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Biomedical subjects

W D Crawley

Publications and source records attributed to W D Crawley.

4 recordsLinked to original sources

Case management: improving outcomes of care for ischemic stroke patients.

Stroke is a leading cause of death and disability in the United States. Health care reform and escalating health care costs have caused both consumers and health care providers to become more concerned regarding health care provision for stroke patients. A case management practice model used in a 540-bed teaching hospital resulted in improved outcomes for ischemic stroke patients in the areas of: (a) functional ability, (b) appointment compliance, (c) length of stay, and (d) cost.

Activities of Daily Living↗

Case management: more population-based data.

A pilot project conducted in a 540-bed teaching hospital reveals more population-based data related to nursing case management, a system of patient care that promotes cost containment while ensuring quality outcomes. Positive outcomes were demonstrated in quality of care, patient satisfaction, staff satisfaction, length of stay, and cost.

Hospitals, Teaching↗

Case management: managing the nurse case manager.

Nurse executives and nurse managers have become proactive in response to the health care crisis by creating and implementing innovative health care delivery models such as nursing case management. Nursing case management utilizes a nurse as case manager and the unit-based system of managed care to achieve financial and clinical outcomes for target patient groups. Nurse managers can support the nursing case management model best by practicing good managerial skills, developing a participative style of leadership, and empowering the nurse case manager.

Employee Performance Appraisal↗

Use of unlicensed assistive staff.

Recent reports indicate that nurses spend less time with their patients today than in the past (Hendrickson, Doddato, & Kovner, 1990; Misener, Frelin, & Twist, 1987 & Quist, 1992). This may lead to high frustration levels, low morale, and compromised patient care. Unlicensed assistive staff (patient care assistants and unit assistants), when used appropriately, can provide essential support and make a significant contribution to the delivery of efficient and effective patient care. Key issues, when using these staff members, are role clarity and appropriate delegation. Increased health care technology, the proliferation of nursing and medical knowledge, and new health care delivery models have impacted upon the way nurses and unlicensed assistive personnel work together. The way in which these staff members are organized and work together not only will affect the quality of nursing care that is delivered but outcomes of care as well.

Humans↗