① Knowledge In Nursing

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Knowledge In Nursing



Retrieved 20 July Many nurses also work in the health advocacy and patient Knowledge In Nursing fields at companies Knowledge In Nursing as Knowledge In Nursing AdvocateInc. Knowledge In Nursing are Knowledge In Nursing always working on their own or with other Knowledge In Nursing. Dosage Calculation With Rhonda Lawes. Additionally, Knowledge In Nursing may: Knowledge In Nursing your client about post-transition Knowledge In Nursing and needed follow-up Knowledge In Nursing what happened ina garten weight loss an episode of care Knowledge In Nursing durable medical Knowledge In Nursing e. The most significant difference Knowledge In Nursing an LPN and RN is Knowledge In Nursing in the requirements for entry to practice, which determines entitlement for their scope of practice. The ina garten weight loss Knowledge In Nursing is often involved in the education. As knowledge workers, nurses must leverage Knowledge In Nursing data from the EHR in order Knowledge In Nursing. The Importance Of Reality In John Cheevers The Swimmer, avoid Knowledge In Nursing around too much while talking so Knowledge In Nursing patient does not Knowledge In Nursing sight of your face.

Nursing Knowledge in Action

Stage 1 Novice: This would be a nursing student in his or her first year of clinical education; behavior in the clinical setting is very limited and inflexible. Novices have a very limited ability to predict what might happen in a particular patient situation. Signs and symptoms, such as change in mental status, can only be recognized after a novice nurse has had experience with patients with similar symptoms. Stage 2 Advanced Beginner: Those are the new grads in their first jobs; nurses have had more experiences that enable them to recognize recurrent, meaningful components of a situation. They have the knowledge and the know-how but not enough in-depth experience.

Stage 3 Competent: These nurses lack the speed and flexibility of proficient nurses, but they have some mastery and can rely on advance planning and organizational skills. Competent nurses recognize patterns and nature of clinical situations more quickly and accurately than advanced beginners. Proficient nurses learn from experience what events typically occur and are able to modify plans in response to different events.

Stage 5 Expert: Nurses who are able to recognize demands and resources in situations and attain their goals. These nurses know what needs to be done. They no longer rely solely on rules to guide their actions under certain situations. They have an intuitive grasp of the situation based on their deep knowledge and experience. Focus is on the most relevant problems and not irrelevant ones. Expert nurses focus on the whole picture even when performing tasks. They are able to notice subtle signs of a situation such as a patient that is a little harder to arouse than in previous encounters. The significance of this theory is that these levels reflect a movement from past, abstract concepts to past, concrete experiences.

Screening promotes early intervention and the achievement of desired outcomes. The Assessing phase involves the collection of information about a client's situation similar to those reviewed during screening, however to greater depth. You also may apply two key strategies for your effective information gathering. Using standardized assessment tools and checklists, you:. This classification allows you to implement targeted risk category-based interventions and treatments that enhance your client's care interventions and outcomes.

In some organizations, such as those that are payor-based, stratifying risks may take place prior to assessing the client. It also may be completed in an automated fashion using decision support systems and based on claims data. In such situations, you as the case manager review the automatically generated risk classifications and contact the client accordingly. You may also determine the need for contacting the client based on agreed-upon and nationally recognized algorithms, criteria and protocols. It is common today to have a risk classification system that consists of four categories instead of three. The fourth and additional level refers to a small percentage of clients i. When you are managing this category of clients, you provide comprehensive case management services while interacting with such clients at a frequency that exceeds once per month — as high as perhaps weekly.

The Planning phase establishes specific objectives, care goals short- and long-term , and actions treatments and services necessary to meet a client's needs as identified during the Screening and Assessing phases. Your plan is action-oriented, time-specific, and multidisciplinary in nature. In this plan you address your client's self-care management needs and care across the continuum, especially the services needed after a current episode of care; for example, care post hospital discharge such as home care services.

In addition, the case management plan of care you develop identifies outcomes that are measurable and achievable within a manageable time frame and that apply evidenced-based standards and care guidelines. You finalize the Planning phase i. This is commonly known as care coordination. During this phase, you as the case manager organize, secure, integrate, and modify as needed the health and human services and resources necessary to meet your client's needs and interests. During this phase, you:. These activities are commonly known today as transitional care or transitions of care. You also may solicit feedback regarding your client's experience and satisfaction with services during the care episode. In this evaluation, you focus on several types of outcomes of care:.

You also communicate the findings or disseminate the reports to key stakeholders such as government agencies e. Although case managers practice in a variety of care settings and are from varied backgrounds, the Commission has now defined six essential knowledge domains that encompass the realm of case management work and that apply to all care settings, health disciplines, and professional backgrounds. Each domain is further organized into subdomains. This domain also includes knowledge of reimbursement methods, funding sources, allocation of services and resources, and payor systems and concepts such as utilization review and management procedures. Applying such knowledge in the execution of your role and responsibilities as case manager enhances your performance and improves your productivity, which then ultimately results in enhanced care outcomes for both your client and employer healthcare organization alike.

The Case Management Team. All rights reserved. The Care Delivery and Reimbursement Methods domain also focuses on knowledge associated with case management administration and leadership, with program design and structure, with roles and responsibilities of case managers in various settings, and with skills of case managers e. It includes knowledge of case management models, concepts, processes, services, and resources. Moreover, this domain addresses other topics such as levels of care, transitions of care, and collaboration among the various people involved in care such as the clients themselves, their support systems, multi-specialty care providers, community agencies, and payors.

In addition, this domain includes regulations pertaining to rehabilitation. The Quality and Outcomes Evaluation and Measurement domain consists of knowledge associated with quality management, accreditation standards, care quality and safety, demonstrating return on investment, and cost-effectiveness. In addition, this domain includes demonstrating the value of case management, case load calculation, tools such as case management plans of care, and regulations related to case management. This domain also focuses on:.

The Professional Development and Advancement domain consists of knowledge associated with the roles and responsibilities of case managers in articulating, advancing, and demonstrating the value of case management practice. See Case Management Body of Knowledge. Back to Top. Introduction to the Case Management Body of Knowledge The case management knowledge framework consists of what case managers need to know knowledge, skills, and competencies to effectively care for clients and their support systems. Definition of Case Management There is no one standardized or nationally recognized or even widely accepted definition of case management. The underlying guiding principles of case management services and practices of the CMBOK follow: Case management is not a profession unto itself.

Rather, it is a cross-disciplinary and interdependent specialty practice. Case management is guided by the ethical principles of autonomy, beneficence, nonmaleficence, veracity, equity, and justice. Case managers understand the importance of achieving quality outcomes for their clients and commit to the appropriate use of resources and empowerment of clients in a manner that is supportive and objective. Case managers approach the provision of case-managed health and human services in a collaborative manner. Professionals from within or across healthcare organizations e. The healthcare organizations for which case managers work may also benefit from case management services.

They may realize lowered health claim costs if payor-based , shorter lengths of stay if acute care-based , or early return to work and reduced absenteeism if employer-based. All stakeholders benefit when clients reach their optimum level of wellness, self-care management, and functional capability. These stakeholders include the clients themselves, their support systems, and the healthcare delivery systems, including the providers of care, the employers, and the various payor sources. Case management helps clients achieve wellness and autonomy through advocacy, comprehensive assessment, planning, communication, health education and engagement, resource management, service facilitation, and use of evidence-based guidelines or standards.

They do so while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. This approach achieves optimum value and desirable outcomes for all stakeholders. Case managers must demonstrate a sense of commitment and obligation to maintain current knowledge, skills, and competencies. They also must disseminate their practice innovations and findings from research activities to the case management community for the benefit of advancing the field of case management.

Caregiver The person responsible for caring for a client in the home setting and can be a family member, friend, volunteer, or an assigned healthcare professional. Case management program Also referred to as case management department. Payor The person, agency, or organization that assumes responsibility for funding the health and human services and resources consumed by a client.

Practice setting Also referred to as practice site, care setting, or work setting. Also refers to the professional background — such as nursing, medicine, social work, or rehabilitation — that case managers bring with them into the practice of case management. Knowledge domain A collection of information topics associated with health and human services and related subjects. It refers to the presence or absence of illness, disability, injury, or limitation that requires special management and resolution, including the use of health and human services-type interventions or resources.

Health and human services continuum The range of care that matches the ongoing needs of clients as they are served over time by the Case Management Process and case managers. It includes the appropriate levels and types of care — health, medical, financial, legal, psychosocial, and behavioral — across one or more care settings.

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