Maljanian R, Effken J A, Kaerhle P
Institute for Outcomes Research and Evaluation, Hartford Hospital, Connecticut 06102, USA.
Outcomes Manag Nurs Pract. 2000 Jan-Mar;4(1):19-26; quiz 26-7.
In today's capitation-based reimbursement environment, acute care staff nurses must coordinate patient care considering the full continuum of care. To do so effectively, staff nurses need tools to accurately predict patient needs, adjust service intensity accordingly, and evaluate the outcomes of the care provided. The design and implementation of a model to support acute care staff nurses in that effort is described. The model's implementation was evaluated, in part, using a ten-item pre- and post-implementation survey. The survey showed that staff nurses who participated in the final educational offering on the model increased significantly their reported use of aggregate data for planning care. To achieve the greatest impact, the model needs to evolve so that it is applied earlier in the care process than at initial hospitalization. Ideally, this should occur during a wellness visit or enrollment in a health plan.
在当今基于人头付费的报销环境中，急症护理护士必须在考虑整个护理连续过程的情况下协调患者护理。为了有效地做到这一点，护士需要工具来准确预测患者需求，相应地调整服务强度，并评估所提供护理的结果。本文描述了一个支持急症护理护士开展此项工作的模型的设计与实施。该模型的实施部分通过一项包含十个项目的实施前后调查问卷进行评估。调查显示，参与该模型最终培训课程的护士显著增加了其在护理计划中使用汇总数据的报告。为了实现最大影响，该模型需要不断发展，以便在护理过程中比初次住院时更早地应用。理想情况下，这应该在健康检查或加入健康计划时发生。
