ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The American Nurses Association (ANA) inaugurated Nursing's Safety and Quality Initiative in 1994. This multiphased initiative provides a framework for the application of the Nursing Care Report Card for Acute Care that aims to evaluate the nature and strength of the linkages between nursing care and nursing-sensitive quality indicators in the acute care setting. Arizona is one of six states participating in this investigation. This article describes the development of the Arizona Nurses' Association (AzNA) Nursing Report Card Project and associated model.

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

In today's capitation-based reimbursement environment, acute care staff nurses must coordinate patient care considering the full continuum of care. To do so effectively, staff nurses need tools to accurately predict patient needs, adjust service intensity accordingly, and evaluate the outcomes of the care provided. The design and implementation of a model to support acute care staff nurses in that effort is described. The model's implementation was evaluated, in part, using a ten-item pre- and post-implementation survey. The survey showed that staff nurses who participated in the final educational offering on the model increased significantly their reported use of aggregate data for planning care. To achieve the greatest impact, the model needs to evolve so that it is applied earlier in the care process than at initial hospitalization. Ideally, this should occur during a wellness visit or enrollment in a health plan.

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Four constructs used to build a framework for outcomes management for a large midwestern tertiary hospital are described in this article. A system framework outlining a model of clinical integration and population management based in Steven Shortell's work is discussed. This framework includes key definitions of high-risk patients, target groups, populations and community. Roles for each level of population management and how they were implemented in the health care system are described. A point of service framework centered on seven dimensions of care is the next construct applied on each nursing unit. The third construct outlines the framework for role development. Three roles for nursing were created to implement strategies for target groups that are strategic disease categories; two of those roles are described in depth. The philosophy of nursing practice is centered on caring and existential advocacy. The final construct is the modification of the Dartmouth model as a common framework for outcomes. System applications of the scorecard and lessons learned in the 2-year process of implementation are shared.

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This article outlines the evolution of a stroke program at one large midwestern tertiary care hospital. Implementation of unit-based care coordination, a standard order set, a clinical pathway, a nurse case manager, and ongoing multidisciplinary review were some of the strategies used to demonstrate improvement in outcome measures. Improvements were documented, including computed tomography (CT) scans being performed more quickly when patients arrived at the Emergency Department, decreased costs, decreased readmission rates, and reduced length of stay.

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Hypertension is a major health problem addressed by nurses in all settings. This article reviews long-term hypertension outcomes and asserts the need to use intermediate outcomes focusing on prevention and early detection to effect change in the prevalence of hypertension and its complications. The Nursing Classification Outcome of Risk Control is presented as a framework to evaluate the state of the science and to develop a research agenda related to hypertension "Risk Control."

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The market demand for major arthroplasty procedures is increasing. This descriptive comparative study was conducted to examine clinical and fiscal outcomes in total joint arthroplasty patients discharged either to home or to a subacute unit. The post-acute care setting was self-selected by patients after information was provided on both options. The Self-Administered Joint Rating Questionnaire served as the primary data collection tool. Age, health status, and living alone were significant factors in post-acute care site selection. Although there were no significant differences in clinical outcomes between the two groups, overall costs were substantially different. Opportunities to maintain outcome status, while reducing total costs, in the subacute group are discussed.

ISSN:1093-1783    

出版商:OVID    

年代:2000

数据来源: OVID