The purpose of this project is twofold: 1) to describe the nursing care delivered to people with AIDS (PWAs) at the time of their first hospitalization for the onset of Pneumocystis carinii pneumonia (PCP), and 2) to follow the PWAs for a six-month period to describe the relationship between hospitalized nursing care delivered and selected short- and long-term patient outcomes. This Prospective study utilizes a quality assurance framework (Lang, 1976). Nursing care is defined as potential and evident patient problems identified and interventions implemented by nurses. The quality of the nursing care will be evaluated by describing the observed relationships among identified problems, nursing interventions, and patients' status. The immediate goal is to develop a validated care plan for PWAs that would include commonly activated patient problems, effective nursing interventions, and measurable patient outcomes. An activated patient problem is one that has been identified by the patient or the nurse as a significant issue for the patient. An effective nursing intervention is a nursing action that has been correlated with a positive change in patient status. Measurable patient outcomes refer to the patients' changing health status as measured by a valid and reliable instrument. The long-term goal is to develop an assessment model that will expand the strategies available to measure the quality of nursing care.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR002215-03
Application #
3392120
Study Section
Special Emphasis Panel (ARR (V2))
Project Start
1989-05-01
Project End
1992-04-30
Budget Start
1991-05-01
Budget End
1992-04-30
Support Year
3
Fiscal Year
1991
Total Cost
Indirect Cost
Name
University of California San Francisco
Department
Type
Schools of Nursing
DUNS #
073133571
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Bakken, S; Holzemer, W L; Brown, M A et al. (2000) Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. AIDS Patient Care STDS 14:189-97
Cosby, C; Holzemer, W L; Henry, S B et al. (2000) Hematological complications and quality of life in hospitalized AIDS patients. AIDS Patient Care STDS 14:269-79
Sousa, K H; Holzemer, W L; Henry, S B et al. (1999) Dimensions of health-related quality of life in persons living with HIV disease. J Adv Nurs 29:178-87
Bakken, S; Dolter, K J; Holzemer, W L (1999) A comparison of three strategies for risk-adjustment of outcomes for AIDS patients hospitalized for Pneumocystis carinii pneumonia. J Adv Nurs 30:1424-31
Henry, S B; Holzemer, W L; Weaver, K et al. (1999) Quality of life and self-care management strategies of PLWAs with chronic diarrhea. J Assoc Nurses AIDS Care 10:46-54
Holzemer, W L; Henry, S B; Nokes, K M et al. (1999) Validation of the Sign and Symptom Check-List for Persons with HIV Disease (SSC-HIV). J Adv Nurs 30:1041-9
Holzemer, W L; Henry, S B; Reilly, C A (1998) Assessing and managing pain in AIDS care: the patient perspective. J Assoc Nurses AIDS Care 9:22-30
Mead, C N; Henry, S B (1997) Documenting 'what nurses do'--moving beyond coding and classification. Proc AMIA Annu Fall Symp :141-5
Henry, S B; Lush, M; Costantino, M et al. (1997) Health status measurement in computer-based patient record systems. Nurs Adm Q 21:50-60
Henry, S B; Holzemer, W L; Randell, C et al. (1997) Comparison of nursing interventions classification and current procedural terminology codes for categorizing nursing activities. Image J Nurs Sch 29:133-8

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