Eleven years of primary health care delivery in an academic nursing center.

Academic community nursing centers (CNCs) emphasize partnership with the communities they serve to provide access to services that promote, restore, and maintain health. In this study, selected data from an 11-year clinical data set are presented to show the scope of academic CNC nursing practice, d...

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Publicado en:Journal of Professional Nursing Vol. 19; no. 5; pp. 279 - 289
Autores principales: Hildebrandt E, Baisch MJ, Lundeen SP, Bell-Calvin J, Kelber S
Formato: research tables/charts Journal Article
Publicado: W B Saunders 2003 Sep-Oct
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2003 Sep-Oct
      vid: 19
      iid: 5
      pid: 1351
      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        106693778
        106693778
        2004018851
        10.1016/s8755-7223(03)00100-5
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        106693778
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        atl: Eleven years of primary health care delivery in an academic nursing center.
      aug:
        au:
          Hildebrandt E
          Baisch MJ
          Lundeen SP
          Bell-Calvin J
          Kelber S
        affil: Associate Professor, University of Wisconsin-Milwaukee, Milwaukee, WI; hbrandt@uwm.edu
      sug:
        subj:
          Faculty Practice
          Nursing and Midwifery Council
          Primary Health Care
          Case Management
          Chi Square Test
          Conceptual Framework
          Data Analysis Software
          Database Management Software
          Descriptive Statistics
          Health Promotion
          Health Resource Utilization
          Health Services Accessibility
          Medically Uninsured
          Models, Theoretical
          Nursing Interventions
          Omaha System
          Record Review
          Retrospective Design
          Urban Areas
          Wisconsin
          Human
      ab: Academic community nursing centers (CNCs) emphasize partnership with the communities they serve to provide access to services that promote, restore, and maintain health. In this study, selected data from an 11-year clinical data set are presented to show the scope of academic CNC nursing practice, describe client services and expanded nursing roles, show the use of a computerized clinical documentation system in tracking nursing practice, and assess the usefulness of the Lundeen conceptual model. The study design was a retrospective review of computerized client record data. The setting was a CNC located in the neighborhood center of a large federally subsidized housing development. The sample was 25,495 client visits to the CNC. Visit data were coded and entered into a relational data management program to facilitate analysis. Findings show an expansion over time of nursing practice and client services that include strong case management and management of illness care. Findings also suggest that a computerized clinical documentation system that specifically tracks nursing practice is vital if nurses are to identify and eventually be reimbursed for client care specific to nursing practice. Finally, the Lundeen conceptual model was shown to be useful across the continuum of care provided at CNCs. Copyright © 2003 by Elsevier Science (USA).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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