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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
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.
Case Managers' Roles And Functions: Commission For Case Manager Certification's 2004 Research, Part Ii, H. Tahan, W. Downey, Diane Huber
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 …
Future Nursing Administration Graduate Curricula, Part I: Call To Action, K. Harris, Diane Huber, R. Jones, M. Manojlovich, C. Reineck
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.
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.
Career Commitment In Nursing, Diane Gardner
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 …
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.
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.
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.
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.
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 …
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 …
Nursing Leadership: New Initiatives In Case Management, Diane Huber
Nursing Leadership: New Initiatives In Case Management, Diane Huber
Diane Huber
No abstract provided.
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.
Adjunct Executive Appointment For Faculty. An Innovation In Nursing Collaboration, K. Kelly, Diane Gardner, M. Johnson, Meridean Maas, J. Mccloskey, M. Bowers, J. Maske, S. Mathis, Janet Specht, Carol Watson
Adjunct Executive Appointment For Faculty. An Innovation In Nursing Collaboration, K. Kelly, Diane Gardner, M. Johnson, Meridean Maas, J. Mccloskey, M. Bowers, J. Maske, S. Mathis, Janet Specht, Carol Watson
Diane Huber
The need for collaboration has never been greater. The healthcare delivery system faces unprecedented challenges arising from prospective payment, competition in the marketplace, higher patient acuity levels, and a shortage of professional nursing staff. The authors discuss a service-education collaboration model based on adjunct executive appointments of faculty members to healthcare organizations. The authors describe the model, a conceptual framework to guide its development, case studies of its implementation, and a summary of the benefits and risks associated with the initial implementation of the model.