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- W4249728441 abstract "The detailed recording of hospice care has made it possible to delineate the RN role which may lead to increased insight into all nursing care. The present study is part of a longitudinal study. The conceptual framework is a composite of economic and nursing theory and Carney & Burns (1985) model of health services. The sample (n = 360) is patients who died in a single hospice over four years. Data analyses include ordinary least squares multiple regression. Examining minutes of care by week, RN time was high the week of admission and the week of death, but dropped in other weeks, forming a U shaped curve. This curve contrasts markedly from that of other staff. Regression models were specified with two definitions of intensity of RN care: (1) total RN minutes and (2) RN minutes/day. The first estimates startup costs and the second relates the explanatory variables to amount of daily care. Startup time was well above 10 hours. Significant explanatory variables in equation 38(1) were patient age, patient/family calls, race, social class, and diagnosis. Significant variables in equation (2) included patient/ family calls, one week survival, two week survival, and diagnosis. Almost 2/3 of the variance of RN time can be explained by the equations. The findings can be used to develop acuity indices. Also, the equations illustrate the inadequacy of present methods of reimbursement which do not consider startup time." @default.
- W4249728441 created "2022-05-12" @default.
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- W4249728441 date "2021-06-12" @default.
- W4249728441 modified "2023-09-24" @default.
- W4249728441 title "Patterns of Hospice Care—The RN Role" @default.
- W4249728441 doi "https://doi.org/10.4324/9781315860022-4" @default.
- W4249728441 hasPublicationYear "2021" @default.
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