Eleven years of primary health care delivery in an academic nursing center

mentioning

confidence: 99%

Contextual Factors Influencing the Evolution of Nurses' Roles in a Primary Health Care Clinic

Paterson

Duffett‐Leger

Cruttenden

2009

“…The purpose of the study was to describe and examine the impact of medication intervention practices among African-American clients in two nurse-led community nursing centers (CNCs). The study aims (Hildebrandt et al, 2003;Hong & Lundeen, 2009). The primary healthcare team consists of one clinical nurse specialist/clinic director, two family nurse practitioners, and two registered nurse case managers from diverse racial backgrounds (Holt et al, 2020).…”

Section: Purposementioning

confidence: 99%

“…It has incorporated the Omaha System for over 30 years to enhance traditional EHR data that do not fully capture nursing practice. The ACHIS provides the computerization of client care documentation data for administrative, research, and health policy applications (Hildebrandt et al, 2003;Hong & Lundeen, 2009). The dataset comprises the years 2006-2014.…”

Section: Measurementioning

confidence: 99%

Medication interventions for African‐American adults: Practice‐based evidence from two nurse‐led clinics

Taani

Ellis

Zabler

et al. 2020

Objective: This study was conducted to describe and examine the impact of medication intervention practices among African-American clients in two nurse-led community nursing centers (CNCs). Methods: This study used a retrospective-descriptive design. Omaha System data from visits of 196 African-American adults living with chronic disease and having two or more CNC visits in which medication regimen was an identified problem and the main reason for the visit was analyzed. Results: The sample had a mean age of 53.1 (6.67) and was primarily women (82%), uninsured, and with high school or less education. A total of 9,259 Medication regimen interventions were documented and implemented during 1,146 client CNC visits. A paired samples t test revealed statistically significant improvements in Knowledge (t = 2.434, p < .01). Behavior (t = 0.077, p = .94) and Status (t = 1.489, p = .14) remained unchanged, although the ratings trended toward improvement for each. Conclusion: This study provides evidence that the nursing center model of care does improve the knowledge of medications among African-American clients. The study also demonstrated the Omaha System's utility to evaluate the impact of nursing interventions in community settings.

“…The Omaha System (Martin, ) is the underlying nursing taxonomic structure of ACHIS, which enables nurses to capture and link client problems, nursing interventions, and outcomes in ways not possible in physician‐oriented clinical information systems. Developed by nurse researchers and computer design specialists, ACHIS has served to inform community health nursing practice, research, and administration in local health settings for over 20 years (Hildebrandt, Baisch, Lundeen, Bell‐Calvin & Kelber, ; Schoneman, ). A key feature of this documentation system is its adaptability to various types of public health services and settings.…”

Section: A Public Health Nursing Informatics Improvement Projectmentioning

confidence: 99%

A Systematic Method to Document Population‐Level Nursing Interventions in an Electronic Health System

Baisch

2012

Self Cite

Many public health electronic health systems lack the specificity to distinguish between individual- and population-based levels of care provided by public health nurses. Data that describe the broad scope of the everyday practice of public health nurses are critical to providing evidence of their effectiveness in promoting community health, which may not be fully appreciated in an arena of scarce resources. This article describes a method to document population-based nursing practice by adding population-based interventions to the nursing taxonomy underlying an electronic health information system. These interventions, derived from the Intervention Wheel, were incorporated into the Omaha System taxonomy, the conceptual framework for the Automated Community Health Information System (ACHIS), which is a longstanding data system used to capture nursing practice in community nursing centers. This article includes a description of the development and testing of the system's ability to capture the practice of the district public health nurse model. This method of adapting an existing data system to capture population-based interventions could be replicated by public health administrators interested in better evaluating the processes and outcomes of public health nursing and other public health professionals.