Open Access. Powered by Scholars. Published by Universities.®
Articles 31 - 48 of 48
Full-Text Articles in Medicine and Health Sciences
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 …
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 …
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.
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.
Participation And Retention In Drug Abuse Treatment Services Research, T. Vaughn, M. Sarrazin, S. Saleh, Diane Huber, J. Hall
Participation And Retention In Drug Abuse Treatment Services Research, T. Vaughn, M. Sarrazin, S. Saleh, Diane Huber, J. Hall
Diane Huber
We examined potential bias in treatment effectiveness research by studying client characteristics associated with initial participation and subsequent retention in research assessments among clients in substance abuse treatment receiving case management. Six hundred thirty-four residential and 429 outpatient clients were invited to participate. Participants were randomly assigned to one of four conditions. Logistic regression examined the relation between client characteristics and initial participation and retention in follow-up assessments. Females and clients with significant others were more likely to participate and remain in the study. Older persons and criminal justice-referred clients were less likely to participate. Older clients and urban outpatient …
Use Of Nursing Assistants: Staff Nurse Opinions, Diane Huber, M. Blegen, J. Mccloskey
Use Of Nursing Assistants: Staff Nurse Opinions, Diane Huber, M. Blegen, J. Mccloskey
Diane Huber
Use of assistive nursing personnel generates fear, uncertainty and lack of trust in many RNs, yet most agree that "help is needed." The nursing profession must develop minimum standards, a code of ethics and appropriate preparation for nursing assistants. They are here to stay!
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 …
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.