Risk-Induced Professional Caregiver Despair: Nursing at the Crossroad of Finance and Caring

2.50
Hdl Handle:
http://hdl.handle.net/10755/154447
Type:
Presentation
Title:
Risk-Induced Professional Caregiver Despair: Nursing at the Crossroad of Finance and Caring
Abstract:
Risk-Induced Professional Caregiver Despair: Nursing at the Crossroad of Finance and Caring
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Cox, Thomas, PhD, RN
P.I. Institution Name:Seton Hall University, College of Nursing
Title:Associate Professor
Professional Caregiver Insurance Risk (PCIR) describes the impact on nurses and other healthcare professionals of capitation contracts, prospective payment plans, and other insurance risk transfers to healthcare providers. This researcher used Cowling's Unitary Appreciative Inquiry (UAI) in collaboration with registered nurses, enabling them to draw from their experiences in dealing with risk induced professional caregiver despair. Using unstructured interviews, imposing no time limits, facilitated this collaboration and allowed participants to share their experiences, perceptions, and expressions until they felt the experience was complete. Several participants engaged in intense collaborations to shape their stories into aesthetically pleasing narratives, which will be presented. Cowling suggests that UAI, a Rogerian praxis method counters the tendency toward diagnosis, behavioral objectification, time-limited, and inappropriately directed nursing care by renewing our focus on wholeness. This research demonstrated the utility of UAI as a research, practice, and theory generative nursing method, by generating rich detail on the experiences of registered nurses who stand, often alone, at the crossroads of insurance claims management and clinical care, as insurance risk transfers impact the nursing unit. Nurses are increasingly facing situations where insurance claims management functions have shifted to the bedside with doctors, practitioners, and bedside caregivers making combinations of clinical and financial decisions when their employers are financial interessees in the outcomes. These stories of the experiences of registered nurses facing caregiving situations with inadequate resources, staff, and equipment, are visions of an avoidable future, if registered nurses and other healthcare professionals press back against the tide of the intrusion of financial eligibility for services. This researcher, a psychiatric nurse, is developing new strategies and tools for detecting, quantifying, and correcting inadequate 'nursing capacity' resulting from cost-cutting and failures to adequately staff and supply nursing units in order to manage the insurance risks tht healthcare providers are increasingly assuming.
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.titleRisk-Induced Professional Caregiver Despair: Nursing at the Crossroad of Finance and Caringen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154447-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Risk-Induced Professional Caregiver Despair: Nursing at the Crossroad of Finance and Caring</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cox, Thomas, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Seton Hall University, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">coxthomb@shu.edu</td></tr><tr><td colspan="2" class="item-abstract">Professional Caregiver Insurance Risk (PCIR) describes the impact on nurses and other healthcare professionals of capitation contracts, prospective payment plans, and other insurance risk transfers to healthcare providers. This researcher used Cowling's Unitary Appreciative Inquiry (UAI) in collaboration with registered nurses, enabling them to draw from their experiences in dealing with risk induced professional caregiver despair. Using unstructured interviews, imposing no time limits, facilitated this collaboration and allowed participants to share their experiences, perceptions, and expressions until they felt the experience was complete. Several participants engaged in intense collaborations to shape their stories into aesthetically pleasing narratives, which will be presented. Cowling suggests that UAI, a Rogerian praxis method counters the tendency toward diagnosis, behavioral objectification, time-limited, and inappropriately directed nursing care by renewing our focus on wholeness. This research demonstrated the utility of UAI as a research, practice, and theory generative nursing method, by generating rich detail on the experiences of registered nurses who stand, often alone, at the crossroads of insurance claims management and clinical care, as insurance risk transfers impact the nursing unit. Nurses are increasingly facing situations where insurance claims management functions have shifted to the bedside with doctors, practitioners, and bedside caregivers making combinations of clinical and financial decisions when their employers are financial interessees in the outcomes. These stories of the experiences of registered nurses facing caregiving situations with inadequate resources, staff, and equipment, are visions of an avoidable future, if registered nurses and other healthcare professionals press back against the tide of the intrusion of financial eligibility for services. This researcher, a psychiatric nurse, is developing new strategies and tools for detecting, quantifying, and correcting inadequate 'nursing capacity' resulting from cost-cutting and failures to adequately staff and supply nursing units in order to manage the insurance risks tht healthcare providers are increasingly assuming.</td></tr></table>en_GB
dc.date.available2011-10-26T13:00:21Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:00:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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