高级实践护士病例经理改善美国医院为满足患者社会需求所做的努力
Scott Feyereisen1, Neeraj Puro1
1Department of Management Programs, College of Business, Florida Atlantic University, Boca Raton, Florida, USA.
Journal of advanced nursing
|November 1, 2023
概括
雇佣高级实践护士 (APN) 作为病例经理有助于医院解决患者的社会需求,减少不必要的访问. 这种整合改善了资源分配和财务绩效,突出了APN在医疗保健中的关键作用.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医院越来越多地专注于解决患者的社会需求,以改善护理和减少资源紧张.
- 非医疗患者问题往往导致可避免的医院访问,需要综合病例管理策略.
- 在病例管理角色中使用高级实践护士 (APN) 目前是有限的,但显示出潜力.
研究的目的:
- 调查雇佣APN病例经理与医院实施患者社会需求战略之间的关联.
- 探索如何APN病例管理可以缓解医院的过度使用和改善资源配置.
主要方法:
- 使用2021年美国医院协会数据集进行横截面研究设计.
- 分析包括5855家医院,重点关注4315家普通医院.
- 用描述性统计学和波桑回归来分析数据.
主要成果:
- 雇佣APN病例经理的医院更有可能实施解决患者社会需求的策略.
- APN病例管理人员的整合与改善医院在管理健康社会决定因素方面的能力有关.
- 这个模型显示了减少不必要的病人访问和再入院的潜力.
结论:
- 实施针对患者社会需求的策略,由APN案例经理提供便利,有利于多个利益相关方.
- 医院可以通过减少非医疗医院的过度使用来优化稀缺资源并提高财务绩效.
- 越来越多地采用APN案例经理模型,可能会加快医疗机构对APN的需求.
相关概念视频
Methods of Documentation VI: Case Management Model
576
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
576
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Planning Nursing Care II
2.7K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.7K
Aims Of Nursing
12.7K
Nursing involves independent, cooperative, person-centered care for people of all ages, families, groups, and communities. Nurses assist the sick or the well person in all settings. Nursing includes promoting health, preventing illness, and caring for ill, disabled, and dying people. Health promotion encourages people to take responsibility for their health. It focuses on the healthy behavior of individuals, families, and the community and the factors that impact their health. Examples of...
12.7K
Specialized Care Centers and Settings-I
948
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
948


