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Biomedical subjects

R Dring

Publications and source records attributed to R Dring.

5 recordsLinked to original sources

Case management: a case study.

Prior to institution of case management Mr. G would have remained on the neuroscience acute care unit until nursing home placement could be arranged, a process which often took a year because of the severe shortage of Medicaid beds in South Carolina. Because case managers collaborated to identify and resolve the problem, the outcome for those such as Mr. G has changed. Case management facilitates movement of patients with complex problems from acute care to successful community reentry in a cost-effective manner.

Adult

The informal caregiver responsible for home care of the individual with cognitive dysfunction following brain injury.

The brain-injured often require care long after they leave the acute care setting. Increasingly this care is being given at home. Informal caregivers are an important link to the brain-injured patient's achieving optimal health and wellness. Characteristics of caregivers are given and the AFFIRM model used as a guide to assist nurses in their preparation of caregivers. A case study illustrates use of the model.

Aged

Case management: the relationship between structure & environment.

In response to increasingly uncertain practice environments, case management structural dimensions of role differentiation, task coordination, and decentralization remained constant, while nurse participation in decision making increased significantly.

Decision Making, Organizational

A cost-effectiveness analysis of acute care case management outcomes.

Case management was more cost effective in a moderately uncertain practice environment than in either a low or a high uncertainty environment. The environmental state, case manager role differentiation, and information coordination contributed most strongly to these outcomes.

Cost-Benefit Analysis

Environmental uncertainty: implications for practice model redesign.

Analysis of one academic medical center revealed three distinct nursing practice environments distinguished by increasing levels of complexity, change, unpredictability, and uncertainty. Designing practice models to accommodate these conditions will facilitate more efficient and effective patient outcomes.

Academic Medical Centers