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Biomedical subjects

C K Lewis

Publications and source records attributed to C K Lewis.

8 recordsLinked to original sources
PubMed2000

A performance improvement initiative: development of a peripheral vascular pathway.

Health care institutions today are being challenged to provide cost-effective, quality care. High-cost Diagnostic Related Groups are being targeted for performance improvement initiatives. A Peripheral Vascular Bypass Chartered Team was formed to review current practices and identify opportunities for system improvements. Data analysis, the literature, and best practices were reviewed. Emphasis on the financial, clinical, and quality outcomes are discussed in relation to a clinical pathway and protocol development in an effort to better manage this population.

Benchmarking↗
PubMed2000

Same-day surgery managed care: monitoring patient and system variances.

The Same-Day Surgery (SDS) nursing staff at a Midwestern medical center tracked the causative factors for prolonged stays (> 2 hours) in SDS. A review of retrospective data identified that postoperative patient stays averaged between 2 and 3 hours. The top three variances for prolonged stays in SDS were pain, nausea and transportation home. Based on this data, several practice changes that were incorporated to address these variances are reported in this article.

Ambulatory Surgical Procedures↗
PubMed1999

Credentialing. A paradox for the 21st century.

As a result of mixed and seemingly contradictory forces in the sociopolitical, economic, and health care environments, credentialing has taken on new momentum and direction in the United States and abroad. The nursing profession, including the American Nurses Credentialing Center, is meeting the challenge through new approaches and partnership endeavors among nursing organizations and with other health care providers and consumer groups.

Attitude of Health Personnel↗
PubMed1998

Nurse practitioner certification: benefits and drawbacks.

This article discusses the history of certification process and distinguishes and analyzes past and present uses of the certification process. It explores changes in the regulatory process and the impact on nurse licensure and evaluates past, present, and future uses of certification related to advanced practice, credentialing, and the scope of nursing practice.

Certification↗
PubMed1996

The clinical nurse specialist's role as coach in a clinical practice development model.

Over the past 5 years, nursing leadership at St. Luke's Medical Center in Milwaukee has been considering various mechanisms in response to recurrent comments from nursing staff regarding our career ladder. A lack of satisfaction with our career ladder led to the adoption of a new model for nursing. This shift from a career ladder to a clinical ladder has taken place over many years. In April 1994 all staff nurses were staged and transitioned to a clinical practice development model (CPDM). The CPDM is based solely on nursing practice. Our new model was developed from more than 100 narratives of clinical practice submitted by nurses at St. Luke's. Narratives are first-person accounts of an actual clinical experience. The model is based on research conducted by Patricia Benner, PhD, RN, which focused on how nurses acquired their clinical skills and what characteristics are embedded in nurses' practice. This article describes the clinical nurse specialist (CNS) role as a "coach" in facilitating nursing staff transition from a career ladder to a CPDM. The CNS is in a unique position to contribute directly to quality patient care, and also indirectly by fostering professional growth and development of staff nurses. CPDM supports staff development along a continuum. The challenge for the CNS role is to further develop the coaching role to move staff along the continuum.

Career Mobility↗