The impact of unit-based self-management by nurses on patient outcomes

S. D. Cassard, C. S. Weisman, D. L. Gordon, Rebeca Wong

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective. Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. Data Sources and Study Setting. Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through November 1990. Study Design. A case series of eligible patients discharged from four self-managed nursing units (n = 140) are compared with patients from four matched traditionally managed units (n = 138) on postdischarge outcomes: perceived health status, perceived functional status, needs for care, unmet needs for care, unplanned health care visits, and readmissions to the hospital within 31 days of discharge. Data Collection Methods. Patients were interviewed by telephone at approximately two weeks postdischarge, and data from hospital records were merged with interview data. Principal Findings. Bivariate and multiple logistic regression analyses showed no significant effects (either positive or negative) of self-managed units on the postdischarge outcomes studied. Conclusions. Self-managed nursing units, previously shown to improve nurses' work satisfaction and retention, have no impact on patient postdischarge outcomes.

Original languageEnglish (US)
Pages (from-to)415-433
Number of pages19
JournalHealth Services Research
Volume29
Issue number4
StatePublished - 1994
Externally publishedYes

Fingerprint

Self Care
nursing
nurse
Nurses
need for care
management
Nursing
work satisfaction
data collection method
health status
telephone
logistics
Patient Readmission
health care
Hospital Records
Job Satisfaction
Information Storage and Retrieval
regression
Telephone
Health Status

ASJC Scopus subject areas

  • Health Policy
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Cassard, S. D., Weisman, C. S., Gordon, D. L., & Wong, R. (1994). The impact of unit-based self-management by nurses on patient outcomes. Health Services Research, 29(4), 415-433.

The impact of unit-based self-management by nurses on patient outcomes. / Cassard, S. D.; Weisman, C. S.; Gordon, D. L.; Wong, Rebeca.

In: Health Services Research, Vol. 29, No. 4, 1994, p. 415-433.

Research output: Contribution to journalArticle

Cassard, SD, Weisman, CS, Gordon, DL & Wong, R 1994, 'The impact of unit-based self-management by nurses on patient outcomes', Health Services Research, vol. 29, no. 4, pp. 415-433.
Cassard, S. D. ; Weisman, C. S. ; Gordon, D. L. ; Wong, Rebeca. / The impact of unit-based self-management by nurses on patient outcomes. In: Health Services Research. 1994 ; Vol. 29, No. 4. pp. 415-433.
@article{5f636986814f4b3280e054589f6c99be,
title = "The impact of unit-based self-management by nurses on patient outcomes",
abstract = "Objective. Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. Data Sources and Study Setting. Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through November 1990. Study Design. A case series of eligible patients discharged from four self-managed nursing units (n = 140) are compared with patients from four matched traditionally managed units (n = 138) on postdischarge outcomes: perceived health status, perceived functional status, needs for care, unmet needs for care, unplanned health care visits, and readmissions to the hospital within 31 days of discharge. Data Collection Methods. Patients were interviewed by telephone at approximately two weeks postdischarge, and data from hospital records were merged with interview data. Principal Findings. Bivariate and multiple logistic regression analyses showed no significant effects (either positive or negative) of self-managed units on the postdischarge outcomes studied. Conclusions. Self-managed nursing units, previously shown to improve nurses' work satisfaction and retention, have no impact on patient postdischarge outcomes.",
author = "Cassard, {S. D.} and Weisman, {C. S.} and Gordon, {D. L.} and Rebeca Wong",
year = "1994",
language = "English (US)",
volume = "29",
pages = "415--433",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - The impact of unit-based self-management by nurses on patient outcomes

AU - Cassard, S. D.

AU - Weisman, C. S.

AU - Gordon, D. L.

AU - Wong, Rebeca

PY - 1994

Y1 - 1994

N2 - Objective. Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. Data Sources and Study Setting. Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through November 1990. Study Design. A case series of eligible patients discharged from four self-managed nursing units (n = 140) are compared with patients from four matched traditionally managed units (n = 138) on postdischarge outcomes: perceived health status, perceived functional status, needs for care, unmet needs for care, unplanned health care visits, and readmissions to the hospital within 31 days of discharge. Data Collection Methods. Patients were interviewed by telephone at approximately two weeks postdischarge, and data from hospital records were merged with interview data. Principal Findings. Bivariate and multiple logistic regression analyses showed no significant effects (either positive or negative) of self-managed units on the postdischarge outcomes studied. Conclusions. Self-managed nursing units, previously shown to improve nurses' work satisfaction and retention, have no impact on patient postdischarge outcomes.

AB - Objective. Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. Data Sources and Study Setting. Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through November 1990. Study Design. A case series of eligible patients discharged from four self-managed nursing units (n = 140) are compared with patients from four matched traditionally managed units (n = 138) on postdischarge outcomes: perceived health status, perceived functional status, needs for care, unmet needs for care, unplanned health care visits, and readmissions to the hospital within 31 days of discharge. Data Collection Methods. Patients were interviewed by telephone at approximately two weeks postdischarge, and data from hospital records were merged with interview data. Principal Findings. Bivariate and multiple logistic regression analyses showed no significant effects (either positive or negative) of self-managed units on the postdischarge outcomes studied. Conclusions. Self-managed nursing units, previously shown to improve nurses' work satisfaction and retention, have no impact on patient postdischarge outcomes.

UR - http://www.scopus.com/inward/record.url?scp=0028142980&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028142980&partnerID=8YFLogxK

M3 - Article

VL - 29

SP - 415

EP - 433

JO - Health Services Research

JF - Health Services Research

SN - 0017-9124

IS - 4

ER -