2.50
Hdl Handle:
http://hdl.handle.net/10755/160275
Type:
Presentation
Title:
Effectiveness of Community-based Nurse Care Coordination
Abstract:
Effectiveness of Community-based Nurse Care Coordination
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Marek, Karen, PhD, MBA, RN
Title:Executive Director
Contact Address:enior Care - Ellis Fischel, 15 Business Loop 70 W DC900.00, Columbia, MO, 65203, USA
Co-Authors:Lori Popejoy, MSN, Clinical Instructor & Director; Marilyn Rantz, PhD, RN, FAAN, Professor
Missouri Care Options (MCO) is a community-based long term care program for individuals who are both Medicaid and nursing home eligible. This program provides personal care and homemaker services and limited nursing care. In this study, MCO participants received enhanced nursing care services through a program called nurse care coordination (NCC). To evaluate the program a quasi-experimental design comparing three long term care groups, 1) NCC, 2) MCO only, and 3) nursing home was used. The sample consisted of 60 NCC clients, 30 MCO clients in a neighboring community and 60 comparable nursing home residents drawn from the Missouri MDS database. Data were collected at admission, six months, and 12 months. The Minimum Data Set (MDS) was used to measure clinical outcomes through the use of nine MDS quality indicators (QIs). The indicators used were falls, behaviors problems, symptoms or diagnosis of depression, depression without treatment, bladder and bowel incontinence, indwelling catheter, fecal impaction, little or no activity, and Stage 1-4 pressure ulcers. Logistic regression methods were used to test for specific group differences in QI prevalence at 6 and 12 months. Gender, admission age, modified Activities of Daily Living (ADL) scores, and Score on Cognitive Performance Scale and baseline QI status were considered as covariates. Two QIs, symptoms or diagnosis of depression and falls were significant at the 0.10 level. The odds of falling in the MCO group were 3.7 times the odds in the NCC group and the odds of depression were higher in both the MCO (3.6) and nursing home (3.4) groups. The QI bladder and bowel incontinence was significantly different at 6 months but not at 12 months. The results suggest that use of nurse care coordination in the community setting enhances clinical outcomes for long term care clients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffectiveness of Community-based Nurse Care Coordinationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160275-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effectiveness of Community-based Nurse Care Coordination</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Marek, Karen, PhD, MBA, RN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Executive Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">enior Care - Ellis Fischel, 15 Business Loop 70 W DC900.00, Columbia, MO, 65203, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lori Popejoy, MSN, Clinical Instructor &amp; Director; Marilyn Rantz, PhD, RN, FAAN, Professor</td></tr><tr><td colspan="2" class="item-abstract">Missouri Care Options (MCO) is a community-based long term care program for individuals who are both Medicaid and nursing home eligible. This program provides personal care and homemaker services and limited nursing care. In this study, MCO participants received enhanced nursing care services through a program called nurse care coordination (NCC). To evaluate the program a quasi-experimental design comparing three long term care groups, 1) NCC, 2) MCO only, and 3) nursing home was used. The sample consisted of 60 NCC clients, 30 MCO clients in a neighboring community and 60 comparable nursing home residents drawn from the Missouri MDS database. Data were collected at admission, six months, and 12 months. The Minimum Data Set (MDS) was used to measure clinical outcomes through the use of nine MDS quality indicators (QIs). The indicators used were falls, behaviors problems, symptoms or diagnosis of depression, depression without treatment, bladder and bowel incontinence, indwelling catheter, fecal impaction, little or no activity, and Stage 1-4 pressure ulcers. Logistic regression methods were used to test for specific group differences in QI prevalence at 6 and 12 months. Gender, admission age, modified Activities of Daily Living (ADL) scores, and Score on Cognitive Performance Scale and baseline QI status were considered as covariates. Two QIs, symptoms or diagnosis of depression and falls were significant at the 0.10 level. The odds of falling in the MCO group were 3.7 times the odds in the NCC group and the odds of depression were higher in both the MCO (3.6) and nursing home (3.4) groups. The QI bladder and bowel incontinence was significantly different at 6 months but not at 12 months. The results suggest that use of nurse care coordination in the community setting enhances clinical outcomes for long term care clients.</td></tr></table>en_GB
dc.date.available2011-10-26T22:47:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:47:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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