NURSE PRACTICE FUNCTIONS--PATIENT PROBLEMS AND OUTCOMES

护士执业职能——患者问题和结果

• 批准号: 2873106
• 负责人: DOROTHY BROOTEN
• 金额: $ 23.72万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-02-01 至 2001-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2873106
• 关键词: behavioral /social science research tag; cesarean section; clinical research; health care cost /financing; health care service evaluation; health services research tag; human subject; hysterectomy; low birth weight infant human; meta analysis; nurse patient relations; nurse role; nursing care evaluation; outcomes research; pregnancy disorder

DESCRIPTION: (Adapted from investigator's abstract) National health care reform efforts are resulting in changing systems of health care delivery including managed care and capitated reimbursement. Accompanying these changes is a critical need to know the health problems of patient groups, provider time needed to care for specific problems, what interventions yield optimal patient outcomes and if provider interventions could be more efficient and/or cost effective. The purpose of this study is to document patient problems and accompanying practice functions of advanced practice nurses (APNs) during transitional care (hospital discharge planning & home follow-up care) delivered to 5 groups of high risk, high cost, high volume patients. The 5 study groups include very low birthweight infants, women with cesarean birth, high risk pregnancies, and hysterectomy surgery, and elders with cardiac medical and surgical diagnoses. The second study purpose is to being establishing links between patient problems, APN practice functions, nurse time consumed, patient outcomes and health care costs. Data will compare the effects of the APN interventions on health care costs and satisfaction with care in intervention patients with and without morbidity compared to routine care patients with and without morbidity. The study is a secondary analysis of data from 5 randomized trials (N=675; intervention=333; control=342). Hand written comprehensive patient log data will be analyzed, using the Omaha system, to document patient problems and APN practice functions. Patient outcome variables, common across groups and with sufficient variance, will be used to link outcomes with patient problems, APN practices, nurse time consumed and health care costs. Outcome variables include morbidity, satisfaction with care, negative affect, and functional status. Methods of data analysis include both parametric and non parametric tests to examine differences within each study intervention group taken separately, and meta-analytic procedures to examine combined data from all 5 studies.

描述：（改编自研究者的摘要）国家医疗保健 改革努力正在改变医疗保健提供系统 包括管理式医疗和按人头报销。 伴随着这些 变化是了解患者群体健康问题的关键需要， 提供者处理特定问题所需的时间、干预措施的效果 最佳的患者治疗结果以及提供者的干预措施是否可以更多 高效和/或具有成本效益。 本研究的目的是记录 患者问题和高级实践的伴随实践功能 过渡护理期间的护士 (APN)（出院计划和家庭护理） 后续护理）提供给 5 个高风险、高成本、高数量的群体 患者。 5个研究组包括极低出生体重婴儿、女性 剖腹产、高风险妊娠和子宫切除手术，以及 有心脏内科和外科诊断的老年人。 第二次研究 目的是在患者问题、APN 之间建立联系 实践功能、护士消耗时间、患者结果和医疗保健 成本。 数据将比较 APN 干预措施对健康的影响 干预患者的护理费用和护理满意度 与常规护理患者相比，没有发病率 发病率。 该研究是对 5 个随机数据的二次分析 试验（N=675；干预=333；对照=342）。 手写综合 将使用奥马哈系统分析患者日志数据，以记录 患者问题和 APN 实践功能。 患者结果变量， 跨组通用且具有足够的方差，将用于链接 患者问题、APN 实践、护士消耗时间和 医疗保健费用。 结果变量包括发病率、满意度 护理、负面影响和功能状态。 数据分析方法 包括参数和非参数测试以检查差异 在每个研究干预组中单独采取，并进行荟萃分析 检查所有 5 项研究的综合数据的程序。