2.50
Hdl Handle:
http://hdl.handle.net/10755/152505
Type:
Presentation
Title:
Research & the Clinical Doctorate: Findings with Tangible Application
Abstract:
Research & the Clinical Doctorate: Findings with Tangible Application
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Mueller, Zachary D., RN, ND, CNS
P.I. Institution Name:The Medical Center of Aurora
Title:Director of Education
Background: Much controversy exists with the clinical (also known as practice) doctorate in the US. Nursing history shows a fragmentation about standards of education, and no consensus has existed for the doctorally prepared nurse in the practice setting. This inquiry describes the research process of one nursing student in a doctor of nursing program (ND), and the profound research outcomes obtained during the residency process. The research process occurred during the final residency year, and was an evaluation study of a comprehensive nurse case manager (NCM) program that was implemented to effect change in the emergency department (ED)?an area of healthcare facing many challenges.   Purpose: This quasi-experimental and descriptive study will evaluate the patient and organizational outcomes of a comprehensive NCM program in the ED as compared to pre-NCM program patient and organizational outcomes. Methods: The ED NCM program was implemented in June 2004 in an urban Level II Trauma Center with significant patient volume. All variables were compared with pre- and post-program implementation measures. Results/Outcomes: Patients had between 1.8 and 3.2 less visits to the ED after a Care Plan was instituted by the NCM, on average an 81% decrease (n=32, a=0.05, p=0.00). Patients had between $309.55 and $1394.32 less bad debt owed to the hospital, on average a 79% decrease (n=32, a=0.05, p=0.003). Patients had between 0.8 and 1.6 less visits to the ED after a placement intervention (SNF, infusion center, hospice, sub-acute rehab, and home health) was instituted by the NCM, on average a 75% decrease (n=36, a=0.05, p=0.00). Although not statistically significant, patient satisfaction in relation to ?discharge procedures? in the ED increased on average by 2.5% (in comparison to 1.2% on the inpatient units) after the implementation of the ED NCM program.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleResearch & the Clinical Doctorate: Findings with Tangible Applicationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152505-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Research &amp; the Clinical Doctorate: Findings with Tangible Application</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mueller, Zachary D., RN, ND, CNS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Medical Center of Aurora</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Education</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">zachary.mueller@healthonecares.com</td></tr><tr><td colspan="2" class="item-abstract">Background: Much controversy exists with the clinical (also known as practice) doctorate in the US. Nursing history shows a fragmentation about standards of education, and no consensus has existed for the doctorally prepared nurse in the practice setting. This inquiry describes the research process of one nursing student in a doctor of nursing program (ND), and the profound research outcomes obtained during the residency process. The research process occurred during the final residency year, and was an evaluation study of a comprehensive nurse case manager (NCM) program that was implemented to effect change in the emergency department (ED)?an area of healthcare facing many challenges. &nbsp; Purpose: This quasi-experimental and descriptive study will evaluate the patient and organizational outcomes of a comprehensive NCM program in the ED as compared to pre-NCM program patient and organizational outcomes. Methods: The ED NCM program was implemented in June 2004 in an urban Level II Trauma Center with significant patient volume. All variables were compared with pre- and post-program implementation measures.&nbsp;Results/Outcomes: Patients had between 1.8 and 3.2 less visits to the ED after a Care Plan was instituted by the NCM, on average an 81% decrease (n=32, a=0.05, p=0.00). Patients had between $309.55 and $1394.32 less bad debt owed to the hospital, on average a 79% decrease (n=32, a=0.05, p=0.003). Patients had between 0.8 and 1.6 less visits to the ED after a placement intervention (SNF, infusion center, hospice, sub-acute rehab, and home health) was instituted by the NCM, on average a 75% decrease (n=36, a=0.05, p=0.00). Although not statistically significant, patient satisfaction in relation to ?discharge procedures? in the ED increased on average by 2.5% (in comparison to 1.2% on the inpatient units) after the implementation of the ED NCM program.</td></tr></table>en_GB
dc.date.available2011-10-26T11:38:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:38:48Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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