Structure and Process Variables Affecting Outcomes for Heart Failure Clients
| Autor: | Elaine S. Van Doren, Joan Bowman, Gay L. Landstrom, Susan Y. Graves |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Leadership and Management Personnel Staffing and Scheduling Workload Nursing Staff Hospital Assessment and Diagnosis Nurse Administrator Nurse's Role Patient Readmission Clinical pathway Patient Education as Topic Acute care Internal medicine medicine Humans Referral and Consultation Care Planning Nursing Assessment Retrospective Studies Heart Failure Hospital days business.industry Health Policy Retrospective cohort study Length of Stay Case management Readmission rate medicine.disease Outcome and Process Assessment Health Care Nursing Evaluation Research Models Organizational Heart failure Acute Disease Critical Pathways Cardiology business Case Management |
| Zdroj: | Lippincott's Case Management. 9:21-26 |
| ISSN: | 1529-7764 |
| DOI: | 10.1097/00129234-200401000-00004 |
| Popis: | This study focused on case management by examining the relationships between congestive heart failure patient outcomes and nurse structure and process variables. A correlational design with retrospective analysis of data from 175 randomly selected acute care patients was used. The amount of education provided by the nurses on the unit was positively correlated with the degree of pathway completion (r=.32, p =.000) and negatively correlated with the readmissions (r = -.27, p =.000). The degree of completion of the clinical pathway had no effect on length of stay (LOS) but was negatively correlated to readmission rate (r =-.53, p =.000) and positively correlated to hospital days (r =.21, p =.000). Case Management was positively correlated with LOS (r =.41, p =.000) but negatively correlated with hospital days and readmissions, (r = -22, p =.000; r = -.29, p =.000, respectively). No relationships were found between RN hours and LOS or readmissions. The implications of these findings for case managers and nurse administrators are discussed. |
| Databáze: | OpenAIRE |
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