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Full-Text Articles in Medicine and Health Sciences
Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg
Engaging Racial Autoethnography As A Teaching Tool For Womanist Inquiry, Janette Taylor, Melissa Lehan Mackin, A. Oldenburg
Melissa Lehan Mackin
Racial autobiography, self-narratives on how one learned about the idea of race, has been underutilized as a tool to familiarize and orient students in the process of critical inquiry for nursing research. The aims of this article are to explore how racial autoethnography: (1) repositions students to effect an epistemological change, (2) challenges dominant ideology, and (3) functions as a link between the student and critical theories for use in nursing research. Students engage in and share reflective narrative about a variety of instructional materials used in the course. Reflective narratives are presented in a framework that addresses white racial …
Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny
Fall Prevention Practices In Adult Medical-Surgical Nursing Units Described By Nurse Managers, L. Shever, M. Titler, Melissa Lehan Mackin, A. Kueny
Melissa Lehan Mackin
The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention …
National Health Policy Influence On Medicare Home Health, Virginia Conley, M. Walker
National Health Policy Influence On Medicare Home Health, Virginia Conley, M. Walker
Virginia M. Conley
National health policy regulates the delivery of Medicare home health services. These services have grown exponentially over the past several years. Current challenges to service delivery revolve around attempts to contain costs while ensuring quality of and access to care. To meet these challenges, providers must be aware of the societal and ideological influences on national health policies that impact service delivery. This article uses Wong's model of the progression of health care reform to address past health policy influences on Medicare home health delivery, investigate recent sociological trends for relevance to health policy, and propose changes based on current …
Reconceptualizing The Core Of Nurse Practitioner Education And Practice, M. Burman, A. Hart, Virginia Conley, J. Brown, P. Sherard, P. Clarke
Reconceptualizing The Core Of Nurse Practitioner Education And Practice, M. Burman, A. Hart, Virginia Conley, J. Brown, P. Sherard, P. Clarke
Virginia M. Conley
PURPOSE: The movement to the doctor of nursing practice (DNP) is progressing rapidly with new programs emerging and curricular documents being developed. We argue that the implementation of the DNP is a good move for nursing, provided that we use the opportunity to reconceptualize the core of advanced practice nursing, especially nurse practitioner (NP) practice. DATA SOURCES: Theory and research articles from nursing focused on advanced practice nursing, NPs, and doctoral education. CONCLUSIONS: The foundation of NP education is currently based essentially on borrowed or shared content in assessment, pharmacology, and pathophysiology. We argue that the heart and soul of …
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 …
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.
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.
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 …
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.
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.
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 …
Nursing Leadership: New Initiatives In Case Management, Diane Huber
Nursing Leadership: New Initiatives In Case Management, 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.
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!
Mentoring Geriatric Nurse Scientists, Educators, Clinicians, And Leaders In The John A. Hartford Foundation Centers For Geriatric Nursing Excellence, Meridean Maas, N. Strumpf, C. Beck, D. Jennings, D. Messecar, Elizabeth Swanson
Mentoring Geriatric Nurse Scientists, Educators, Clinicians, And Leaders In The John A. Hartford Foundation Centers For Geriatric Nursing Excellence, Meridean Maas, N. Strumpf, C. Beck, D. Jennings, D. Messecar, Elizabeth Swanson
Elizabeth A. Swanson
No abstract provided.
Gerontology Coursework In Undergraduate Nursing Programs In The United States, K. Gulp, K. Herr, L. Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson
Gerontology Coursework In Undergraduate Nursing Programs In The United States, K. Gulp, K. Herr, L. Kelley, Meridean Maas, D. Schutte, Janet Specht, Elizabeth Swanson
Elizabeth A. Swanson
No abstract provided.
Most Frequent Nursing Diagnoses, Nursing Interventions, And Nursing-Sensitive Patient Outcomes Of Hospitalized Older Adults With Heart Failure: Part 1, C. Scherb, B. Head, Meridean Maas, Elizabeth Swanson, Sue Moorhead, D. Reed, D. Conley, M. Kozel
Most Frequent Nursing Diagnoses, Nursing Interventions, And Nursing-Sensitive Patient Outcomes Of Hospitalized Older Adults With Heart Failure: Part 1, C. Scherb, B. Head, Meridean Maas, Elizabeth Swanson, Sue Moorhead, D. Reed, D. Conley, M. Kozel
Elizabeth A. Swanson
PURPOSE: Rank and compare the 10 most frequently documented nursing diagnoses, interventions, and patient outcomes using NANDA International, Nursing Interventions Classification, and Nursing Outcomes Classification for care of patients with heart failure (HF). METHODS: A descriptive comparative multisite study of documented care for 302 older adults with HF. FINDINGS: There were four common nursing diagnoses, two interventions, and only three common outcomes across three sites. CONCLUSIONS: This and similar analyses of clinical nursing data can be used by nursing administrators and clinicians to monitor the quality and effectiveness of nursing care. IMPLICATIONS: Similar analyses may be used for continuing education, …
Extending Influence In Gerontological Nursing Through Partnerships: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, H. Young, Elizabeth Swanson, K. Richards, M. Wallhagen, P. Archbold, M. Spool, M. Flaherty-Robb
Extending Influence In Gerontological Nursing Through Partnerships: Experiences From The John A. Hartford Foundation Centers Of Geriatric Nursing Excellence, H. Young, Elizabeth Swanson, K. Richards, M. Wallhagen, P. Archbold, M. Spool, M. Flaherty-Robb
Elizabeth A. Swanson
No abstract provided.
Training Key To Job Satisfaction, Meridean Maas, Kathleen Buckwalter, Elizabeth Swanson, Paula Mobily
Training Key To Job Satisfaction, Meridean Maas, Kathleen Buckwalter, Elizabeth Swanson, Paula Mobily
Elizabeth A. Swanson
No abstract provided.
Managing A Tissue Recall In A Large Academic Hospital, Victoria Steelman, A. Schlueter
Managing A Tissue Recall In A Large Academic Hospital, Victoria Steelman, A. Schlueter
Victoria J. Steelman
BACKGROUND: In October 2005, a recall of human tissue for implantation was initiated because one recovery center obtained tissues from donors who were not screened properly for infectious diseases. The Food and Drug Administration (FDA) and Centers for Disease Control (CDC) recommended notifying affected patients and offering access to infectious disease testing. STUDY DESIGN AND METHODS: A multidisciplinary team was established to provide a framework for responding to the recall. The plan was designed to meet six goals. Steps included patient identification, surgeon and patient notification, patient education and testing, communication of test results, and information for the public. RESULTS: …
Toward A Standardized Language To Describe Perioperative Nursing, Victoria Steelman, G. Bulechek, J. Mccloskey
Toward A Standardized Language To Describe Perioperative Nursing, Victoria Steelman, G. Bulechek, J. Mccloskey
Victoria J. Steelman
The Nursing Interventions Classification (NIC) is a standardized language that identifies all interventions performed by nurses. Each nursing intervention has a label name, a conceptual definition, and a set of defining activities. The NIC provides a standardized nomenclature for automated databases, describes and measures nursing's contribution to health care, facilitates nursing education, supports clinical decision making, plans resource allocation, and facilitates nursing research. Perioperative nurses can use the NIC to describe and document their contributions to surgical patients' outcomes.
Creutzfeld-Jakob Disease: Recommendations For Infection Control, Victoria Steelman
Creutzfeld-Jakob Disease: Recommendations For Infection Control, Victoria Steelman
Victoria J. Steelman
Creutzfeld-Jakob disease, an infectious, progressive, degenerative neurologic disorder, has a presumably long incubation period but a rapid, fatal course. Brain tissue at autopsy resembles that seen in spongioform encephalopathies of other species. Creutzfeld-Jakob disease is transmitted by a proteinaceous infectious agent, or "prion." Epidemiologic patterns remain uncertain; various studies have reported conflicting risk factors in different populations, and genetic susceptibility may be involved. Although natural transmission routes are still unclear, both iatrogenic and nosocomial transmissions have been identified. Transmission has occurred through contaminated electrodes, contaminated biologic products from cadaveric brains, and infected donor tissues, including dura mater and corneas. Because …
Ethylene Oxide. The Importance Of Aeration, Victoria Steelman
Ethylene Oxide. The Importance Of Aeration, Victoria Steelman
Victoria J. Steelman
Residual EO on instruments and supplies can cause serious patient injuries. It is imperative that these items be adequately aerated before they are used. Removing instruments prematurely from an aerator is, indeed, "a blatant disregard for patient safety." The perioperative nurse has the responsibility and accountability for patient protection. Preventive measures and alternatives to using improperly aerated instruments have been described. If these measures do not resolve the problem, the surgery must be postponed until adequately aerated instruments are available.
Proposed Perioperative Nurse Translation Of The Federal Clinical Practice Guidelines. Association Of Operating Room Nurses, S. Moorhead, M. Golas, S. Kleinbeck, L. Reehling, Victoria Steelman, D. Wahoff-Stice, M. Weisbrich, D. Fogg
Proposed Perioperative Nurse Translation Of The Federal Clinical Practice Guidelines. Association Of Operating Room Nurses, S. Moorhead, M. Golas, S. Kleinbeck, L. Reehling, Victoria Steelman, D. Wahoff-Stice, M. Weisbrich, D. Fogg
Victoria J. Steelman
No abstract provided.