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Full-Text Articles in Medicine and Health Sciences
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Diane Huber
The purpose of this article is to describe the results of a clinical trial in which telephonic case management was evaluated as a supplement to substance abuse treatment. An interactive voice response system (IVR) was developed by the research team for use in the case management of randomly assigned participants in a clinical trial research project. The features of the software program facilitated a double caseload for the case manager as well as real-time data capture. At intake, no significant differences were found between participants in the telecommunication condition and the general project. Thus, the effectiveness of random assignment was …
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Diane Huber
The purpose of this article is to describe the results of a clinical trial in which telephonic case management was evaluated as a supplement to substance abuse treatment. An interactive voice response system (IVR) was developed by the research team for use in the case management of randomly assigned participants in a clinical trial research project. The features of the software program facilitated a double caseload for the case manager as well as real-time data capture. At intake, no significant differences were found between participants in the telecommunication condition and the general project. Thus, the effectiveness of random assignment was …
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Telephone Management In Substance Abuse Treatment, J. A. Hall, Diane L. Huber
Diane Huber
The purpose of this article is to describe the results of a clinical trial in which telephonic case management was evaluated as a supplement to substance abuse treatment. An interactive voice response system (IVR) was developed by the research team for use in the case management of randomly assigned participants in a clinical trial research project. The features of the software program facilitated a double caseload for the case manager as well as real-time data capture. At intake, no significant differences were found between participants in the telecommunication condition and the general project. Thus, the effectiveness of random assignment was …
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.
Assessing Postpartum Fatigue, Diane Gardner, B. Campbell
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
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
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 …
Managing Forces Of Change: Commission For Case Manager Certification Looks To The Future, Diane Huber, H. Tahan
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
Conflict And Retention Of New Graduate Nurses, Diane Gardner
Diane Huber
No abstract provided.
A Nursing Management Minimum Data Set. Significance And Development, Diane Huber, C. Delaney, J. Crossley, M. Mehmert, S. Ellerbe
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
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
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
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.
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 …
Fatigue In Postpartum Women, Diane Gardner
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
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 …
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.
The Nursing Management Minimum Data Set, Diane Huber, C. Delaney
The Nursing Management Minimum Data Set, Diane Huber, C. Delaney
Diane Huber
No abstract provided.
Patient Preferences And Discharge Planning Transitions, Diane Huber, E. Mcclelland
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 …
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
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 …
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.
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 …
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. …