Search PubMed⌕ Search

Biomedical subjects

M L Maas

Publications and source records attributed to M L Maas.

At least 37 records · Page 2Linked to original sources
PubMed1991

Alzheimer's disease.

This chapter has included a review of nursing research in Alzheimer's disease. Much of what is in the literature regarding nursing of Alzheimer's disease patients and their families is anecdotal and has not been validated by systematic research and is atheoretical. The majority of nursing research on Alzheimer's disease has been focused on patient characteristics and problem behaviors or on the needs and experiences of family caregivers. Research should continue in these areas along with testing nursing interventions to maintain optimal cognitive, physical, social, and emotional function of Alzheimer's disease patients. Explanatory theories should be devised and tested to advance the development of nursing knowledge in the care of Alzheimer's disease patients and family caregivers. Finally, more evaluation research is needed to test the cost effectiveness of home-based and institutional programs, including effects on Alzheimer's disease patients, family members, and staff caregivers.

Alzheimer Disease↗
PubMed1988

A model of organizational power: analysis and significance to nursing.

In this article a causal model of the process of interorganizational power is presented with results of one test using survey data from 39 non-nursing organizations. The model argues that interaction strategies of organizations are outcomes of the relative basis and use of resources in interorganizational transactions. Multiple regression and multiple-partial correlation analyses were used to analyze the data. The findings partially support the model and indicate that it holds promise for development and refinement. Conclusions are that the model should be tested with nursing organizations and used to conceptualize additional aspects of the power process that nursing can foster.

Models, Theoretical↗
PubMed1987

Organizational characteristics that facilitate the use of nursing diagnoses.

The effective use of nursing diagnosis is facilitated by an organizational structure that accommodates nursing professional autonomy and accountability. Nurse executives who plan for the implementation of nursing diagnosis should expect nurses to develop as an autonomous and accountable collective. There should be shared leadership to achieve mutual goals, make decisions about nursing practice, socialize its members, build and maintain effective communication processes, and use the process of change to effect and maintain the model of practice. When these structures and processes compose the organizational milieu, nursing diagnoses will be used and will promote the further development of nurses as autonomous and accountable professionals who develop and use knowledge to deliver quality client care.

Communication↗
PubMedDate not supplied

Access to health care resources for family caregivers of elderly persons with dementia.

Concerns about the "elder care crisis" and changes in the provision of health care are fostering expectations that families should be responsible for taking care of their elderly members. The assumptions that families (1) are not providing enough care, (2) know how to provide care, and (3) have access to resources for the provision of care are embedded in the social expectation of family care for elderly persons with dementia. However, research shows that these assumptions are not based on fact.

Aged↗
PubMedDate not supplied

Professional practice for the extended care environment: learning from one model and its implementation.

This article describes a model of professional nursing governance in an 800-bed long-term care facility and discusses the model's implications for nursing education. Seventy registered nurses, 330 ancillary staff, and 50 other health professionals provide care for about 100 residential, 350 intermediate, and 350 skilled nursing care patients in the facility. The governance model includes a registered nurse organization that determines all standards for nursing practice, policies governing practice, and nursing clinical programming. Each registered nurse has 24-hour, seven-days-a-week authority and accountability for a patient caseload. Average annual turnover of registered nurses is 5 per cent, and the average length of employment among the nurses is 7.5 years. Since the model was implemented, measures of patient welfare have increased. Experience with the governance model indicates that nursing education curricula need to increase students' (1) understanding of professional autonomy and accountability, (2) understanding of the role of nursing diagnoses and interventions to structure nursing knowledge, (3) skills of diagnostic and intervention reasoning, (4) consensus decision-making abilities, (5) knowledge of organizational structures and mechanisms for governance, and (6) mastery of technical intervention skills.

Humans↗
PubMedDate not supplied

Research review committees in long-term care settings.

As the number of elderly people grows, the interest in research for this population increases. Federal funding is available for research regarding elders' needs, and researchers are recognizing the problems this population incurs. Residents and staff members in long-term care facilities are prime candidates for study subjects, and institutional research review committees, supported by the facilities' administration, are necessary to protect them. This article discusses ways to establish a research review committee and its working processes.

Aged↗
PubMedDate not supplied

Some methodologic considerations in nursing diagnosis research.

The validation of nursing diagnostic concepts, interventions, and desired outcomes is necessary for the development of nursing science. The purpose of this article is to contribute to the development of more rigorous methods for research of nursing diagnoses. Methodologic problems and issues are discussed and illustrated in the context of a descriptive study of the nursing diagnoses of patients at a large long-term care facility. Issues surrounding the selection of setting and samples, the source and presentation of data collected, and methods used for data analysis and interpretation are described. The need for consistency among research questions, setting and sample, data collection methods, and data analysis and interpretation are emphasized. Researchers are encouraged to explicate the issues and decisions in nursing diagnosis research to encourage scholarly criticism and refinement by clinicians and scientists.

Aged↗
PubMedDate not supplied

Nursing outcomes classification. An essential element in data sets for nursing and health care effectiveness.

The Nursing Outcomes Classification (NOC) is a comprehensive classification of patient outcomes responsive to nursing interventions. The NOC is complementary to taxonomies of the North American Nursing Diagnosis Association and the Nursing Interventions Classification. The NOC provides the language for the evaluation step of the nursing process and the content for the outcomes element in the Nursing Minimum Data Set (NMDS). The patient information system Patient Care Data Set (PCDS) is a new, computerized health care information system introduced by the Blue Chip Company and the faculty at Wright State University Miami Valley College of Nursing and Health. An important innovation for evaluation of health care delivery and effectiveness, the PCDS is a record of the patient's health/medical history. Documentation and evaluation of health care must include nursing data along with data from all health care disciplines in minimum data sets. Standardized nursing languages are necessary for inclusion of nursing data. The NOC is a comprehensive classification of patient outcomes that are responsive to nursing interventions. It provides a standardized language for the outcomes element of the NMDS, and contains outcomes that can be shared by all health care disciplines. The PCDS is an innovative minimum data set and patient health record system that is consistent with the NMDS. The NOC is a perfect fit for the PCDS.

Data Collection↗
PubMedDate not supplied

Advancing nursing's accountability for outcomes.

Nursing outcomes accountability is in its infancy. Progress awaits the use of standardized nursing diagnoses, interventions, and nursing-sensitive patient outcomes in nursing clinical decision making and documentation. Changes in nursing delivery systems also are required so that nurses are empowered as individuals and as a professional collective to demonstrate their accountability for the outcomes of patients. Finally, the attitudes and behaviors of nurse clinicians, administrators, and educators, individually and collectively, are important in advancing nursing's accountability as a single discipline and as a member of the interdisciplinary team. In subsequent columns, each of these issues and needed actions will be explored more fully.

Health Knowledge, Attitudes, Practice↗
PubMedDate not supplied

Nursing's role in interdisciplinary accountability for patient outcomes.

Few disagree that health care is improved by effective interdisciplinary teamwork. Most nurses are anxious to collaborate with members of other disciplines in the delivery of cost-effective care. Unfortunately, some overly zealous and mistaken proponents of the interdisciplinary approach argue that a disciplinary focus is incongruous with interdisciplinary teamwork. Nurses must resist this notion, work to strengthen the discipline, and gain the tools needed to be visible and accountable. Nursing has an important role in interdisciplinary care, and interdisciplinary teams depend on nurses' contributions to be effective and accountable.

Humans↗