ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The purpose of this study was to examine the effects of an individual performance feedback intervention on nurses' adherence to pain management practice guidelines. Thirty orthopedic staff nurses received individual performance feedback on their past performance of three recommended pain management practices. Nurses' performance of the three recommended practices significantly improved over the 15 weeks after the feedback intervention. Missed 4-hour pain assessments declined (t= 8.77,df= 239,P< 0.0001), reassessments after analgesics increased (t= −5.71,df= 239,P< 0.0001), and follow-up taken for unacceptable pain increased (t= −3.08,df= 178,P< 0.01). Results suggest that individual performance feedback may be an effective approach to improving nurses' pain management intervention activities.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The purpose of this comparative study was to evaluate patient outcomes for wound healing and home health care service use for patients whose care was paid for by the traditional Medicare program versus a Medicare managed care organization (MCO). Results showed that there were no differences between the groups in wound healing at discharge, functional ability at discharge, or the numbers of home visits. Changes in the Medicare reimbursement system for home health care may have provided an equalizing effect between Medicare MCO and traditional Medicare patients with wound/skin diagnoses in home health care agencies in the Midwest.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Measurement of the outcomes associated with implementation of evidence-based practice changes is becoming increasingly emphasized by multiple health care disciplines. A final step to the process of implementing and sustaining evidence-supported practice changes is that of outcomes evaluation and monitoring. The comparison of outcomes to internal and external measures is known as benchmarking. This article discusses evidence-based practice, provides an overview of outcomes evaluation, and describes the process of benchmarking to improve practice. A case study is used to illustrate this concept.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The Community Health Nursing Outcomes Inventory (CHNOI) is a 48-item assessment instrument that measures client and nurse outcomes in community settings. The objective of this study was to test the psychometric properties and feasibility of the CHNOI. Results suggest that the CHNOI is an instrument that efficiently measures outcomes sensitive to nursing care in health services research. Managers and researchers may find this instrument useful to assess a community health program's effectiveness.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The devastating effects from cardiovascular disease are the largest contributors to employers' health care costs, insurance premiums, disability insurance, and worker's compensation. The purpose of this study was to establish baseline data regarding physiological outcomes comparing two participant groups in a corporate wellness program. Results suggest that a corporate wellness program can be beneficial in assisting employees to improve their health behaviors and outcomes.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

In recent years, there has been an increased focus on end-of-life decisions and the use of medical technology. It is not well documented in the literature whether or not and to what extent patients' advance directives are used for directing resuscitative efforts.The purpose of this study was to determine how useful patients' advance directives were to members of the health care team in determining treatment and end-of-life decisions among patients who received cardiopulmonary resuscitation (CPR) efforts. Medical records of 135 adult patients who had undergone CPR efforts within the previous year were reviewed to determine if and to what extent advance directives were useful in directing end-of-life care and treatment decisions. Only 35 of these patients had advance directives. Three categories for advance directives emerged: those that were "independently directive," those that were "vague and required further clarification," and those that were "nondirective." Information from this study may be used to clarify treatment options for end-of-life care and to determine if and what further interventions are required to ensure that advance directives can be executed as meaningful documents.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID