CNS as unit-based case manager.

Patient satisfaction, patient-perceived quality of life, and nurse satisfaction were compared before and after implementation of nursing case management on a 36-bed medical unit in a southeastern acute care hospital. In this quasi-experimental pre- and postintervention study, 50 adult oncology patients were surveyed. CNSs as unit-based case managers planned, coordinated, and facilitated care that was delivered by registered nurses, licensed practical nurses, and nursing assistants. As measured by the LaMonica/Oberst Patient Satisfaction Tool, patient satisfaction showed a statistically significant increase six months after implementation of nursing case management. Neither job satisfaction of nurses nor patient-perceived quality of life showed significant improvement.