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Full-Text Articles in Medicine and Health Sciences

Nursing Management Innovations: A Need For Systematic Evaluation, J. C. Mccloskey, M. Mass, Carol Watson, C. Gongaware, Diane Huber, M. Blegen, M. Johnson, A. Kasparek, C. Delaney, K. Kelly Nov 2011

Nursing Management Innovations: A Need For Systematic Evaluation, J. C. Mccloskey, M. Mass, Carol Watson, C. Gongaware, Diane Huber, M. Blegen, M. Johnson, A. Kasparek, C. Delaney, K. Kelly

Diane Huber

While emphasis in nursing is placed on research on clinical interventions, there has been little attention to the equally important management interventions. The concept of a management intervention or innovation is introduced here and five types of management innovations in nursing are identified. An overview of the research base for four of the innovations demonstrates the need for systematic evaluation.


Assessing Postpartum Fatigue, Diane Gardner, B. Campbell Nov 2011

Assessing Postpartum Fatigue, Diane Gardner, B. Campbell

Diane Huber

No abstract provided.


The Ccmc's National Study Of Case Manager Job Descriptions: An Understanding Of The Activities, Role Relationships, Knowledges, Skills, And Abilities, H. Tahan, Diane Huber Nov 2011

The Ccmc's National Study Of Case Manager Job Descriptions: An Understanding Of The Activities, Role Relationships, Knowledges, Skills, And Abilities, H. Tahan, Diane Huber

Diane Huber

Defining the roles and functions of case managers is crucial in today's healthcare environment and necessary for the case management field. One way to address this issue is through the examination of case managers' job descriptions used in various healthcare organizations. The study reported herein used qualitative analysis procedures and the latent class cluster analysis method to examine a national sample of 1028 job descriptions of case managers. The study identified the activities, role relationships, knowledge, skills, and abilities of case managers working in varied settings. It also described the changes that occurred in the practice of case management, based …


Case Managers' Roles And Functions: Commission For Case Manager Certification's 2004 Research, Part Ii, H. Tahan, W. Downey, Diane Huber Nov 2011

Case Managers' Roles And Functions: Commission For Case Manager Certification's 2004 Research, Part Ii, H. Tahan, W. Downey, Diane Huber

Diane Huber

The Commission for Case Manager Certification (CCMC) conducted its third case managers' role and functions study in 2004 for the purpose of validating the currency and relevancy of the certified case manager examination. The results of this study are shared in an article of 2 parts. Part I, which was published in the previous issue of this journal, discussed the process the CCMC used for the development of the Case Managers' Role and Functions Survey Instrument and the identification of new 6 essential functions and 6 knowledge areas that describe case management practice. These findings were based on the survey …


Ajn Survey: Who Helps You With Your Work?, J. Mccloskey, M. Blegen, Diane Gardner Nov 2011

Ajn Survey: Who Helps You With Your Work?, J. Mccloskey, M. Blegen, Diane Gardner

Diane Huber

No abstract provided.


Future Nursing Administration Graduate Curricula, Part I: Call To Action, K. Harris, Diane Huber, R. Jones, M. Manojlovich, C. Reineck Nov 2011

Future Nursing Administration Graduate Curricula, Part I: Call To Action, K. Harris, Diane Huber, R. Jones, M. Manojlovich, C. Reineck

Diane Huber

No abstract provided.


Managing Forces Of Change: Commission For Case Manager Certification Looks To The Future, Diane Huber, H. Tahan Nov 2011

Managing Forces Of Change: Commission For Case Manager Certification Looks To The Future, Diane Huber, H. Tahan

Diane Huber

No abstract provided.


Conflict And Retention Of New Graduate Nurses, Diane Gardner Nov 2011

Conflict And Retention Of New Graduate Nurses, Diane Gardner

Diane Huber

No abstract provided.


Testing Nurse Activity Dose, Diane Huber Nov 2011

Testing Nurse Activity Dose, Diane Huber

Diane Huber

No abstract provided.


A Nursing Management Minimum Data Set. Significance And Development, Diane Huber, C. Delaney, J. Crossley, M. Mehmert, S. Ellerbe Nov 2011

A Nursing Management Minimum Data Set. Significance And Development, Diane Huber, C. Delaney, J. Crossley, M. Mehmert, S. Ellerbe

Diane Huber

Building on Werley's nursing minimum data set, the authors identified a nursing management minimum data set (NMMDS). This collection of core data elements is needed by nurse administrators to make management decisions and compare effectiveness across institutions.


Survey Results. Who Helps You With Your Work?, M. Blegen, Diane Gardner, J. Mccloskey Nov 2011

Survey Results. Who Helps You With Your Work?, M. Blegen, Diane Gardner, J. Mccloskey

Diane Huber

No abstract provided.


Acuity And Case Management: A Healthy Dose Of Outcomes, Part I, Diane Huber, K. Craig Nov 2011

Acuity And Case Management: A Healthy Dose Of Outcomes, Part I, Diane Huber, K. Craig

Diane Huber

PURPOSE OF STUDY: This article presents acuity and dosage as two concepts that describe how the business case for case management (CM) can be made. Dosage and acuity concepts are explained as client need-severity, CM intervention-intensity, and CM activity-dose by amount, duration, extent, and timing. Concepts are related to the practice of CM using evidence-based knowledge and methods to develop instruments that measure and score pivotal CM actions. The purpose of this series of three articles is to introduce the two concepts of dosage and acuity, discuss their importance for making the business case for CM and for translation into …


Assessing Career Commitment. The Role Of Staff Development, Diane Gardner Nov 2011

Assessing Career Commitment. The Role Of Staff Development, Diane Gardner

Diane Huber

Staff development and inservice educators may be called on to respond to their organizations' need to recruit and retain nurses. One important role is to promote professional commitment and loyalty. This article describes the Gardner Career Commitment Scale as a tool for use in human resources management and decision making to assess career commitment.


Balanced Scorecards For Performance Management, E. Park, Diane Huber Nov 2011

Balanced Scorecards For Performance Management, E. Park, Diane Huber

Diane Huber

Nurse administrators who manage nursing case management programs are challenged to demonstrate the improved quality of patient care and financial outcomes to their organization that result from such programs. This article introduces the balanced scorecard and discusses its benefits and practical concerns for adopting the scorecard. The balanced scorecard is a useful performance management tool used to both evaluate and direct case management performance in meeting organizational missions and strategies.


The Diversity Of Case Management Models, Diane Huber Nov 2011

The Diversity Of Case Management Models, Diane Huber

Diane Huber

Case management is experiencing rapid growth and evolutionary transition. This article explores the diversity and richness of case management models found in practice. Interdisciplinary communication in case management programs can be facilitated by an awareness of discipline-specific definitions and models. A categorization of models is described as a device to stimulate multidisciplinary case management collaboration.


Impact Of Iowa Case Management On Family Functioning For Substance Abuse Treatment Clients, M. Sarrazin, Diane Huber, J. Hall Nov 2011

Impact Of Iowa Case Management On Family Functioning For Substance Abuse Treatment Clients, M. Sarrazin, Diane Huber, J. Hall

Diane Huber

No abstract provided.


Career Commitment In Nursing, Diane Gardner Nov 2011

Career Commitment In Nursing, Diane Gardner

Diane Huber

There are different patterns and styles to careers in nursing. The concept of career commitment in nursing is explored, and the results of some research are discussed for their implications for nursing careers. A longitudinal, repeated-measures descriptive survey was used to measure career commitment and explore its relationship to turnover and work performance in 320 newly employed registered nurses at one hospital. Career commitment scores dropped significantly over the first year. Although career commitment does correlate with turnover, and there is a relationship with job performance, the direct association is weak. Career commitment is not a stable phenomenon in the …


Fatigue In Postpartum Women, Diane Gardner Nov 2011

Fatigue In Postpartum Women, Diane Gardner

Diane Huber

Childbirth and the responsibilities of parenting after birth require a great deal of energy. Fatigue in postpartum women is a concern for maternal-child nurses because of the impact on the health and parenting ability of the mother. To determine fatigue levels and types, 35 women who vaginally delivered were surveyed at 2 days, 2 weeks, and 6 weeks postpartum. This sample was found to be mildly fatigued, with situational and/or psychological fatigue. Nurses can intervene by assessing postpartum fatigue and using teaching/counseling methods for knowledge preparation and for clients at risk.


Achieving "Meaningful Use" Of Electronic Health Records Through The Integration Of The Nursing Management Minimum Data Set, B. Westra, A. Subramanian, C. Hart, S. Matney, P. Wilson, S. Huff, Diane Huber, C. Delaney Nov 2011

Achieving "Meaningful Use" Of Electronic Health Records Through The Integration Of The Nursing Management Minimum Data Set, B. Westra, A. Subramanian, C. Hart, S. Matney, P. Wilson, S. Huff, Diane Huber, C. Delaney

Diane Huber

OBJECTIVE: To update the definitions and measures for the Nursing Management Minimum Data Set (NMMDS). BACKGROUND: Meaningful use of electronic health records includes reuse of the data for quality improvement. Nursing management data are essential to explain variances in outcomes. The NMMDS is a research-based minimum set of essential standardized management data useful to support nursing management and administrative decisions for quality improvement. METHODS: The NMMDS data elements, definitions, and measures were updated and normalized to current national standards and mapped to LOINC (Logical Observation Identifier Names and Codes), a federally recognized standardized data set for public dissemination. RESULTS: The …


Hospital Extra. Understanding The Sources Of Stress For Nurses, Diane Huber Nov 2011

Hospital Extra. Understanding The Sources Of Stress For Nurses, Diane Huber

Diane Huber

Can knowing the sources of our professional stress lead to significant health care reforms?


Measures Of Quality, Diane Gardner Nov 2011

Measures Of Quality, Diane Gardner

Diane Huber

No abstract provided.


Nursing Management Minimum Data Set (Nmmds), Diane Huber, L. Schumacher, C. Delaney Nov 2011

Nursing Management Minimum Data Set (Nmmds), Diane Huber, L. Schumacher, C. Delaney

Diane Huber

The Nursing Management Minimum Data Set (NMMDS) is the research-based management data set that meets the nurse executives need for a specific nursing management data capture system that will produce accurate, reliable, and useful data for decision making. The authors update the development of the NMMDS and discuss the 17 NMMDS across-settings elements. Also discussed are the applications of the NMMDS to clinical practice and some ways in which the NMMDS can benefit both nurses and patient/client care.


Integrating The Nursing Management Minimum Data Set Into The Logical Observation Identifier Names And Codes System, A. Subramanian, B. Westra, S. Matney, P. Wilson, C. Delaney, S. Huff, Diane Huber Nov 2011

Integrating The Nursing Management Minimum Data Set Into The Logical Observation Identifier Names And Codes System, A. Subramanian, B. Westra, S. Matney, P. Wilson, C. Delaney, S. Huff, Diane Huber

Diane Huber

This poster describes the process used to integrate the Nursing Management Minimum Data Set (NMMDS), an instrument to measure the nursing context of care, into the Logical Observation Identifier Names and Codes (LOINC) system to facilitate contextualization of quality measures. Integration of the first three of 18 elements resulted in 48 new codes including five panels. The LOINC Clinical Committee has approved the presented mapping for their next release.


Patient Outcomes: A Measure Of Nursing's Value, M. Oermann, Diane Huber Nov 2011

Patient Outcomes: A Measure Of Nursing's Value, M. Oermann, Diane Huber

Diane Huber

As nurses, we know that our patients benefit from the care we provide. But can we verify our effectiveness?


The Nursing Management Minimum Data Set, Diane Huber, C. Delaney Nov 2011

The Nursing Management Minimum Data Set, Diane Huber, C. Delaney

Diane Huber

No abstract provided.


Comprehensive Case Management For Substance Abuse Clients Who Have Mood Or Anxiety Disorders, J. Hall, M. Vaughan-Sarrazin, A. Reedy, Diane Huber Nov 2011

Comprehensive Case Management For Substance Abuse Clients Who Have Mood Or Anxiety Disorders, J. Hall, M. Vaughan-Sarrazin, A. Reedy, Diane Huber

Diane Huber

No abstract provided.


Iowa Case Management For Rural Drug Abuse, J. Hall, Msv Sarrazin, Diane Huber, T. Vaughn, R. Block, A. Reedy, M. Jang Nov 2011

Iowa Case Management For Rural Drug Abuse, J. Hall, Msv Sarrazin, Diane Huber, T. Vaughn, R. Block, A. Reedy, M. Jang

Diane Huber

Objective: The purpose of this research was to evaluate the effectiveness of a comprehensive, strengths-based model of case management for clients in drug abuse treatment. Method: 503 volunteers from residential or intensive outpatient treatment were randomly assigned to one of three conditions of Iowa Case Management (ICM) plus treatment as usual (TAU), or to a fourth condition of TAU only. All were assessed at intake and followed at 3, 6, and 12 months. Results: Clients in all four conditions significantly decreased substance use by 3 months after intake and maintained most gains over time. However, the addition of ICM to …


Patient Preferences And Discharge Planning Transitions, Diane Huber, E. Mcclelland Nov 2011

Patient Preferences And Discharge Planning Transitions, Diane Huber, E. Mcclelland

Diane Huber

Discharge planning is an urgently needed nursing intervention. The purpose of this article is to investigate the importance of patient and family preferences and participation for discharge planning and to describe the pilot testing of an instrument to measure patient preferences for discharge planning. The results identified a lack of congruence between patients' and caregivers' preferences, suggesting the need to assess both patients' and families' preferences early and incorporate this in discharge planning that begins at admission to a hospital. The instrument, Patient Participation Preferences Assessment (PPPA), is shown to be a useful, reliable, and valid instrument that can be …


Lurking Beneath The Surface, M. Owen, Diane Huber Nov 2011

Lurking Beneath The Surface, M. Owen, Diane Huber

Diane Huber

No abstract provided.


Creating A Resource Database For Nursing Service Administration, J. Clougherty, J. Mccloskey, M. Johnson, M. Casula, Diane Gardner, K. Kelly, Meridean Maas, C. Delaney, M. Blegen Nov 2011

Creating A Resource Database For Nursing Service Administration, J. Clougherty, J. Mccloskey, M. Johnson, M. Casula, Diane Gardner, K. Kelly, Meridean Maas, C. Delaney, M. Blegen

Diane Huber

In response to the current information explosion in nursing service administration (NSA), the authors felt a need to collect and organize available resources for use by their faculty and graduate students. An electronic database was developed to facilitate the use of the collected print and software resources. This article describes the creation of the NSA Resource Database from the time the need for it was realized to its completion. There is discussion regarding the criteria used for writing the database, what the database screens look like and why and what the database contains. The article also discusses the use and …