ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

With changes in health care, it has become clear that nurses need data to establish evidence for their decisions and interventions. Evidence-based practice involves the use of the best evidence available for making clinical decisions about patient care. The identification of the knowledge base for nursing practice contributes to achieving patient outcomes and making nursing practice credible.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

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.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

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.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

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.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

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.

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:1999

数据来源: OVID