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Full-Text Articles in Medicine and Health Sciences
Survey Results. Who Helps You With Your Work?, M. Blegen, Diane Gardner, J. Mccloskey
Survey Results. Who Helps You With Your Work?, M. Blegen, Diane Gardner, J. Mccloskey
Diane Huber
No abstract provided.
The Diversity Of Case Management Models, Diane Huber
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.
Nursing Management Minimum Data Set (Nmmds), Diane Huber, L. Schumacher, C. Delaney
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.
Nursing Administration Model For Administrative Practice, Diane Gardner, K. Kelly, M. Johnson, J. Mccloskey, Meridean Maas
Nursing Administration Model For Administrative Practice, Diane Gardner, K. Kelly, M. Johnson, J. Mccloskey, Meridean Maas
Diane Huber
The winds of change have swept in a new era for nursing. Complex decisions can be aided by a conceptual model for nursing administration practice. The authors discuss how the Iowa Model of Nursing Administration can be used by nurse administrators to solve administrative problems. Two practical examples are described.
Acuity And Case Management: A Healthy Dose Of Outcomes, Part Iii, Diane Huber, K. Craig
Acuity And Case Management: A Healthy Dose Of Outcomes, Part Iii, Diane Huber, K. Craig
Diane Huber
PURPOSE OF STUDY: This is the third of a 3-part series presenting 2 effective applications--acuity and dosage--that describe how the business case for case management (CM) can be made. In Part I, dosage and acuity concepts were explained as client need-severity, CM intervention-intensity, and CM activity-dose prescribed by amount, frequency, duration, and breadth of activities. Concepts were presented that related the practice of CM to the use of evidence-based practice (EBP), knowledge, and methods and the development of instruments that measure and score pivotal CM actions. Part I also featured a specific exemplar, the CM Acuity Tool, and described how …
Outcomes Of An Adjunct Executive Appointment For Faculty, Diane Huber, J. Maske
Outcomes Of An Adjunct Executive Appointment For Faculty, Diane Huber, J. Maske
Diane Huber
The Council on Graduate Education for Administration in Nursing (CGEAN) was established to further develop and improve graduate education for administration in nursing. The Council seeks to identify the nature and direction of education for administration in nursing in various healthcare systems, providing guidelines for programs offering administration. A major goal of CGEAN is facilitating dialogue between nursing service administrators and graduate level educators who are engaged in teaching and research related to administration in nursing. This column, sponsored by the members of the Council, analyzes and responds to position statements and trends related to the delivery of health services …
Catastrophe And Nursing Turnover: Nonlinear Models, C. Wagner, Diane Huber
Catastrophe And Nursing Turnover: Nonlinear Models, C. Wagner, Diane Huber
Diane Huber
Creating a culture of retention is one antidote to high costs of nurse turnover. However, nurse turnover behavior has proven to be largely uncertain and unpredictable. A new approach to analyzing nurse turnover attitudes and behavior is discussed. A cusp catastrophe nonlinear model of nurse turnover is presented as having usefulness for the prediction of turnover for managerial decision making in nursing care delivery systems. Viewing nursing from the perspective of nonlinear dynamics can create new strategies for effective and efficient nursing services.
Dose Of Case Management Interventions, Diane Huber, J. Hall, T. Vaughn
Dose Of Case Management Interventions, Diane Huber, J. Hall, T. Vaughn
Diane Huber
Case management programs need to be evaluated for outcomes achievement and efficient use of resources. As a provider intervention, case management is interactional and situational. Little is known about how to measure the actual dose delivered in order to assess quality and manage outcomes. Case management is interdisciplinary, has identifiable dimensions, and serves as a practical example of conceptualizing and measuring the dosage of a provider's intervention. The basic elements of the dosage of an intervention are amount, frequency, duration, and breadth. A three-dimensional model illustrates dosage of case management.
Acuity And Case Management: A Healthy Dose Of Outcomes, Part Ii, K. Craig, Diane Huber
Acuity And Case Management: A Healthy Dose Of Outcomes, Part Ii, K. Craig, Diane Huber
Diane Huber
PURPOSE: This is the second of a 3-part series presenting 2 effective applications-acuity and dosage-that describe how the business case for case management (CM) can be made. In Part I, dosage and acuity concepts were explained as client need-severity, CM intervention-intensity, and CM activity-dose prescribed by amount, frequency, duration, and breadth of activities. Part I also featured a specific exemplar, the CM Acuity Tool, and described how to use acuity to identify and score the complexity of a CM case. Appropriate dosage prescription of CM activity was discussed. Part II further explains dosage and presents two acuity instruments, the Acuity …
Evaluating The Impact Of Case Management Dosage, Diane Huber, M. Sarrazin, T. Vaughn, J. Hall
Evaluating The Impact Of Case Management Dosage, Diane Huber, M. Sarrazin, T. Vaughn, J. Hall
Diane Huber
BACKGROUND: Because of the broad range of activities involved and high variance in clients' needs, it is challenging to measure the actual dose of case management in order to assess quality and manage outcomes. OBJECTIVE: The purpose of this research is to evaluate the impact of intervention dosage on client outcomes in different case management models within substance abuse treatment. METHOD: A descriptive and repeated measures analysis from a clinical trials data set measured the dosage of case management and evaluated impact on client outcomes. A sample of 598 clients from a substance abuse treatment facility was randomized into one …
Client Satisfaction With Rural Substance Abuse Case Management Services, T. Kopelman, Diane Huber, B. Kopelman, M. Sarrazin, J. Hall
Client Satisfaction With Rural Substance Abuse Case Management Services, T. Kopelman, Diane Huber, B. Kopelman, M. Sarrazin, J. Hall
Diane Huber
Although many substance abuse organizations offer case management services, little is known about clients' satisfaction as consumers of case management services. The purpose of this study was to evaluate consumer preferences regarding the delivery of case management services in a rural substance abuse treatment program. For this study, 120 clients (30 in each of four research conditions) were interviewed about their experiences in the Iowa Case Management Project (ICMP), a field-based clinical trial evaluating a strengths-based model of case management for rural clients in drug abuse treatment. A mixed-method approach evaluated clients' responses from a semistructured interview. Most clients preferred …