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[PMID]:29424520
[Au] Autor:Marron-Stearns M
[Ti] Título:Embrace the MIPS Additional Payment Adjustment for Exceptional Performance.
[So] Source:J AHIMA;88(6):30-3, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avaliação de Desempenho Profissional
Administração da Prática Médica/economia
Sistema de Pagamento Prospectivo
Reembolso de Incentivo
[Mh] Termos MeSH secundário: Centers for Medicare and Medicaid Services (U.S.)
Seres Humanos
Planos de Incentivos Médicos
Melhoria de Qualidade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29219910
[Au] Autor:Becker H; Meraviglia M; Seo JE; Ndlovu C; Kimmel L; Rowin T
[Ad] Endereço:Author Affiliations: Research Scientist (Dr Becker), Associate Professor of Clinical Nursing (Dr Meraviglia), and Graduate Research Assistant (Ms Seo), School of Nursing, The University of Texas at Austin; and Network Clinical Education Manager (Dr Ndlovu), Curriculum Development Specialist (Ms Kimmel), Senior Director of Nursing Practice, Magnet and Research, and Clinical Education and Professional Development (Ms Rowin), Seton Healthcare Family Hospital System, Austin, Texas.
[Ti] Título:The Appraisal of Nursing Practice: Instrument Development and Initial Testing.
[So] Source:J Nurs Adm;48(1):44-49, 2018 Jan.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: We describe the development of the Appraisal of Nursing Practice (ANP) and present initial psychometric data. BACKGROUND: Although measures of new nurses' confidence in clinical practice exist, psychometrically sound observational tools that assess a broad range of nursing competencies are needed. METHODS: Based on the Quality and Safety Education for Nurses competencies, the 37-item ANP covers person-centered care, teamwork and collaboration, evidence-based practice/quality improvement, safety, informatics, professionalism, and overall satisfaction (with the new nurse's functioning). Cognitive interviewing was used to refine the items. Assessment of interrater reliability and a field test in a new nurse residency program were conducted. RESULTS: Interrater reliability and internal consistency reliability were generally acceptable. Scores increased significantly for nurses as they moved through a nurse residency program. CONCLUSIONS: The ANP can help nursing administrators identify areas where nurse residents are building needed competencies versus areas that need more work to achieve desired competency outcomes.
[Mh] Termos MeSH primário: Competência Clínica/normas
Avaliação de Desempenho Profissional/métodos
Cuidados de Enfermagem/normas
Recursos Humanos de Enfermagem no Hospital/normas
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Psicometria
Reprodutibilidade dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171209
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000569


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[PMID]:28957867
[Au] Autor:Hickey RG; Buchko BL; Coe PF; Woods AB
[Ad] Endereço:Author Affiliations: Chief Nursing Officer and Director of Patient Care (Ms Hickey), WellSpan Surgery and Rehabilitation Hospital; and Director of EBP and Nursing Research (Dr Buchko), WellSpan Health, York; Vice President, Nursing Education and Professional Practice (Dr Coe), Allegheny Health Network, Pittsburgh; and Professor and Chair of Department of Nursing (Dr Woods), Messiah College, Mechanicsburg, Pennsylvania.
[Ti] Título:Effect of the Salary Model on Sustainability of a Professional Practice Environment.
[So] Source:J Nurs Adm;47(10):497-500, 2017 Oct.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This replication study examined differences in RN perception of the professional practice environment (PPE) between salary- and hourly-wage compensation models over time. BACKGROUND: A previous study demonstrated that nurses in a salary-wage model had a significantly higher perception of the PPE compared with their peers receiving hourly wages. METHODS: A descriptive, comparative design was used to examine the Revised Professional Practice Environment (RPPE) scale of nurses in the same units surveyed in the previous study 2 years later. RESULTS: Mean scores on the RPPE continued to be significantly lower for hourly-wage RNs compared with the RNs in the salary-wage model. CONCLUSIONS: Nurses in an hourly-wage unit have significantly lower perceptions of the clinical practice environment than their peers in a salary-wage unit, indicating that professional practice perceptions in a salary-wage unit were sustained for a 2-year period and may provide a more effective PPE.
[Mh] Termos MeSH primário: Modelos Econômicos
Recursos Humanos de Enfermagem no Hospital/economia
Padrões de Prática em Enfermagem/economia
Salários e Benefícios/economia
[Mh] Termos MeSH secundário: Adulto
Assistência à Saúde/economia
Economia da Enfermagem
Avaliação de Desempenho Profissional/economia
Feminino
Seres Humanos
Papel do Profissional de Enfermagem
Padrões de Prática em Enfermagem/organização & administração
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170929
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000521


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[PMID]:28654621
[Au] Autor:Squitieri L; Chung KC
[Ad] Endereço:Los Angeles, Calif.; and Ann Arbor, Mich. From the Robert Wood Johnson Clinical Scholars Program, David Geffen School of Medicine, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, Department of Surgery, Keck School of Medicine, University of Southern California; the U.S. Department of Veterans Affairs Greater Los Angeles Health System; and the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan Medical School.
[Ti] Título:Measuring Provider Performance for Physicians Participating in the Merit-Based Incentive Payment System.
[So] Source:Plast Reconstr Surg;140(1):217e-226e, 2017 Jul.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In 2017, the Centers for Medicare and Medicaid Services began requiring all eligible providers to participate in the Quality Payment Program or face financial reimbursement penalty. The Quality Payment Program outlines two paths for provider participation: the Merit-Based Incentive Payment System and Advanced Alternative Payment Models. For the first performance period beginning in January of 2017, the Centers for Medicare and Medicaid Services estimates that approximately 83 to 90 percent of eligible providers will not qualify for participation in an Advanced Alternative Payment Model and therefore must participate in the Merit-Based Incentive Payment System program. The Merit-Based Incentive Payment System path replaces existing quality-reporting programs and adds several new measures to evaluate providers using four categories of data: (1) quality, (2) cost/resource use, (3) improvement activities, and (4) advancing care information. These categories will be combined to calculate a weighted composite score for each provider or provider group. Composite Merit-Based Incentive Payment System scores based on 2017 performance data will be used to adjust reimbursed payment in 2019. In this article, the authors provide relevant background for understanding value-based provider performance measurement. The authors also discuss Merit-Based Incentive Payment System reporting requirements and scoring methodology to provide plastic surgeons with the necessary information to critically evaluate their own practice capabilities in the context of current performance metrics under the Quality Payment Program.
[Mh] Termos MeSH primário: Avaliação de Desempenho Profissional/métodos
Medicaid
Medicare
Planos de Incentivos Médicos
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003430


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[PMID]:28445337
[Au] Autor:Burns MK
[Ad] Endereço:Margaret K. Burns is a clinical research coordinator at The Research Institute of Nationwide Children's Hospital in Columbus, Ohio.
[Ti] Título:Navigating a poor performance evaluation.
[So] Source:Nursing;47(5):45-48, 2017 05.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avaliação de Desempenho Profissional
Relações Interprofissionais
Enfermeiras Administradoras/psicologia
Recursos Humanos de Enfermagem no Hospital/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000515506.95216.bf


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[PMID]:28372645
[Au] Autor:Logvinov II; Dexter F; Hindman BJ; Brull SJ
[Ad] Endereço:Mayo Clinic, Department of Anesthesiology, 14390 Mayo Boulevard, Jacksonville, FL 32224, USA. Electronic address: logvinov.ilana@mayo.edu.
[Ti] Título:Anesthesiologists' perceptions of minimum acceptable work habits of nurse anesthetists.
[So] Source:J Clin Anesth;38:107-110, 2017 May.
[Is] ISSN:1873-4529
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:STUDY OBJECTIVE: Work habits are non-technical skills that are an important part of job performance. Although non-technical skills are usually evaluated on a relative basis (i.e., "grading on a curve"), validity of evaluation on an absolute basis (i.e., "minimum passing score") needs to be determined. DESIGN: Survey and observational study. PATIENTS: None. INTERVENTIONS: None. MEASUREMENTS: The theme of "work habits" was assessed using a modification of Dannefer et al.'s 6-item scale, with scores ranging from 1 (lowest performance) to 5 (highest performance). E-mail invitations were sent to all consultant and fellow anesthesiologists at Mayo Clinic in Florida, Arizona, and Minnesota. Because work habits expectations can be generational, the survey was designed for adjustment based on all invited (responding or non-responding) anesthesiologists' year of graduation from residency. MAIN RESULTS: The overall mean±standard deviation of the score for anesthesiologists' minimum expectations of nurse anesthetists' work habits was 3.64±0.66 (N=48). Minimum acceptable scores were correlated with the year of graduation from anesthesia residency (linear regression P=0.004). Adjusting for survey non-response using all N=207 anesthesiologists, the mean of the minimum acceptable work habits adjusted for year of graduation was 3.69 (standard error 0.02). The minimum expectations for nurse anesthetists' work habits were compared with observational data obtained from the University of Iowa. Among 8940 individual nurse anesthetist work habits scores, only 2.6% were <3.69. All N=65 of the Iowa nurse anesthetists' mean work habits scores were significantly greater than the Mayo estimate (3.69) for the minimum expectations; all P<0.00024. CONCLUSIONS: Our results suggest that routinely evaluated work habits of nurse anesthetists within departments should not be compared with an appropriate minimum score (i.e., of 3.69). Instead, work habits scores should be analyzed based on relative reporting among anesthetists.
[Mh] Termos MeSH primário: Anestesiologistas/psicologia
Hábitos
Enfermeiras Anestesistas/psicologia
Percepção
Prática Profissional
[Mh] Termos MeSH secundário: Anestesiologia/normas
Avaliação de Desempenho Profissional/métodos
Feminino
Seres Humanos
Masculino
Inquéritos e Questionários
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170405
[St] Status:MEDLINE


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[PMID]:28347721
[Au] Autor:Sciacovelli L; Aita A; Plebani M
[Ad] Endereço:Department of Laboratory Medicine, University Hospital, Padova, Italy. Electronic address: laura.sciacovelli@aopd.veneto.it.
[Ti] Título:Extra-analytical quality indicators and laboratory performances.
[So] Source:Clin Biochem;50(10-11):632-637, 2017 Jul.
[Is] ISSN:1873-2933
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the last few years much progress has been made in raising the awareness of laboratory medicine professionals about the effectiveness of quality indicators (QIs) in monitoring, and improving upon, performances in the extra-analytical phases of the Total Testing Process (TTP). An effective system for management of QIs includes the implementation of an internal assessment system and participation in inter-laboratory comparison. A well-designed internal assessment system allows the identification of critical activities and their systematic monitoring. Active participation in inter-laboratory comparison provides information on the performance level of one laboratory with respect to that of other participating laboratories. In order to guarantee the use of appropriate QIs and facilitate their implementation, many laboratories have adopted the Model of Quality Indicators (MQI) proposed by Working Group "Laboratory Errors and Patient Safety" (WG-LEPS) of IFCC, since 2008, which is the result of international consensus and continuous experimentation, and updating to meet new, constantly emerging needs. Data from participating laboratories are collected monthly and reports describing the statistical results and evaluating laboratory data, utilizing the Six Sigma metric, issued regularly. Although the results demonstrate that the processes need to be improved upon, overall the comparison with data collected in 2014 shows a general stability of quality levels and that an improvement has been achieved over time for some activities. The continuous monitoring of QI data allows identification all possible improvements, thus highlighting the value of participation in the inter-laboratory program proposed by WG-LEPS. The active participation of numerous laboratories will guarantee an ever more significant State-of-the-Art, promote the reduction of errors and improve quality of the TTP, thus guaranteeing patient safety.
[Mh] Termos MeSH primário: Técnicas de Laboratório Clínico/normas
Registros Eletrônicos de Saúde
Avaliação de Desempenho Profissional
Comunicação em Saúde
Troca de Informação em Saúde/normas
[Mh] Termos MeSH secundário: Registros Eletrônicos de Saúde/organização & administração
Registros Eletrônicos de Saúde/normas
Comunicação em Saúde/métodos
Comunicação em Saúde/normas
Seres Humanos
Controle de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE


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[PMID]:28333791
[Au] Autor:Roberts H; Cronin SN
[Ad] Endereço:Author Affiliations: Nursing Quality/Magnet Coordinator (Ms Roberts), Baptist Health Louisville; and Professor and Chair of Graduate Nursing (Dr Cronin), Bellarmine University, Louisville, Kentucky.
[Ti] Título:A Descriptive Study of Nursing Peer-Review Programs in US Magnet® Hospitals.
[So] Source:J Nurs Adm;47(4):226-231, 2017 Apr.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The goal of this study was to assess the types of nursing peer review (NPR) programs in US Magnet® organizations. BACKGROUND: The 2 most predominant models of NPR programs in the literature are performance evaluation and clinical peer review. The literature on clinical peer review is primarily descriptive, outlining structures and anecdotal outcomes. METHODS: Participants from hospitals holding Magnet recognition were selected using a stratified random-sampling method. A survey developed by the researchers assessed the presence of NPR. If clinical NPR was in place, program design, evaluation measurements, and barriers were explored. RESULTS: Findings suggest wide variability in NPR models. More than one-third of the respondents conduct peer evaluation as the only mechanism of NPR. Most hospitals with a clinical peer-review program reported a case review structure and process measurements not supported by data. CONCLUSIONS: The variations noted in this study suggest more research is needed to measure the effectiveness of NPR models and associated outcomes.
[Mh] Termos MeSH primário: Competência Clínica/normas
Avaliação de Desempenho Profissional/métodos
Recursos Humanos de Enfermagem no Hospital/normas
Revisão por Pares
[Mh] Termos MeSH secundário: Administração Hospitalar
Seres Humanos
Modelos de Enfermagem
Estados Unidos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170410
[Lr] Data última revisão:
170410
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170324
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000469


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[PMID]:28228197
[Au] Autor:Schenarts PJ; Langenfeld S
[Ti] Título:The Fundamentals of Resident Dismissal.
[So] Source:Am Surg;83(2):119-126, 2017 Feb 01.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Residents have the rights and responsibilities of both students and employees. Dismissal of a resident from a training program is traumatic and has lasting repercussions for the program director, the faculty, the dismissed resident, and the residency. A review of English language literature was performed using PUBMED and OVID databases, using the search terms, resident dismissal, resident termination, student dismissal, student and resident evaluation, legal aspects of education, and remediation. The references of each publication were also reviewed to identify additional appropriate citations. If the Just Cause threshold has been met, educators have the absolute discretion to evaluate academic and clinical performance. Legal opinion has stated that it is not necessary to wait until a patient is harmed to dismiss a resident. Evaluations should be standard and robust. Negative evaluations are not defamatory as the resident gave consent to be evaluated. Provided departmental and institutional polices have been followed, a resident can be dismissed without a formal hearing. Residencies are entitled to modify academic requirements and dismissal is not considered a breach of contract. Although there is anxiety regarding resident dismissal, the courts have uniformly supported faculty having this role. When indicated, failure to dismiss a resident also places the program director and the faculty at risk for educational malpractice.
[Mh] Termos MeSH primário: Competência Clínica
Disciplina no Trabalho/legislação & jurisprudência
Avaliação de Desempenho Profissional/legislação & jurisprudência
Emprego/legislação & jurisprudência
Internato e Residência/legislação & jurisprudência
[Mh] Termos MeSH secundário: Pessoal Administrativo
Direitos Civis/legislação & jurisprudência
Avaliação Educacional/métodos
Avaliação Educacional/normas
Emprego/normas
Pesar
Seres Humanos
Internato e Residência/normas
Imperícia/legislação & jurisprudência
Profissionalismo
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170228
[Lr] Data última revisão:
170228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170224
[St] Status:MEDLINE


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[PMID]:28225656
[Au] Autor:Southall VH; Wright JB; Campbell T; Bassett MK; Strunk JA; Trotter SE
[Ad] Endereço:Assistant Professor of Nursing, University of Virginia School of Nursing, Charlottesville, VA.
[Ti] Título:School Nurse Evaluation.
[So] Source:NASN Sch Nurse;32(2):87-90, 2017 Mar.
[Is] ISSN:1942-6038
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Evaluation of one's school nurse practice is one standard in the school nurse's scope and standards of professional practice. The Virginia School Nurse Institute Partnership (SNIP) identified the need to develop a concise self-evaluation tool that school nurses and their nurse and non-nurse employers could use to appropriately document a school nurse's practice. The purpose of this article is to provide a self-evaluation tool that the school nurse and his or her employers can use to evaluate professional school nurse practice.
[Mh] Termos MeSH primário: Avaliação de Desempenho Profissional/métodos
Competência Profissional/normas
Serviços de Enfermagem Escolar/normas
[Mh] Termos MeSH secundário: Seres Humanos
Inquéritos e Questionários
Virginia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1177/1942602X16684848



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