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:

Statistics in the field of outcomes research often use very large data sets. Before data collection, specific issues related to data storage, data collection, and data retrieval should receive careful consideration. New technologies have made the process more cost-effective, efficient, and under the direct control of the researcher.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

A continuous quality improvement in health care, combined with measurement of patient and organizational outcomes, is an international trend that promises improvement in meeting the needs of health care consumers in a cost-effective manner. A clinical improvement workshop was conducted in our institution to study the practical methods that can be used by clinical teams to improve the quality and value of health care. This workshop enabled the Epilepsy Team to identify change strategies that potentially could accelerate clinical improvement efforts in the epilepsy monitoring unit (EMU). The Team was able to develop, plan, and test improvements and link these improvements to patient outcomes.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Although unlicensed assistive personnel (UAP) have been a part of health care teams for decades, today's UAP are assisting in the care of more acutely ill clients who are being discharged after shorter hospital stays. This qualitative study examined nurses' narratives of patient outcomes after delegation of activities to UAP and identified the factors leading to the outcomes.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

In 1994, concerns about the effects of hospital restructuring on patient care resulted in the American Nurses Association (ANA) undertaking a major, long-term initiative. Nursing's Safety & Quality Initiative (the Initiative) was designed to measure the impact of such changes on patient care. The Initiative has three major foci: research, continuing education, and legislation/policy. This article addresses a recent development in the research component of the Initiative, involving the identification of nursing-sensitive indicators for community-based nonacute care.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

The Minimum Data Set (MDS) is a standardized assessment tool designed to provide a comprehensive biopsychosocial assessment of medical, behavioral, and cognitive status of nursing home residents. This pilot study examined the relationships of three MDS sub-scales—cognition, depressive symptoms, and behavioral disruptions—to other measures of the same domains (eg, diagnosed dementia and depression and caregiver ratings on the Revised Memory and Behavior Problems Checklist [RMBPC]). The sample consisted of 135 nursing home residents with a mean age of 84 years. Based on the MDS, there was a high prevalence of cognition-related behaviors but a low prevalence of disruptive and depressed behaviors. The prevalence rates were substantially different according to the RMBPC. In addition, most of the MDS sub-scales failed to differentiate between residents with and without diagnosed dementia and depression, whereas caregiver ratings on the RMBPC did. The MDS and RMBPC sub-scales were modestly related but only in residents without dementia. These findings raise questions about the validity of the MDS in measuring nursing home residents' behavior, especially depressive and disruptive behaviors. Thus, caution should be employed in using the MDS as a sole outcome measure for these behaviors, and the use of multiple measures is suggested.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

This article describes actual reported uses for patient acuity data that go beyond historical uses in determining staffing allocations. These expanded uses include managing patient care outcomes and health care costs. The article offers the patient care executive examples of how objective, valid, and reliable data are used to drive approaches to effectively influence decision making in an increasingly competitive health care environment.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID

摘要:

Pain sensation and distress in 38 intestinal surgical patients were moderate to severe on postoperative day I, ranging from 34 to 49 mm and 33 to 45 mm, respectively, on 100-mm scales. During ambulation, both increased from baseline to post-ambulation,P < 0.01. Half of the patients reported severe pain not relieved by analgesics, and although 44% learned a relaxation technique in the past, only 8% used one for pain after this surgery. Pain disturbed the sleep of 34% of the patients, and pain was related to respiratory, intestinal, febrile, and other complications in 18 (47%) subjects. Attentive analgesic use and nonpharmacologic therapies are recommended.

ISSN:1093-1783    

出版商:OVID    

年代:2001

数据来源: OVID