RESUMO
A survey measures the control that nurse managers have gained over budgeting.
Assuntos
Orçamentos , Administração Financeira/organização & administração , Descrição de Cargo , Enfermeiros Administradores/organização & administração , Supervisão de Enfermagem/organização & administração , Adulto , Idoso , Tomada de Decisões Gerenciais , Feminino , Humanos , Louisiana , Masculino , Pessoa de Meia-Idade , Enfermeiros Administradores/educação , Autonomia Profissional , Inquéritos e QuestionáriosRESUMO
The purpose of this research multiple case study was to determine case management roles as demonstrated by four clinicians employed at a university medical center. Multiple sources of evidence were used to collect data, including interviews, nonparticipant observations, and chart audits. Case management was defined by the clinicians as a process for delivery of health care at the institution studied. Despite a lack of a uniform framework for case management practice, the clinicians used similar case management components. Chart audits demonstrated deficits and inconsistency in documentation that were supported by interview and observations. It was recommended that exposure to formal case management models and theory could strengthen clinical practice in this area. Additionally, investigation of factors that facilitate and/or impede consistent documentation of interventions and patient outcomes, particularly by CNSs is recommended.