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Articles 31 - 60 of 65
Full-Text Articles in Medicine and Health Sciences
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.
Iowa Case Management: Innovative Social Casework, J. Hall, C. Carswell, E. Walsh, Diane Huber, J. Jampoler
Iowa Case Management: Innovative Social Casework, J. Hall, C. Carswell, E. Walsh, Diane Huber, J. Jampoler
Diane Huber
This article describes the development of an innovative approach to case management for rural clients in drug abuse treatment. This innovative approach is discussed in the context of the broader field of case management-including social casework, public health, nursing, modern case management, and managed care. Because case management has been defined in many different ways, making comparisons of programs and models is difficult. The article presents an expanded set of criteria for comparing case management models. The Iowa Case Management model is compared with these other models across several dimensions. This article also describes the philosophy and goals of the …
The Iowa Model: A Proposed Model For Nursing Administration, M. Johnson, Diane Gardner, K. Kelly, Meridean Maas, J. Mccloskey
The Iowa Model: A Proposed Model For Nursing Administration, M. Johnson, Diane Gardner, K. Kelly, Meridean Maas, J. Mccloskey
Diane Huber
The purpose of the Iowa Model is to serve both as a heuristic device and as a framework for articulating knowledge for nursing administration research, practice, and education. The model delineates two domains of knowledge (systems and outcomes), each with three levels (patient aggregates, the organization, and the health care system). Concepts useful for knowledge development are identified for each level. Practice, research, and curricular applications of the model are made.
Nursing Management Data For Nursing Information Systems, Diane Huber, C. Delaney
Nursing Management Data For Nursing Information Systems, Diane Huber, C. Delaney
Diane Huber
No abstract provided.
A "Marshall Plan" For Employers, Diane Huber, M. Owen
A "Marshall Plan" For Employers, Diane Huber, M. Owen
Diane Huber
No abstract provided.
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 …
Psychometric Evaluation Of The Structured Clinical Interview For Dsm-Iv Childhood Diagnoses (Kid-Scid), D. Smith, Diane Huber, J. Hall
Psychometric Evaluation Of The Structured Clinical Interview For Dsm-Iv Childhood Diagnoses (Kid-Scid), D. Smith, Diane Huber, J. Hall
Diane Huber
The purpose of this study was to evaluate the reliability and validity of selected modules of the Structured Clinical Interview for DSM IV (KID-SCID, Version 1.0). The Disruptive Behavior Disorders (i.e., ADHD, ODD, CD) and Substance Related Disorders modules of the KID-SCID were administered to 50 adolescents receiving residential treatment for substance abuse and severe behavioral problems. This study examined available evidence for inter-rater reliability and convergent validity. Convergent validity was demonstrated for the Disruptive Behavior Disorders module, however, the Substance Abuse Disorders module failed to converge with frequency of use for most substances. Inter-rater reliability was generally high. This …
The Perceived Conflict Scale, Diane Gardner
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.
What Is The Study Of Nursing Service Administration?, J. Mccloskey, Diane Gardner, M. Johnson, Meridean Maas
What Is The Study Of Nursing Service Administration?, J. Mccloskey, Diane Gardner, M. Johnson, Meridean Maas
Diane Huber
No abstract provided.
Case Management Workforce In The United States, E. Park, Diane Huber
Case Management Workforce In The United States, E. Park, Diane Huber
Diane Huber
PURPOSE: The purpose of this study was to investigate and compare characteristics of the case management (CM) workforce in the US by age, years of experience, and original profession. DESIGN: This study was an exploratory, descriptive secondary analysis of demographic and job characteristics of 24,085 certified case managers (CCMs). METHODS: Descriptive statistics, Chi-square tests, and correlation coefficients were calculated. FINDINGS: The majority of the case-management workforce is made up of RNs (93.3%). The CCMs were older, with a mean age of 55.0 years, than were those in their original profession and started to work as CCMs late in their careers. …
Facilitating Instrument Evaluation, Diane Huber
Standardized Nursing Language For Healthcare Information Systems, C. Delaney, P. Mehmert, C. Prophet, S. Bellinger, Diane Huber, S. Ellerbe
Standardized Nursing Language For Healthcare Information Systems, C. Delaney, P. Mehmert, C. Prophet, S. Bellinger, Diane Huber, S. Ellerbe
Diane Huber
Since a substantial component of health care delivery is reflected in nursing's work, it is imperative that nursing expedites implementation of a standardized language that reflects nursing's work and ultimately allows outcome evaluation. This paper will summarize the state of development and related issues of standardized language in nursing, including: Nursing Minimum Data Set, Taxonomies of Nursing Diagnoses, Nursing Interventions, Outcomes, and the Nursing Management Minimum Data Set. The Nursing Minimum Data Set, including nursing care, patient or client demographic, and service elements, reflects a standardized collection of essential nursing data used by multiple data users in the health care …
The Nurse's Role In Changing Health Policy Related To Patient Safety, M. Mrayyan, Diane Huber
The Nurse's Role In Changing Health Policy Related To Patient Safety, M. Mrayyan, Diane Huber
Diane Huber
Nurses' roles in shaping health policy in the United States related to patient safety have not been fully expanded. This article explores various patient safety issues and how nurses can become involved to shape health policy in this area.
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.
Costing Out Nursing Services: An Annotated Bibliography, J. Mccloskey, Diane Gardner, M. Johnson
Costing Out Nursing Services: An Annotated Bibliography, J. Mccloskey, Diane Gardner, M. Johnson
Diane Huber
No abstract provided.
The Evidence Base For Case Management Practice, E. Park, Diane Huber, H. Tahan
The Evidence Base For Case Management Practice, E. Park, Diane Huber, H. Tahan
Diane Huber
Little is known about the role performance of case managers, who come from a variety of professional disciplines. The purpose of this secondary analysis is to identify and compare case management (CM) activities and knowledge elements by professions and by work settings. In an online field survey conducted by the Commission for Case Manager Certification in 2004, 4,419 case managers rated the frequency and importance of 103 activities (8 domains) and 64 knowledge statements (6 domains). Nursing and social work showed a relatively similar pattern as to their role activities and knowledge factors for CM practice. Similar patterns were seen …
The Medical Outcomes Study: A Nursing Perspective, K. Kelly, Diane Huber, M. Johnson, J. Mccloskey, Meridean Maas
The Medical Outcomes Study: A Nursing Perspective, K. Kelly, Diane Huber, M. Johnson, J. Mccloskey, Meridean Maas
Diane Huber
The authors analyze the Medical Outcomes Study framework as a means of measuring the effectiveness of a multidimensional, interdisciplinary health care delivery system. The potential for this model to measure outcomes resulting from the interventions of nurses is demonstrated. The similarities between variables in the Medical Outcomes Study (MOS) framework and in research in nursing are presented. Modifications in the framework are suggested that would represent the collaboration among physicians, nurses, and allied health practitioners and the influence of their interaction on patient outcomes. The authors also suggest adding the domain of societal outcomes to include such outcome variables as …
Guest Column. Cms, Disease Managers Should Collaborate, Diane Huber, M. Owen
Guest Column. Cms, Disease Managers Should Collaborate, Diane Huber, M. Owen
Diane Huber
No abstract provided.
Case Managers' Roles And Functions: Commission For Case Manager Certification's 2004 Research, Part I, H. Tahan, Diane Huber, W. Downey
Case Managers' Roles And Functions: Commission For Case Manager Certification's 2004 Research, Part I, H. Tahan, Diane Huber, W. Downey
Diane Huber
The Commission for Case Manager Certification (CCMC) conducted its third case managers' role and functions study in 2004. The purpose of this research was to validate the currency and relevancy of the certified case manager examination. The results of this study are shared in 2 parts of an article. Part I discusses the process the CCMC used for the development of the Case Manager's Role and Functions Survey Instrument (CMRFSI). The research leads to the identification of 6 new essential functions and 6 new knowledge areas, which describe case management practice. These findings were based on the survey of a …
Evaluating Nursing Administration Instruments, Diane Huber, Meridean Maas, J. Mccloskey, C. Scherb, C. Goode, Carol Watson
Evaluating Nursing Administration Instruments, Diane Huber, Meridean Maas, J. Mccloskey, C. Scherb, C. Goode, Carol Watson
Diane Huber
OBJECTIVE: To identify and evaluate available measures that can be used to examine the effects of management innovations in five important areas: autonomy, conflict, job satisfaction, leadership, and organizational climate. BACKGROUND: Management interventions target the context in which care is delivered and through which evidence for practice diffuses. These innovations need to be evaluated for their effects on desired outcomes. However, busy nurses may not have the time to locate, evaluate, and select instruments to measure expected nursing administration outcomes without research-based guidance. Multiple and complex important contextual variables need psychometrically sound and easy-to-use measurement instruments identified for use in …
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 …
Excellence In Nursing: An Adolescent Parenting Program, Diane Gardner
Excellence In Nursing: An Adolescent Parenting Program, Diane Gardner
Diane Huber
No abstract provided.
Nursing Leadership: New Initiatives In Case Management, Diane Huber
Nursing Leadership: New Initiatives In Case Management, Diane Huber
Diane Huber
No abstract provided.
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 …
Telephone Nursing Interventions In Ambulatory Care, Diane Huber, K. Blanchfield
Telephone Nursing Interventions In Ambulatory Care, Diane Huber, K. Blanchfield
Diane Huber
Telephone nursing practice is becoming a major nursing activity in ambulatory care settings, yet little is known about the type and extent of nursing interventions that occur during telephone interactions. A pilot study was conducted in two sites to see whether nursing diagnoses and interventions could be captured and related to nursing care during telephone consultation. This initial pilot demonstrated that nurses have an appropriate role in telephone interactions and that standardized nursing language can be used in telephone nursing to document nursing care despite the many challenges in its use in the field.
One Health Care Strategy Is Just Not Enough, Diane Huber
One Health Care Strategy Is Just Not Enough, Diane Huber
Diane Huber
Case management looks at the individual; disease management looks at the population. Together they address the full spectrum of health care cost and quality issues.
Nursing Roles Evolving Or Recycled?, Sue Moorhead, Diane Huber
Nursing Roles Evolving Or Recycled?, Sue Moorhead, Diane Huber
Diane Huber
No abstract provided.
Issues Related To The Use Of Nurse Extenders, Diane Gardner
Issues Related To The Use Of Nurse Extenders, Diane Gardner
Diane Huber
The nursing shortage has prompted a recurring discussion about the appropriate mix of bedside care givers in nursing that can be constructed to ensure quality patient care. As nursing's role has become more professional, there has arisen a need to differentiate work tasks and develop nurse extenders. The author discusses nursing and non-nursing duties as they relate to a model of nurse extenders and related practice issues.