The Resource Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma, by Karen R. Cox, (electronic resource)

Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma, by Karen R. Cox, (electronic resource)

Label
Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma
Title
Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma
Statement of responsibility
by Karen R. Cox
Creator
Subject
Language
eng
Summary
thma is the most frequent reason for preventable hospital admissions among children regardless of race or socio-economic status. Since asthma hospitalizations are preventable, an implicit assumption is that parents are not optimally managing the illness condition. Using Orem's Self-Care Deficit Nursing Theory, 14 antecedent conditions necessary for competent action by dependent-care agents (usually parents) were uncovered in the pediatric asthma literature. All but two of the 14 antecedent conditions are influenced by factors partly or completely controlled by the health care system. Given this new understanding, a unique partnership between a health care system and a Medicaid managed care health plan was forged to remove health care system barriers that interfere with dependent-care agent competency for the management of asthma. A nursing system was designed and implemented to improve health care system factors associated with optimal symptom control: accurate diagnosis, appropriate treatment, continuity, access, and parent/child teaching. The multi-faceted nursing system was implemented across three professional groups (physicians, nurses, and respiratory therapists) within one ER, three hospital units, and six outpatient clinic sites. One component of the nursing system involved formal annual training of participants on appropriate diagnosis and optimal treatment. Other nursing system components focused attention on children who had failed outpatient management. Specifically, between October l, 1998, and March 31, 2001, 753 children were brought to one emergency room or three hospital units for treatment of an asthma exacerbation. The nursing system was successfully implemented on behalf of 75% of these children. Using Medicaid managed care enrollment files and claims data for asthma care, the effects of the nursing system on symptom control were compared before: and after the nursing system intervention, and between two groups of health care providers who had either been maximally or minimally impacted by the nursing system. Rates for asthma claims used to proxy symptom control included ER, hospital, and clinic visits for asthma. Children who had providers in the maximally involved group were one-half as likely to be hospitalized for an asthma exacerbation as children with providers in the minimally involved group. The results of this study confirm that when nursing theory guides practice, patient outcomes improve
Cataloging source
MUU
http://library.link/vocab/creatorDate
1956-
http://library.link/vocab/creatorName
Cox, Karen R.
Degree
Ph. D.
Dissertation year
2001.
Government publication
government publication of a state province territory dependency etc
Granting institution
University of Missouri--Columbia
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • bibliography
  • theses
http://library.link/vocab/subjectName
  • Asthma
  • Asthma
  • Models, Nursing
  • Self Care
Label
Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma, by Karen R. Cox, (electronic resource)
Instantiates
Publication
Note
  • "December 2001."
  • Typescript
  • Vita
Bibliography note
Includes bibliographical references (leaves 163-171)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Dimensions
unknown
Extent
1 online resource (xiii, 172 leaves)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Specific material designation
remote
Label
Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma, by Karen R. Cox, (electronic resource)
Publication
Note
  • "December 2001."
  • Typescript
  • Vita
Bibliography note
Includes bibliographical references (leaves 163-171)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Dimensions
unknown
Extent
1 online resource (xiii, 172 leaves)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations
Specific material designation
remote

Library Locations

  • Curtis Laws Wilson LibraryBorrow it
    400 West 14th Street, Rolla, MO, 65409, US
    37.955220 -91.772210
  • Missouri University of Science & Technology Library DepositoryBorrow it
    2908 Lemone Blvd, Columbia, MO, 65201, US
    38.919360 -92.291620
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