RESUMO
Two-way communication is required if nurses are to build knowledge networks of international communities of nursing education and practice. Are expensive new technologies feasible or preferred for effective communication and productive outcomes? In this report from a longstanding partnership between schools of nursing at Peking University and the University of Michigan, case study methodology is used to evaluate more than a decade of experience with communication modalities: in person, postal mail, express mail, e-mail, fax, telephone, hand delivery by other travelers, and Web sites. Although each education and practice community develops unique ways to build its shared knowledge, a communications plan is suggested, with use of multiple communication techniques, especially those that are low cost and the most dependable. High-cost technologies are not always feasible or preferred. For the project described, they were not necessary to the major outcome, a nursing education and practice network that resulted in the first nurse-managed community-based clinic in China.
Assuntos
Comunicação , Bacharelado em Enfermagem/organização & administração , Educação de Pós-Graduação em Enfermagem/organização & administração , Relações Interinstitucionais , Intercâmbio Educacional Internacional , Relações Interprofissionais , Escolas de Enfermagem/organização & administração , China , Comportamento Cooperativo , Correspondência como Assunto , Análise Custo-Benefício , Correio Eletrônico/organização & administração , Estudos de Viabilidade , Humanos , Internet/organização & administração , Michigan , Avaliação das Necessidades , Pesquisa em Educação em Enfermagem , Técnicas de Planejamento , Avaliação de Programas e Projetos de Saúde , Telefac-Símile/organização & administração , Telefone/economia , Telefone/estatística & dados numéricosRESUMO
Nurse managed centers play an important role in the health service delivery system; often serving those in greatest need, while struggling to remain financially viable. This article discusses the role of a Financial Advisory Committee (FAC) and the process of financial peer review in academic nurse-managed centers to improve financial outcomes. Advanced practice nurses may find the identified strategies for financial sustainability useful in their own practices.
Assuntos
Profissionais de Enfermagem/economia , Profissionais de Enfermagem/organização & administração , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/organização & administração , Comitês Consultivos/economia , Comitês Consultivos/organização & administração , Humanos , Organizações de Normalização Profissional/economia , Organizações de Normalização Profissional/organização & administraçãoRESUMO
PURPOSE: To describe the coding and documentation practices of nurse practitioners (NPs) when using evaluation and management (E & M) codes in an academic primary care center. DATA SOURCES: A randomized retrospective review of ten charts from a nurse-managed primary care clinic affiliated with a midwestern research-intensive university. CONCLUSION: The findings demonstrate that the documentation in the chart for six of the ten client encounters did not support the E & M codes assigned by the clinicis NPs. Four of these six client encounters were overcoded; the remaining two encounters were undercoded. IMPLICATIONS FOR PRACTICE: Findings of this study support the need for additional education of NPs in the areas of coding and documentation.
