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Journal articles on the topic 'Nursing care plans'

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Published: 4 June 2021
Last updated: 30 July 2024

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1

KOBS, ANN. "Nursing Care Plans." Nursing Management (Springhouse) 28, no. 5 (May 1997): 30???33. http://dx.doi.org/10.1097/00006247-199705010-00006.

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2

ME, Doenges, Jelfines MF, and Moorhouse MF. "Nursing Care Plans." Dimensions of Critical Care Nursing 4, no. 2 (March 1985): 119. http://dx.doi.org/10.1097/00003465-198503000-00009.

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3

Ballantyne, Helen. "Developing nursing care plans." Nursing Standard 30, no. 26 (February 24, 2016): 51–60. http://dx.doi.org/10.7748/ns.30.26.51.s48.

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Hooks, Robin. "Developing nursing care plans." Nursing Standard 30, no. 45 (July 6, 2016): 64–65. http://dx.doi.org/10.7748/ns.30.45.64.s48.

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5

scherman, susan l. "Community Health Nursing Care Plans." AJN, American Journal of Nursing 85, no. 12 (December 1985): 1417–29. http://dx.doi.org/10.1097/00000446-198512000-00081.

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6

Dershowitz, Barbara. "Community Health Nursing Care Plans." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 9, no. 1 (January 1991): 47. http://dx.doi.org/10.1097/00004045-199101000-00017.

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7

Norris, MK Gaedeke. "Nursing Care Plans and Documentation." Dimensions of Critical Care Nursing 10, no. 6 (November 1991): 372. http://dx.doi.org/10.1097/00003465-199111000-00022.

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8

LaDuke, Sharon. "Death to Nursing Care Plans!" AJN, American Journal of Nursing 108, no. 6 (June 2008): 13. http://dx.doi.org/10.1097/01.naj.0000324356.20845.46.

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9

Shumway, Jean K. "Nursing Care Plans - The Nursing Process at Work." Journal of Continuing Education in Nursing 19, no. 1 (January 1988): 47. http://dx.doi.org/10.3928/0022-0124-19880101-15.

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10

Anthony, Ann, and Carol A. Bedrosian. "Home Health Nursing: Nursing Diagnoses and Care Plans." American Journal of Nursing 90, no. 2 (February 1990): 104. http://dx.doi.org/10.2307/3426319.

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11

Tunmore, Robert, and Ben Thomas. "Nursing care plans in acute mental health nursing." Mental Health Practice 4, no. 3 (November 2000): 32–37. http://dx.doi.org/10.7748/mhp2000.11.4.3.32.c1681.

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12

Kellog, Robah. "Nursing Diagnosis Pocket Guide??? Nursing Diagnosis???Care Plans." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 5, no. 5 (September 1987): 48. http://dx.doi.org/10.1097/00004045-198709000-00015.

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13

Clarke, Margaret. "Nursing care plans. The nursing process at work." International Journal of Nursing Studies 24, no. 2 (January 1987): 174. http://dx.doi.org/10.1016/0020-7489(87)90061-7.

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14

Jabraeelzadeh Kamblash, Ali, Mohammad Javad Jafari, Reza Nemati-Vakilabad, Mohammad Reza Mojebi, Pouya Mostafazadeh, and Alireza Mirzaei. "Nursing Students’ Competency about Writing Nursing Care Plan: An Exploratory Study in Iran." Journal of Nursing Management 2024 (January 12, 2024): 1–10. http://dx.doi.org/10.1155/2024/6653850.

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Background. By utilizing the nursing care process, healthcare professionals can implement nursing knowledge effectively and efficiently, ultimately leading to a significant improvement in the quality of care provided. Objective. This study aimed to assess writing nursing care plan competence among Ardabil nursing students in northwestern Iran. Methods. The study involved 248 nursing students from the second to eighth semesters in three nursing and midwifery schools located in the Ardabil province of northern Iran. The data were collected using a simple random sampling method and included a demographic questionnaire along with a survey questionnaire on nursing care plan writing skills. This was conducted between May and June 2023. Descriptive statistics, Pearson correlation, t-test, ANOVA, and multiple linear regression analyses were conducted for data analysis. Results. The mean score (SD) for writing a nursing care plan in a student survey was 3.35 (0.57) on a scale of 1 to 5. The survey’s weighted mean score for each dimension is as follows: data gathering (D) = 3.40 (0.73), identification of client’s problems (P) = 3.40 (0.73), sustainable goals (G) = 3.31 (0.77), appropriateness of intervention (I) = 3.30 (0.67), and recognizing outcomes (O) = 3.37 (0.69). This indicates that the students performed well overall. However, the lowest score was in the appropriateness of interventions dimension. Multiple linear regression analysis revealed that four variables, mean score of grade point average (GPA), age, academic term, and time spent studying (hours per day), were significant predictors of the student survey’s scores on writing nursing care plans. These variables could predict 61% of the total variance. Implication for Nursing Management. Nursing school administrators can establish programs to improve education and practice in nursing care plan development based on this study. They can use these findings to enhance nursing education and practice for students, which will ultimately lead to better nursing care plans. Administrators should ensure that students have the necessary skills for writing efficient care plans and provide training courses to improve their writing and critical thinking skills. Policies can be implemented to encourage students to increase their study hours and maintain quality care programs. Conclusion. Nursing students are skilled in creating well-written nursing care plans that follow the nursing process. The quality of these plans improves with higher GPAs and longer study hours. To enhance nursing care plans, nursing education should focus on developing skills and allocating sufficient time for studying and practicing. Collaborating with faculty and administrators, as well as using reliable resources, can also help improve the quality of care plans.
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15

Laverty, L. Hodgson. "Nursing Care Plans: Guidelines for Planning Patient Care." Journal of Continuing Education in Nursing 22, no. 1 (January 1991): 42–43. http://dx.doi.org/10.3928/0022-0124-19910101-15.

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16

Hennessy, Juliette. "Nursing Care Plans: Guidelines for Planning Patient Care." AORN Journal 50, no. 6 (December 1989): 1326. http://dx.doi.org/10.1016/s0001-2092(07)67688-1.

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17

Peruselli, Carlo, Elena Camporesi, A. Maria Colombo, Monica Cucci, P. G. Sironi, Marco Bellodi, Romana Cirillo, Elsa Love, and Rita Mariano. "Nursing Care Planning for Terminally Ill Cancer Patients Receiving Home Care." Journal of Palliative Care 8, no. 4 (December 1992): 4–7. http://dx.doi.org/10.1177/082585979200800402.

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Nursing home care for terminally ill cancer patients was organized according to nursing care plans that were based on diagnoses as recommended by the North American Nursing Diagnosis Association (NANDA). This study was carried out among a sample of 40 patients receiving home health care for a period of 1 to 19 weeks. More than 697 nursing diagnoses were identified in the study. The most frequently recorded nursing diagnoses were anxiety, constipation, and diminished food intake. Fifteen of the 40 patients in the study were able to complete a weekly self-report of their symptoms. The patients’ own descriptions of their symptoms were then compared with their symptoms as identified by nursing staff. There was a congruence in 63% of reported instances. Although nurses’ assessments were not always in agreement with the symptoms reported by the patients, agreement was more frequently found with somatic symptoms than with psychological ones. One conclusion is that nursing plans should incorporate multidimensional methods for assessing patients’ real needs.
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18

Sebastian, Linda. "Manual of Psychiatric Nursing Care Plans." Journal of Psychosocial Nursing and Mental Health Services 29, no. 12 (December 1991): 41. http://dx.doi.org/10.3928/0279-3695-19911201-22.

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19

Lambert, Nicky. "Nursing care plans in mental health." Mental Health Practice 22, no. 6 (November 6, 2019): 33–41. http://dx.doi.org/10.7748/mhp.2019.e1375.

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20

&NA;. "TAILORING CARE PLANS TO NURSING DIAGNOSES." AJN, American Journal of Nursing 86, no. 3 (March 1986): 313–17. http://dx.doi.org/10.1097/00000446-198603000-00031.

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21

Reig-Garcia, Glòria, David Cámara-Liebana, Rosa Suñer-Soler, Eva Pau-Perich, Miquel Sitjar-Suñer, Susana Mantas-Jiménez, Marta Roqueta-Vall-llosera, and Maria del Carmen Malagón-Aguilera. "Assessment of Standardized Care Plans for People with Chronic Diseases in Primary Care Settings." Nursing Reports 14, no. 2 (March 29, 2024): 801–15. http://dx.doi.org/10.3390/nursrep14020062.

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Background: Aging populations are driving a shift in emphasis toward enhancing chronic disease care, reflected in Catalonia’s regional plan which prioritizes standardized nursing care plans in primary care settings. To achieve this, the ARES-AP program was established with a focus on harmonizing standards and supporting routine nursing clinical decision-making. This study evaluates nurses’ perceptions of ARES-AP’s standardized care plans for chronic diseases. Methods: A mixed-methods approach based on an ad hoc questionnaire (n = 141) and a focus group (n = 14) was used. Quantitative data were statistically analysed, setting significance at p < 0.05. Qualitative data were explored via content analysis. Results: ARES-AP training was assessed positively. The resources for motivational interviewing and care plans for the most prevalent chronic diseases were rated very positively. This study identified key factors influencing program implementation, including facilitators such as structured information and nursing autonomy, barriers such as resistance to change, motivators such as managerial support, and suggested improvements such as technological improvements and time management strategies. Conclusions: This study identifies areas for improvement in implementing standardized nursing care plans, including additional time, motivation, enhanced IT infrastructure, and collaboration among primary care professionals. It enhances understanding of these plans in primary care, especially in managing chronic diseases in aging populations. Further research should assess the program’s long-term impact on chronic patients. This study was not registered.
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22

Mozaffari, Essy, and Sean D. Sullivan. "Home care reimbursement for intravenous ganciclovir therapy." American Journal of Health-System Pharmacy 53, no. 2 (January 15, 1996): 161–63. http://dx.doi.org/10.1093/ajhp/53.2.161.

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Variability in reimbursement for home i.v. ganciclovir therapy among three types of payers was investigated. A survey was developed to estimate reimbursement for drug and medical supplies and nursing services associated with preparing i.v. ganciclovir and administering it to persons with cytomegalovirus (CMV)-associated retinitis in the home care setting. The questionnaire was mailed to 45 home health care agencies and 11 nursing agencies. Of the 56 surveys mailed, 26 (46%) were returned and considered usable. Of the 26 respondents, 22 were home health care companies, 4 were nursing ageiicies, 22 served patients covered by managed care or state assistance that reimbursed on a per diem trasis, and 9 did not provide care to fee-for-service patients. The mean total daily-reimbursement rate (for ganciclovir, supplies, and nursing services) from managed care per diem plans was $137.69 per patient, compared with $I29.18 from fee-for-service plans and $72.68 from state assistance per diem plans. The dissimilarity may have been due to geographic variations in reimbursement and different mechanisms of reimbursement. Providers of home i.v. ganciclovir therapy for persons with CMV retinitis received the highest tnean total daily reimbursement from managed care per diem plans, followed by fee-for-service plans and state assistance per diem plans.
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23

Smith, Marie M., and Luc Reginald Pelletier. "Psychiatric Nursing: Case Studies, Nursing Diagnoses, and Care Plans." American Journal of Nursing 88, no. 10 (October 1988): 1433. http://dx.doi.org/10.2307/3470938.

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24

Iqbal, Imran, Saima Kouser, Sadia Samreen, and Gideon Victor. "Factors Affecting the Implementation of Nursing Care Plans in Patient Care." National Journal of Health Sciences 8, no. 4 (December 28, 2023): 189–94. http://dx.doi.org/10.21089/njhs.84.0189.

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Abstract: Background: Nursing Care Plan (NCP) is used in practice as a systematic and scientific problem-solving method to determining the care needs of individuals. There is lack of research on factors affecting regarding utilization of nursing care plan in patient care. Objective: The objective of this study were to evaluate the implementation of the nursing process and to determine the factors that may influence the implementation of the nursing process. Materials and Methods: A cross-sectional survey was conducted at a private hospital during February to June, 2023. The study protocol was reviewed and approved. Permission from institutional heads was sought. Informed consent was obtained before data collection. Simple random sampling method was employed. The data were collected with structured questionnaires whose responses were rated on Likert scale. Data were coded and analyzed using SPSS v25.0. Result: A total 108 nurses participated in the study. Study findings revealed 89% of the nurses were female nurses and 82% possessed diploma in nursing. The knowledge 50.5%, confidence 50.9% and willingness 54.2%, were at borderline good level. Whereas, assessment and diagnosis, planning, implementation, evaluation, and nurses’ views about nursing care planning implementation were at < 50% as poor. There was a moderate positive correlation between knowledge and implementation R-Value 0.312 and confidence and evaluation R-Value 0.246. Barrier to implement nursing process included uncooperative patients, lack of awareness about nursing process, lack of preparedness, low satisfaction level, lack of in-service training, lack of time, and high patient flow. Conclusion: Study’s findings revealed knowledge, confidence and willingness of the nurses determine the use of nursing process in their nursing practice.
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25

Main, Clare. "Working with nursing care plans – Part 2. Using the nursing care plan." Veterinary Nursing Journal 26, no. 6 (June 2011): 207–11. http://dx.doi.org/10.1111/j.2045-0648.2011.00053.x.

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26

Mankovecká, Monika. "STANDARDIZED NURSING PLANS AND THEIR CLINICAL USE." CBU International Conference Proceedings 6 (September 25, 2018): 938–43. http://dx.doi.org/10.12955/cbup.v6.1275.

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This paper states the results of the study on the verification of the applicability of standardized nursing plans in clinical practice. The aim was to develop an effective model of managed nursing care for patients deficient in breathing. The research methods used were: a thought experiment, an experiment, a content analysis, and a survey. From the results, the author suggested four nursing plans which solve actual respiratory deficit. A basis for diagnosis was the classification system of nursing diagnoses NANDA. The plans were verified in two faculty hospitals at clinics of anaesthesiology and intensive medicine. Based on the standardized nursing plans, nursing care quality increased by 19 %. After analysis of the unmet criteria, the author found the most problematic criteria that were inconsistent with the standard. In the last part of the study, a survey of the nurses defined the advantages of standardized plans for nurses and patients.
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Bahle, Jan, Cynthia Majercik, Ruth Ludwick, Heather Bukosky, and David Frase. "At Risk Care Plans." Journal of Nursing Care Quality 30, no. 3 (2015): 200–204. http://dx.doi.org/10.1097/ncq.0000000000000106.

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Vandenbosch, Terry M., Caroline L. Bentley, Katherine A. Jones, and Desiree Blake. "Diagnostics: Tailoring Care Plans to Nursing Diagnoses." American Journal of Nursing 86, no. 3 (March 1986): 313. http://dx.doi.org/10.2307/3425473.

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Morgan, Samantha. "A practical approach to nursing care plans." Veterinary Nursing Journal 34, no. 4 (March 14, 2019): 111–12. http://dx.doi.org/10.1080/17415349.2019.1582831.

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30

Grady, Rita M. "Is There life After Nursing Care Plans?" Nursing Management (Springhouse) 17, no. 12 (December 1986): 44. http://dx.doi.org/10.1097/00006247-198612000-00019.

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Elster, Sue, Judy Farnsworth, and Carolyn Thomas. "Tape Recorded Evaluations of Nursing Care Plans." Nurse Educator 11, no. 5 (September 1986): 7. http://dx.doi.org/10.1097/00006223-198609000-00006.

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32

Rustiawati, Epi. "PENGARUH E-DIGITAL NURSING CARE PLANS (E-DNCP) TERHADAP TINGKAT KEPUASAN MAHASISWA TENTANG MEDIA PEMBELAJARAN DOKUMENTASI KEPERAWATAN MEDIKAL BEDAH." Jurnal Keperawatan 'Aisyiyah 8, no. 2 (March 1, 2022): 171–78. http://dx.doi.org/10.33867/jka.v8i2.286.

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Kemajuan teknologi merupakan tantangan bagi dosen mengembangkan media pembelajaran tidak monoton. Media pembelajaran berbasis buku bergeser menjadi berbasis digital. Media pembelajaran digital membantu mahasiswa mengases cepat tepat dan mudah diakses dan dibaca dengan mengunakan smart phone. Tujuan penelitian ini untuk mengetahui pengaruh E-Digital Nursing Care Plans (E-DNCP) terhadap tingkat kepuasan mahasiswa tentang media pembelajaran dokumentasi keperawatan medikal bedah. Metode penelitian:penelitian ini mengunakan metode quasi eksperimen dengan pendekatan pre post without kontrol. Populasi: mahasiswa keperawatan tingkat 3 DIII Keperawatan FK Untirta, sampel penelitian yang digunakan total sampling dengan jumlah 100 responden. Instrumen penelitian: kuisioner kepuasan mahasiswa dengan Post Study System Usability Quesionnaire (PPSUQ) dan aplikasi web pengaruh E-Digital Nursing Care Plans (E-DNCP) sebagai media pembelajaran dokumentasi keperawatan medikal bedah. Uji analisis: McNemar untuk mengetahui pengaruh E-Digital Nursing Care Plans (E-DNCP) terhadap tingkat kepuasan mahasiswa tentang media pembelajaran dokumentasi keperawatan medikal bedah. Hasil penelitian: diperoleh p value 0,002 menunjukan secara signifikan aplikasi E-Digital Nursing Care Plans (E-DNCP) berpengaruh terhadap tingkat kepuasan mahasiswa tentang media pembelajaran dokumentasi keperawatan medikal bedah. Kesimpulan dan saran. E digital nursing care plans berpengaruh terhadap kepuasan mahasiswa dalam pembelajaran dan aplikasi ini akan dikembangkan sebagai media pembelajaran mahasiswa dalam praktik keperawatan medikal bedah di kelas dan praktik klinik.
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Andreae, Christina, Mirjam Ekstedt, and Ingrid Snellman. "Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans." ISRN Nursing 2011 (July 10, 2011): 1–7. http://dx.doi.org/10.5402/2011/707601.

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This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients' opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients' participation in nursing care. Data were collected from thirteen patients' records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients' intermediary participation and patients' active participation. The main results indicated that patients' intermediary participation depended on healthcare professionals' power to rule the nursing care situation.
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Can, Gulbeyaz, and Ozgul Erol. "Nursing students' perceptions about nursing care plans: A Turkish perspective." International Journal of Nursing Practice 18, no. 1 (January 18, 2012): 12–19. http://dx.doi.org/10.1111/j.1440-172x.2011.01985.x.

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35

Sinatra-Wilhelm, Tina. "Nursing Care Plans Versus Concept Maps in the Enhancement of Critical Thinking Skills in Nursing Students Enrolled in a Baccalaureate Nursing Program." Creative Nursing 18, no. 2 (2012): 78–84. http://dx.doi.org/10.1891/1078-4535.18.2.78.

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Appropriate and effective critical thinking and problem solving is necessary for all nurses in order to make complex decisions that improve patient outcomes, safety, and quality of nursing care. With the current emphasis on quality improvement, critical thinking ability is a noteworthy concern within the nursing profession. An in-depth review of literature related to critical thinking was performed. The use of nursing care plans and concept mapping to improve critical thinking skills was among the recommendations identified. This study compares the use of nursing care plans and concept mapping as a teaching strategy for the enhancement of critical thinking skills in baccalaureate level nursing students. The California Critical Thinking Skills Test was used as a method of comparison and evaluation. Results indicate that concept mapping enhances critical thinking skills in baccalaureate nursing students.
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36

Ackerman, Nicola. "Renal patients: IRIS scores, nursing care plans and care bundles." Veterinary Nurse 11, no. 10 (December 2, 2020): 440–46. http://dx.doi.org/10.12968/vetn.2020.11.10.440.

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The role of a consulting nurse in chronic medical cases is very important in helping with compliance, client education and ultimately welfare and quality of life. In patients with chronic renal failure the use of the International Renal Interest Society (IRIS) score enables all veterinary professionals to be able to implement any guidelines or protocols (care bundles) in order to benefit the health of the animal and to have these incorporated into long-term care plans.
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Rn, Bev O'connell, Helen Myers Rn, Di Twigg Rn, and Fiona Entriken Rn. "Documenting and communicating patient care: Are nursing care plans redundant?" International Journal of Nursing Practice 6, no. 5 (October 2000): 276–80. http://dx.doi.org/10.1046/j.1440-172x.2000.00249.x.

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38

Seifert, Patricia C. "Nursing Care Plans: Guidelines for Planning and Documenting Patient Care." AORN Journal 59, no. 3 (March 1994): 727. http://dx.doi.org/10.1016/s0001-2092(07)69992-x.

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Gould, Dinah. "Plans of Care for Specialty Practice: Cardiovascular Critical Care Nursing." Journal of Advanced Nursing 20, no. 5 (November 1994): 977–78. http://dx.doi.org/10.1046/j.1365-2648.1994.20050975-8.x.

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Suganda, Suganda, Siska Iskandar, Nengke Puspita Sari, and Maritta Sari. "ASUHAN KEPERAWATAN PADA BALITA INFEKSI SALURAN PERNAPASAN AKUT DENGAN HIPERTERMI MELALUI PEMBERIAN TERAPI TEPID SPONGE." JURNAL KEPERAWATAN MUHAMMADIYAH BENGKULU 10, no. 2 (October 31, 2022): 139–44. http://dx.doi.org/10.36085/jkmb.v10i2.3877.

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Problem Acute Respiratory Infection is a series of nursing actions given to overcome nursing problems in toddlers with acute respiratory infections which includes the process of assessing health problems, formulating nursing diagnoses, preparing nursing action plans, implementing nursing actions and evaluating nursing actions that have been carried out. Destination The purpose of this study was to obtain an overview of nursing care by providing tepid sponge therapy in reducing body temperature in patients with acute respiratory infections. Methodology This research is qualitative research with a case study design to explore the problem of nursing care in infants with acute respiratory infections, through a nursing care approach that includes nursing assessment, formulation of nursing diagnoses, preparation of nursing action plans (nursing interventions), implementation of nursing actions (nursing implementation), and evaluate nursing actions that have been carried out (nursing evaluation). Results Research shows that there is a decrease in body temperature after tepid sponge therapy in patients with acute respiratory infections.
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Mize, Carolyn P., Gail Bentley, and Susie Hubbard. "Standards of Care: Integrating Nursing Care Plans and Quality Assurance Activities." AACN Advanced Critical Care 2, no. 1 (February 1, 1991): 63–68. http://dx.doi.org/10.4037/15597768-1991-1010.

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Traditionally, standards are used to define the level of care that a patient can expect to receive in a given institution or on a given nursing unit. These standards are the foundation of quality assurance programs. Unfortunately, with the increased emphasis on monitoring care, many standards are being written after the quality assurance activities have been developed and are in place. Often, standards are placed neatly in a book that is dusted off and brought out when the Joint Commission for Accreditation of Healthcare Organizations representative (JCAHO) visits. The nursing staff at the unit level has no real knowledge or understanding of the standards. This may result in a nonfunctioning quality assurance program
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Rippingale, Marie. "Nursing care of geriatric donkeys." UK-Vet Equine 5, no. 5 (September 2, 2021): 222–24. http://dx.doi.org/10.12968/ukve.2021.5.5.222.

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Many donkeys are now kept as pets rather than working animals. This means they often live longer, with many now reaching 20-years-old and being classed as geriatric. These donkeys often require specialist treatment and management, as they are prone to certain conditions such as dental disease and arthritis. The owner should be fully involved with treatment plans and supported through any environmental changes. When the time comes, the quality of life of the geriatric donkey should be assessed carefully, and the owner should be guided through the resulting decisions with support and dignity for their much-loved companion.
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Daddato, Andrea E., Cynthia Drake, Edward A. Miller, Pamela Nadash, Denise Tyler, and Rebecca S. Boxer. "MANAGING MANAGED CARE: PERSPECTIVES FROM KEY STAKEHOLDERS IN SKILLED NURSING FACILITIES." Innovation in Aging 3, Supplement_1 (November 2019): S498—S499. http://dx.doi.org/10.1093/geroni/igz038.1846.

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Abstract In recent years, Medicare Advantage (MA) plan enrollment has increased, a trend that is expected to continue. Many skilled nursing facilities (SNFs) rely on MA managed care insurer referrals to maintain their census in a market with high competition for post-acute care patients. This study used semi-structured interviews to describe the relationship between MA plans and SNFs from the perspective of key decision-makers in SNFs. Twenty-three interviews were conducted with key stakeholders from 11 Denver Metropolitan area SNFs. A combined purposive-snowball sampling approach was used to identify and recruit select staff from the participating facilities. Interviews focused on the relationship between MA plans and SNFs, including mechanisms of control, power dynamics, and preferences for MA versus Fee-for-Service (FFS) Medicare patients. Key findings included: 1) challenges SNF staff had navigating MA plans’ case management processes, a key mechanism used by MA plans to influence the behavior of SNF decision-makers; 2) MA plans exercising power over beneficiaries’ length of stay, potentially leading to early discharge and heightened risk for rehospitalization; 3) SNF preference for admitting Medicare FFS over MA patients due to higher rates of Medicare FFS reimbursement and greater control over patient care. SNFs are increasingly reliant on MA plans for patient referrals and revenue. The themes suggest that this growing reliance may place SNFs at odds with MA plans on how best to manage overall patient care. It is therefore important that future research investigate how MA plans’ influence over care affects patient outcomes in SNFs and other post-acute settings.
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44

Dillworth, Judy, and Julie Mill Strange. "Shock Trauma Care Plans." American Journal of Nursing 89, no. 1 (January 1989): 140. http://dx.doi.org/10.2307/3471034.

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Ballard, Karen A. "NYS Requires Care Plans." American Journal of Nursing 91, no. 9 (September 1991): 18. http://dx.doi.org/10.2307/3426600.

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DILLWORTH, JUDY. "Shock Trauma Care Plans." AJN, American Journal of Nursing 89, no. 1 (January 1989): 140. http://dx.doi.org/10.1097/00000446-198901000-00036.

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Groves, John T. "DOWN WITH CARE PLANS." AJN, American Journal of Nursing 108, no. 9 (September 2008): 14. http://dx.doi.org/10.1097/01.naj.0000334960.90944.a2.

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Marks, Glenn. "DOWN WITH CARE PLANS." AJN, American Journal of Nursing 108, no. 9 (September 2008): 14. http://dx.doi.org/10.1097/01.naj.0000334961.90944.eb.

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McEvoy, Mike. "DOWN WITH CARE PLANS." AJN, American Journal of Nursing 108, no. 9 (September 2008): 14. http://dx.doi.org/10.1097/01.naj.0000334962.21371.66.

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Karaca, Turkan. "Evaluation of First Year Nursing Students’ Care Plans-Nursing Diagnosis and Nursing Intervations." International Journal of Nursing Care 5, no. 1 (2017): 40. http://dx.doi.org/10.5958/2320-8651.2017.00009.6.

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