management has many implications for the successful Implementation of any healthcare delivery system where decreased costs and Improved quality of care are valued, and It has special benefit in the complex management of chronically III patients.

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Quality of healthcare is measurable and nurses in all settings are increasingly being expected to actively participate in identifying and measuring patient outcomes. To do so requires an understanding of the tools and processes currently being used to measure the quality of healthcare in this country. This article provides an overview of current efforts in the healthcare field to develop a shared outcome language and standardized national quality indicators. The challenges professional nurses face in Identifying and measuring nursing-sensitive patient outcomes and the responsibility to use that data to shape nursing practice are emphasized.

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

This Is a personal experience in case management The current surge of case management programs across the country has made a significant Impact on the lives of many patients. But, does anyone ask, “What is the impact on those who are case managing?”As we share the struggles, griefs, and pains of our patients, we should never lose sight of the fact that who we are and what we did made a difference.

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

Nursing opportunities have expanded beyond the traditional bedside role. Nurses serve in a variety of roles such as administrators, teachers, or primary care givers in a variety of settings. The role of primary care giver is a more recent role; It involves relatively independent nursing practice with clients who have acute or chronic illnesses. Client groups may include the elderly in high rise buildings, mothers and children at schools, or homeless and low-income populations at homeless shelters. This care Is often provided in a nursing center. Nursing centers are nurse-managed centers in which nurses are accountable and responsible for care of clients; they are the primary provider of care and the one most seen by clients.Case managers may be in a position to refer patients to nursing centers or to work directly with nurse practitioners in nursing centers. However, questions about the primary care provided in nursing centers must be addressed for healthcare providers, insurance companies, and patients to be confident in the efficacy of this delivery system.Is the primary care comprehensive? Is it of high quality? Is it cost effective? Is it satisfactory to clients? These and other questions about the primary care provided in nursing centers must be answered to effect political and other changes needed to fulfill the role of nursing centers envisioned by early leaders of the movement. This article addresses questions related to the efficacy of primary care provided in nursing centers by family nurse practitioners. After defining efficacy, the discussion focuses on the components identified and studied in one nursing center and includes information on opportunities for case managers to utilize nursing centers for referral and appropriate follow-up of their patients.

ISSN:1084-3647    

出版商:OVID    

年代:1999

数据来源: OVID