ABSTRACT
The customer of health care is identified in different third-party financial reimbursement periods beginning with the period before Medicare. The author speculates that the customer in a managed care system might be the corporate offices where employee healthcare decisions are made. In a discussion of managed care, nurses are cautioned about the threats to patient welfare when institutional goals become the customer and take precedence over clinical outcomes of patients.
Subject(s)
Insurance, Health, Reimbursement , Managed Care Programs/organization & administration , Organizational Culture , Patient-Centered Care/organization & administration , Ethics, Nursing , HumansABSTRACT
The 84 subject-studies and 4,146 individual subjects in this meta-analysis were obtained from nurse-conducted experimental research over an 8-year period. The entire universe of accessible subject-studies that met criteria was included. Although both published and unpublished research were included to protect the study from publication bias, there was no statistically significant difference in findings. The mean effect size for the sample of comparisons from the 84 studies was .59. The associated U3 value of 72.2 and r of .28 indicate that patients who receive research-based nursing interventions can expect 28% better outcomes than 72% of the patients who receive standard nursing care.
Subject(s)
Nursing Care/standards , Outcome and Process Assessment, Health Care , Humans , Research , Statistics as TopicABSTRACT
PURPOSE: The Purpose of this investigation was to determine whether an eight-week undergraduate clinical courses would enhance students' self-concepts and increase their perception of competence in critical care, teaching/collaboration, planning/evaluation, professional development, leadership and interpersonal skills, and communication. RESEARCH QUESTIONS: Is there a need for an undergraduate clinical internship? Will there be a difference in self-concept and perception of role mastery between the group of students who participated in the internship and those who did not participate? METHODOLOGY: Nursing students at the University who were between their junior and senior years were offered the opportunity to enroll in the course (didactic and clinical). Eight interns enrolled in the course; five non-interns enrolled in the didactic portion only; and the remaining 36 classmates were designated as the control group. DESIGN: A pretest-post test designed was utilized. Two instruments were used: 1) The Tennessee Self-Concept Scale and 2) The Six-Dimensional Scale of Nursing Performance. RESULTS: One way ANOVA with .05 level of significance was used as the statistical test. There were no significant differences noted.
