ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

This article describes a study conducted on the internal medicine, general surgical, and vascular wards of a large metropolitan hospital to assess the impact of a networked monitoring system and portable patient monitors. This pilot study was developed to address the need of hospital patients who require continuous noninvasive vital signs monitoring (including heart rate, noninvasive blood pressure, pulse oximetry, cardiac waveform monitoring) with the addition of surveillance from a cardiac intensive care area. Data were collected from 114 patients over a 3-month period to identify a patient group that could be managed appropriately under the new system and to determine the effect that flexible monitoring had on patient care management. Findings include identification of a specific patient group that can be managed successfully outside the cardiac intensive care area using this system. Other findings suggest a way to improve the management of patient monitoring in the general ward areas.

ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Using a mediation process model provides an opportunity for patients to negotiate their healthcare delivery in a system that offers an array of clinical services and imposes payer constraints. Facilitated care plans are tools that afford patients the right to informed decisions, to act as their own primary caregiver, and to recognize their roles as pivotal stakeholders in the management of chronic illness. Many case managers use family meetings to discuss treatment plans; however, these meetings are often informal and unstructured and do not achieve the level of patient participation obtained by using the mediation process model. This article explores the role of mediation in patient care and explains how case managers can facilitate a mediation process model.

ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

In an increasingly competitive market, hospitals have an interest in achieving high satisfaction among obstetrical patients since women are the main family healthcare decision makers. Increasingly, the role of nurse clinicians, coordinators, and managers is to integrate quality care while achieving client satisfaction. This report describes findings from a pilot study of nursing care coordination and education that relate pregnant women's social and demographic characteristics to satisfaction with hospital and nursing services after childbirth. Most important for satisfaction were being well educated and having a less anxious mood at 29 to 34 weeks' gestation. Also important were age (being older), marital status (being married), large friendship networks, and strong community ties. Satisfaction is highly related to communication. The less educated, those experiencing more anxious mood prior to delivery, and those feeling less connected to others may require more information and emotional support in order to facilitate accurate communication and high patient satisfaction.

ISSN:1084-3647    

出版商:OVID    

年代:2000

数据来源: OVID