Interventions in response to chemically dependent nurses: Effect of context and interpretation

Torkelson, Diane J.; Anderson, Ruth A.; McDaniel, Reuben R.

doi:10.1002/(sici)1098-240x(199604)19:2<153::aid-nur7>3.3.co;2-b

Cited by 5 publications

(5 citation statements)

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“…Because these two interventions ought to be billable under Medicaid, which is an incentive to use them, managerial influence or program norms seem to be playing a role in case managers' choice of interventions. This finding is similar to that of Torkelson et al. (1996), who found that the hospital context in which chemically dependent nurses worked and the way that managers interpreted the issue strongly influenced interventions chosen to deal with the nurses.…”

Section: Discussionsupporting

confidence: 85%

“…The focus on organizational capacity, program capacity, and processes stems from organizational science. The relationships among organizational environment, its structure, and the technology used in the delivery of services have been well researched in organizational science and found to be a sound basis for developing managerial practices in health care (Alexander & Bauerschmidt, 1987; Allred, Arford, Michel, Veitch, Dring, & Carter, 1995; Torkelson, Anderson, & McDaniel, 1996). A new counterpart to this more traditional organizational science approach is emerging in public health as the conceptual model proposed by Handler, Issel, and Turnock (2001).…”

Section: Frameworkmentioning

confidence: 99%

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Administrative Characteristics of Comprehensive Prenatal Case Management Programs

Issel

Anderson

Kane

2003

Public Health Nursing

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The purpose of this study was to examine comprehensive prenatal case management programs in terms of organizational, program, and process characteristics. Data from 66 program surveys of government agencies were used. Organizational capacity was measured as extent of organizational change and extent of interagency agreements. Program data included age and size of the program, reasons for having case management, and funding diversity. Process data were eight types of interventions. The most highly rated reason for having case management was to improve client outcomes. The greatest organizational change was in the area of the organizational structure, followed by financial status and types of services provided. Contracts with other agencies were rare. Agencies with more interagency contacts reported higher levels of change in the case management department and turnover among mid-level managers. Older programs had fewer employees. Approximately 49% of client contacts were not billed to Medicaid. Larger programs had significantly less time allocated to emotional support and coaching. Data on organizational characteristics, program, and process variables provide insights into comprehensive case management. Relationships among these variables underscore the importance of studying client outcomes within the context of program and organizational idiosyncrasies. Future studies of comprehensive prenatal case management should focus on cross-level questions.

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Section: Discussionsupporting

confidence: 85%

Section: Frameworkmentioning

confidence: 99%

Administrative Characteristics of Comprehensive Prenatal Case Management Programs

Issel

Anderson

Kane

2003

Public Health Nursing

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“…Good internal consistency has been reported in previous studies with alpha coefficients ranging from .79 to . 88 (Roberts & O'Reilly, 1974;Torkelson, Anderson, & McDaniel, 1996). These studies also provided evidence of construct validity through factor analysis or hypothesis testing.…”

Section: Variable Measurementmentioning

confidence: 90%

Nursing Homes as Complex Adaptive Systems

2003

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“…An interpretation is often captured in a label, which connotes meaning, increasing shared understanding of events. Thus, a label facilitates transfer of meaning to others and, as prior research demonstrates, it is a strong determinant of actions taken (Torkelson, Anderson, & McDaniel, 1996). For example, a CNA trying to motivate a resident to ambulate will take different actions depending on whether he or she applies the label "lazy" or "wary.…”

Section: Sensemaking Interpretation Labeling and Actionmentioning

confidence: 99%

Nurse Assistant Mental Models, Sensemaking, Care Actions, and Consequences for Nursing Home Residents

et al. 2005

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In a nursing home case study using observation and interview data, we described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do for them. Mother wit guided CNAs to treat residents as they would treat their own children. These mental models engendered self-control and affection. We found limits to the models in that they led to actions such as infantalization and misinterpretations about potentially undiagnosed conditions such as depression or pain. Further, we found that CNAs were isolated from clinicians; little resident information was exchanged. We suggest ways to alter CNA mental models to give them a better basis for action and strategies for connecting NIH Public Access CNAs and clinical professionals to improve information flow about residents. Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care.

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Interventions in response to chemically dependent nurses: Effect of context and interpretation

Cited by 5 publications

References 0 publications

Administrative Characteristics of Comprehensive Prenatal Case Management Programs

Administrative Characteristics of Comprehensive Prenatal Case Management Programs

Nursing Homes as Complex Adaptive Systems

Nurse Assistant Mental Models, Sensemaking, Care Actions, and Consequences for Nursing Home Residents

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