NursingCareMakesADifference

NursingCareMakesADifference - Nursing Care Makes A...

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Nursing Care Makes A Difference The Application of Omaha Documentation System on Clients with Mental Illness
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Abstract The use of nursing classification systems has enabled nurses to describe patients needs and nursing contributions to patient care. The results of the study indicated a statistical positive difference in the outcome ratings as a result of nursing interventions for 47 clients with chronic mental illness in three academic nurse managed centers. The Omaha Documentation System demonstrates its usefulness as a valid and reliable nursing documentation tool for outcomes and quality of care measurements for clients with mental illness.
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Background Literature The rapid increase in a variety of new models of community-based care has created a crucial need for data base measurements of quality. In health care definition of quality has been expanded to include the expectations of patients, of their representatives, and of society (Walker et al, 1997).
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Background Literature Donabedian defined quality as the result of assessment of structure, process, and outcomes. Market driven reforms in managed care are changing the face of the delivery and evaluation of health care in the US. (Chisholm et al 1997) In the context of this change there is a renewed interest in the measurements of quality of care.
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Omaha Documentation System Develop over 20 years with federal funded research Primary test site was the visiting nurses association of Omaha Provides comprehensive problem oriented nomenclature that describes, classifies and quantifies nursing care.
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Omaha Documentation System It is a tool that promotes problem solving and nursing process. Uses the problem classification scheme. The intervention scheme has the ability to describe most of the nursing interventions. The problem rating scale for outcomes allows the user to use clinical knowledge to determine clients health status outcome.
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Omaha Documentation System WHY this tool? Problem classification scheme effectively describes the wide variety of health problems that are encounter in the NMC. The intervention scheme has the ability to describe
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NursingCareMakesADifference - Nursing Care Makes A...

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