Home About us Contact
|
Home About us Contact | ||
|
|
||
Client Need (client + need)
Selected AbstractsPersonal Care Services Utilization by Individuals With Developmental DisabilitiesFAMILY RELATIONS, Issue 2 2010Charlene Harrington This study examined factors associated with the use of personal care services (PCS) and the amount of authorized hours in California in 2004,2005. Of those Medicaid-eligible individuals with developmental disabilities living at home, 31% received PCS. When we controlled for client need, gender, and age, individuals who were Asian/Pacific Islanders, African Americans, Hispanics, and other races had higher odds of receiving PCS than Whites but were authorized between 16 and 39 hours fewer than Whites. [source] Reliability and validity of the CCNCS: a dependency workload measurement systemJOURNAL OF CLINICAL NURSING, Issue 10 2008Anne-Marie Brady BSN, PG Dip in Health Sciences Ed Aim., To refine, test and evaluate the Community Client Need Classification System (CCNCS). Background., Workload assessment in community nursing is complicated by the range of services that may be delivered in one patient interaction. The CCNCS is a workload measurement system designed to capture the direct and indirect elements of community nursing work and is suitable for use with all care groups in the community. Design., Survey. Method., Forty-four community nurses implemented the CCNCS with all clients in their caseload for four weeks. Community nursing in the Irish Republic is known as public health nursing. The Public Health Nurses (PHNs) recorded the total time in minutes that was spent on each client each week. The satisfaction with and experiences of PHNs using the CCNCS during the study period was also recorded. Results., Participants endorsed the utility of the CCNCS for use in community nursing. Inter-rater and intra-rater reliability results were positive with high level of agreement between raters in relation to scoring community clients. The amount of time the PHNs spent with clients correlated with ascending level of client need. Conclusions., The CCNCS affords insight into the complex nature of community nursing. It discriminates between levels of need and has potential to provide a standardised assessment of need in all community-nursing clients. Adequate resources are required to conduct further testing of the reliability and predictive validity of this system. Relevance to clinical practice., The CCNCS can provide objective evidence of community nursing workload and thus facilitate workforce planning. [source] An interactive education session and follow-up support as a strategy to improve clinicians' goal-writing skills: a randomized controlled trialJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 1 2010Elisabeth Marsland BAppSc(OT)Hons Abstract Background, Recent research indicates that allied health clinicians have difficulty articulating client needs and priorities into specific and measurable goals. As a result, a number of strategies to facilitate improvement in allied health clinicians' goal-setting skills have been recommended in the literature. In order to assist clinicians develop the skills required to set SMART goals, it is necessary that the strategies are rigorously tested. Aim, To determine if a 50-minute education session and 3-month email and telephone support programme improves clinicians' SMART goal-writing skill and accurately predicts improved goal-writing behaviour. Methods, Concealed random allocation of participants (n = 120) into two parallel groups: (1) intervention group received education on writing goals using the SMART Goal Evaluation Method as part of a workshop on outcome measurement and received 3 months of follow-up support (n = 60); and (2) control group attended a workshop on evidence-based practice (n = 60). Results, Education and follow-up support improved clinicians' SMART goal-writing skills at both the 3- and 6-month review (Yates ,2 = 4.324, d.f. = 1, P = 0.0375). Structural equation modelling revealed education and follow-up support is an accurate predictor of SMART goal-setting behaviour change at both 3 months (standardized regression weights = 0.21; P = 0.014) and 6 months (standardized regression weights = 0.19; P = 0.02) post intervention. Changes were modest and developed over a 6-month period. Conclusion, This study provides empirical evidence that a programme of educating clinicians in a standardized method of goal setting and providing follow-up support improves allied health clinicians' SMART goal-writing skills. [source] Introducing an active cluster-based information retrieval paradigmJOURNAL OF THE AMERICAN SOCIETY FOR INFORMATION SCIENCE AND TECHNOLOGY, Issue 10 2005Oscar Loureiro When a client interacts with an expert, e.g., a doctor, it falls upon the expert to ask questions that steer the process towards fulfilling the client's needs. This is most efficient given that the expert has more knowledge and a broader view of possible illnesses and treatments. On the other hand, when faced with an information retrieval (IR) task, most IR systems leave to the client the task of coming up with queries. We propose an information retrieval framework that assumes the responsibility of leading the users to the information, thus increasing efficiency and satisfaction. [source] THE IMPACT OF CONTINUING EDUCATION TRAINING ON LAW GUARDIAN KNOWLEDGE, EFFICACY, AND PRACTICE BEHAVIORSFAMILY COURT REVIEW, Issue 1 2007Wendi Cross There is an increased demand for law guardians in domestic violence cases, especially those involving child witnesses. Training is required for law guardians to meet child clients' needs. While workshops and conferences are typical venues for continuing education training, their effectiveness is unknown. This pilot study compared law guardians who attended a conference on community violence and children to nonattendees on several training outcomes. Results showed a positive impact on attendees' feelings of efficacy and intentions to carry out new practice behaviors post-conference; differences were maintained at follow-up. Limitations and implications of this pilot study are discussed. [source] Case Management Workforce in the United StatesJOURNAL OF NURSING SCHOLARSHIP, Issue 2 2009Eun-Jun Park RN Abstract Purpose: The purpose of this study was to investigate and compare characteristics of the case management (CM) workforce in the US by age, years of experience, and original profession. Design: This study was an exploratory, descriptive secondary analysis of demographic and job characteristics of 24,085 certified case managers (CCMs). Methods: Descriptive statistics, Chi-square tests, and correlation coefficients were calculated. Findings: The majority of the case-management workforce is made up of RNs (93.3%). The CCMs were older, with a mean age of 55.0 years, than were those in their original profession and started to work as CCMs late in their careers. The educational level of RN-CCMs was lower than that of CCMs from other professions. Also, job titles and work settings of CCMs were diverse, with different focus areas depending on clients' needs. The distribution of CCMs was associated with the number of managed-care enrollees. Conclusions: Profiles of CCMs in this study are valuable for clinical practice and can assist with deployment of the CM workforce. Clinical Relevance: To develop and deploy CCMs better matched to societal healthcare needs, characteristics of CCMs should be precisely understood. Managing the CM workforce is expected to be critical because of a shortage of RN workers and aging-of-the-workforce issues in the US. [source] | ||||||||||