Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development
Aims Description of nurse case management experiences across different settings and patient populations is needed to define critical elements of the intervention and to help develop a workforce capable of responding to the growing diabetic population. Methods In a clinic providing services to Amer...
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| Veröffentlicht in: | Diabetic medicine 2005-08, Vol.22 (8), p.1116-1120 |
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| container_title | Diabetic medicine |
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| creator | Wilson, C. Curtis, J. Lipke, S. Bochenski, C. Gilliland, S. |
| description | Aims Description of nurse case management experiences across different settings and patient populations is needed to define critical elements of the intervention and to help develop a workforce capable of responding to the growing diabetic population.
Methods In a clinic providing services to American Indian and Alaska Native people, a retrospective cohort design was used to assess outcomes of patients who did and did not receive case management services and to quantify the case load of a team of four nurse case managers.
Results Patients with nurse case managers were more likely to have an eye examination [OR 2.9, 95% CI (2.1, 3.8)], diet and exercise instruction by a registered dietitian [OR 2.8, 95% CI (1.9, 4.1)], self monitor blood glucose [OR 2.1, 95% CI (1.5, 3.1)], dental examination [OR 1.7, 95% CI (1.3, 2.3)], foot examination [OR 1.6, 95% CI (1.2, 2.1)], and nephropathy screening [OR 1.6, 95% CI (1.2, 2.1)]. After adjustment for type of treatment, initial HbA1c, and diet instruction by a registered dietitian, the change in HbA1c remained significantly greater among those patients with a case manager than in those without (−0.52 units with vs. −0.17 units without, P |
| doi_str_mv | 10.1111/j.1464-5491.2005.01604.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_764257198</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>68054405</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4674-4bee00b9851c064fe239591f25e2a4185efdaffb80a19980872bb3c37215c0913</originalsourceid><addsrcrecordid>eNqNkU1vFSEUhidGY6_Vv2DYqKsZ-RzAxEWtbf2o1YVGd4ThHhpu50uY297-exnnproysuAQzvMC4SkKRHBF8ni5qQiveSm4JhXFWFSY1JhXu3vF6q5xv1hhyWnJsCQHxaOUNhgTqpl-WBxkmtZMsVWRLrYxAXI2T53t7SVEBN6Dm8I19JASsv16abeDXaPQI4taGy9zpg19cLZFY7QZd_AKhW5s89YUhj4hP0R0M8SrXB2gNVxDO4wd9NPj4oG3bYIn-3pYfDs9-Xr8rjz_fPb--Oi8dLyWvOQNAMaNVoI4XHMPlGmhiacCqOVECfBr632jsCVaK6wkbRrmmKREOKwJOyxeLOeOcfi5hTSZLiQHbWt7GLbJyJpTIYlWmXz-T7JWWHCORQbVAro4pBTBmzGGzsZbQ7CZ1ZiNmQ2Y2YCZ1ZjfaswuR5_u79g2Haz_BPcuMvBsD9iUv9VH27uQ_uI0o1rJzL1euJvQwu1_P8C8_XQyr3K-XPIhTbC7y9t4ZWrJpDDfL87Mlx-n_IMUb8xH9guPa7lB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>68054405</pqid></control><display><type>article</type><title>Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Wilson, C. ; Curtis, J. ; Lipke, S. ; Bochenski, C. ; Gilliland, S.</creator><creatorcontrib>Wilson, C. ; Curtis, J. ; Lipke, S. ; Bochenski, C. ; Gilliland, S.</creatorcontrib><description>Aims Description of nurse case management experiences across different settings and patient populations is needed to define critical elements of the intervention and to help develop a workforce capable of responding to the growing diabetic population.
Methods In a clinic providing services to American Indian and Alaska Native people, a retrospective cohort design was used to assess outcomes of patients who did and did not receive case management services and to quantify the case load of a team of four nurse case managers.
Results Patients with nurse case managers were more likely to have an eye examination [OR 2.9, 95% CI (2.1, 3.8)], diet and exercise instruction by a registered dietitian [OR 2.8, 95% CI (1.9, 4.1)], self monitor blood glucose [OR 2.1, 95% CI (1.5, 3.1)], dental examination [OR 1.7, 95% CI (1.3, 2.3)], foot examination [OR 1.6, 95% CI (1.2, 2.1)], and nephropathy screening [OR 1.6, 95% CI (1.2, 2.1)]. After adjustment for type of treatment, initial HbA1c, and diet instruction by a registered dietitian, the change in HbA1c remained significantly greater among those patients with a case manager than in those without (−0.52 units with vs. −0.17 units without, P < 0.006). The case load used to achieve this outcome averaged one nurse case manager per 365 patients.
Conclusions In this setting, a case management team comprised of four nurses with varying degrees of clinical experience was effective in improving adherence with diabetes services and had a favourable effect on short‐term glucose control trends.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/j.1464-5491.2005.01604.x</identifier><identifier>PMID: 16026383</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Adult ; Aged ; Alaska ; American Indian/Alaska Native ; Biological and medical sciences ; Blood Glucose - metabolism ; case management ; Case Management - organization & administration ; Cohort Studies ; diabetes mellitus ; Diabetes Mellitus - nursing ; Diabetes Mellitus - therapy ; Diabetes. Impaired glucose tolerance ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; health outcomes ; Humans ; Indians, North American ; Male ; Medical sciences ; Middle Aged ; Nurse's Role ; nursing ; Retrospective Studies</subject><ispartof>Diabetic medicine, 2005-08, Vol.22 (8), p.1116-1120</ispartof><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4674-4bee00b9851c064fe239591f25e2a4185efdaffb80a19980872bb3c37215c0913</citedby><cites>FETCH-LOGICAL-c4674-4bee00b9851c064fe239591f25e2a4185efdaffb80a19980872bb3c37215c0913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1464-5491.2005.01604.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1464-5491.2005.01604.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16932987$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16026383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilson, C.</creatorcontrib><creatorcontrib>Curtis, J.</creatorcontrib><creatorcontrib>Lipke, S.</creatorcontrib><creatorcontrib>Bochenski, C.</creatorcontrib><creatorcontrib>Gilliland, S.</creatorcontrib><title>Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims Description of nurse case management experiences across different settings and patient populations is needed to define critical elements of the intervention and to help develop a workforce capable of responding to the growing diabetic population.
Methods In a clinic providing services to American Indian and Alaska Native people, a retrospective cohort design was used to assess outcomes of patients who did and did not receive case management services and to quantify the case load of a team of four nurse case managers.
Results Patients with nurse case managers were more likely to have an eye examination [OR 2.9, 95% CI (2.1, 3.8)], diet and exercise instruction by a registered dietitian [OR 2.8, 95% CI (1.9, 4.1)], self monitor blood glucose [OR 2.1, 95% CI (1.5, 3.1)], dental examination [OR 1.7, 95% CI (1.3, 2.3)], foot examination [OR 1.6, 95% CI (1.2, 2.1)], and nephropathy screening [OR 1.6, 95% CI (1.2, 2.1)]. After adjustment for type of treatment, initial HbA1c, and diet instruction by a registered dietitian, the change in HbA1c remained significantly greater among those patients with a case manager than in those without (−0.52 units with vs. −0.17 units without, P < 0.006). The case load used to achieve this outcome averaged one nurse case manager per 365 patients.
Conclusions In this setting, a case management team comprised of four nurses with varying degrees of clinical experience was effective in improving adherence with diabetes services and had a favourable effect on short‐term glucose control trends.</description><subject>Adult</subject><subject>Aged</subject><subject>Alaska</subject><subject>American Indian/Alaska Native</subject><subject>Biological and medical sciences</subject><subject>Blood Glucose - metabolism</subject><subject>case management</subject><subject>Case Management - organization & administration</subject><subject>Cohort Studies</subject><subject>diabetes mellitus</subject><subject>Diabetes Mellitus - nursing</subject><subject>Diabetes Mellitus - therapy</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>health outcomes</subject><subject>Humans</subject><subject>Indians, North American</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nurse's Role</subject><subject>nursing</subject><subject>Retrospective Studies</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1vFSEUhidGY6_Vv2DYqKsZ-RzAxEWtbf2o1YVGd4ThHhpu50uY297-exnnproysuAQzvMC4SkKRHBF8ni5qQiveSm4JhXFWFSY1JhXu3vF6q5xv1hhyWnJsCQHxaOUNhgTqpl-WBxkmtZMsVWRLrYxAXI2T53t7SVEBN6Dm8I19JASsv16abeDXaPQI4taGy9zpg19cLZFY7QZd_AKhW5s89YUhj4hP0R0M8SrXB2gNVxDO4wd9NPj4oG3bYIn-3pYfDs9-Xr8rjz_fPb--Oi8dLyWvOQNAMaNVoI4XHMPlGmhiacCqOVECfBr632jsCVaK6wkbRrmmKREOKwJOyxeLOeOcfi5hTSZLiQHbWt7GLbJyJpTIYlWmXz-T7JWWHCORQbVAro4pBTBmzGGzsZbQ7CZ1ZiNmQ2Y2YCZ1ZjfaswuR5_u79g2Haz_BPcuMvBsD9iUv9VH27uQ_uI0o1rJzL1euJvQwu1_P8C8_XQyr3K-XPIhTbC7y9t4ZWrJpDDfL87Mlx-n_IMUb8xH9guPa7lB</recordid><startdate>200508</startdate><enddate>200508</enddate><creator>Wilson, C.</creator><creator>Curtis, J.</creator><creator>Lipke, S.</creator><creator>Bochenski, C.</creator><creator>Gilliland, S.</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200508</creationdate><title>Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development</title><author>Wilson, C. ; Curtis, J. ; Lipke, S. ; Bochenski, C. ; Gilliland, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4674-4bee00b9851c064fe239591f25e2a4185efdaffb80a19980872bb3c37215c0913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Alaska</topic><topic>American Indian/Alaska Native</topic><topic>Biological and medical sciences</topic><topic>Blood Glucose - metabolism</topic><topic>case management</topic><topic>Case Management - organization & administration</topic><topic>Cohort Studies</topic><topic>diabetes mellitus</topic><topic>Diabetes Mellitus - nursing</topic><topic>Diabetes Mellitus - therapy</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>health outcomes</topic><topic>Humans</topic><topic>Indians, North American</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nurse's Role</topic><topic>nursing</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilson, C.</creatorcontrib><creatorcontrib>Curtis, J.</creatorcontrib><creatorcontrib>Lipke, S.</creatorcontrib><creatorcontrib>Bochenski, C.</creatorcontrib><creatorcontrib>Gilliland, S.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilson, C.</au><au>Curtis, J.</au><au>Lipke, S.</au><au>Bochenski, C.</au><au>Gilliland, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2005-08</date><risdate>2005</risdate><volume>22</volume><issue>8</issue><spage>1116</spage><epage>1120</epage><pages>1116-1120</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aims Description of nurse case management experiences across different settings and patient populations is needed to define critical elements of the intervention and to help develop a workforce capable of responding to the growing diabetic population.
Methods In a clinic providing services to American Indian and Alaska Native people, a retrospective cohort design was used to assess outcomes of patients who did and did not receive case management services and to quantify the case load of a team of four nurse case managers.
Results Patients with nurse case managers were more likely to have an eye examination [OR 2.9, 95% CI (2.1, 3.8)], diet and exercise instruction by a registered dietitian [OR 2.8, 95% CI (1.9, 4.1)], self monitor blood glucose [OR 2.1, 95% CI (1.5, 3.1)], dental examination [OR 1.7, 95% CI (1.3, 2.3)], foot examination [OR 1.6, 95% CI (1.2, 2.1)], and nephropathy screening [OR 1.6, 95% CI (1.2, 2.1)]. After adjustment for type of treatment, initial HbA1c, and diet instruction by a registered dietitian, the change in HbA1c remained significantly greater among those patients with a case manager than in those without (−0.52 units with vs. −0.17 units without, P < 0.006). The case load used to achieve this outcome averaged one nurse case manager per 365 patients.
Conclusions In this setting, a case management team comprised of four nurses with varying degrees of clinical experience was effective in improving adherence with diabetes services and had a favourable effect on short‐term glucose control trends.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Ltd</pub><pmid>16026383</pmid><doi>10.1111/j.1464-5491.2005.01604.x</doi><tpages>5</tpages></addata></record> |
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| ispartof | Diabetic medicine, 2005-08, Vol.22 (8), p.1116-1120 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Alaska American Indian/Alaska Native Biological and medical sciences Blood Glucose - metabolism case management Case Management - organization & administration Cohort Studies diabetes mellitus Diabetes Mellitus - nursing Diabetes Mellitus - therapy Diabetes. Impaired glucose tolerance Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female health outcomes Humans Indians, North American Male Medical sciences Middle Aged Nurse's Role nursing Retrospective Studies |
| title | Nurse case manager effectiveness and case load in a large clinical practice: implications for workforce development |
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