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The relationship between professional care environments, nurse-rated quality of care, service utilization and functional status of patients with heart failure receiving Medicare certified home health services

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TitleInfo
Title
The relationship between professional care environments, nurse-rated quality of care, service utilization and functional status of patients with heart failure receiving Medicare certified home health services
Name (type = personal)
NamePart (type = family)
Kleber
NamePart (type = given)
Elizabeth
NamePart (type = date)
1964-
DisplayForm
Elizabeth Kleber
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Flynn
NamePart (type = given)
Linda
DisplayForm
Linda Flynn
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Thomas-Hawkins
NamePart (type = given)
Charlotte
DisplayForm
Charlotte Thomas-Hawkins
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Lindgren
NamePart (type = given)
Teri
DisplayForm
Teri Lindgren
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Kolassa
NamePart (type = given)
John
DisplayForm
John Kolassa
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2014
DateOther (qualifier = exact); (type = degree)
2014-05
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
Heart failure (HF) is one of the leading causes of death and disability in the United States and it has grown to near-epidemic proportions. Among the costly sequela of HF are functional impairments. If not reversed, these functional limitations may lead to increased risk of hospitalization. Left untreated, functional impairments are a significant predictor of mortality among elderly persons living at home. Consequently, HF patients represent the largest group of patients receiving home health nursing services, and impaired functional status remains the most frequent predictor of home health need. The overarching conceptual framework for this study was the Nursing Organization and Outcomes Model (Aiken et al., 2002). This study examined the relationship between nurse-rated quality of care, the nursing practice environment, service utilization and functional outcomes in patients receiving Medicare certified home health care services, as well as nurse practice environment, service utilization and nurse-rated quality of care in patients receiving Medicare certified home health care services. Data were analyzed from 364 nurses working in 53 home health offices. Major findings indicate a correlation between a supportive care environment and nurse-rated quality of care. The number of occupational therapy visits provided was found to be associated with a decline in functional status at time of discharge from home health services. In addition, patient age was found to be negatively correlated with functional status at time of discharge form home health services. Findings also suggest a competent and supportive front line manager may contribute to nurse-rated quality of care, suggesting investment in nurse manager development may be beneficial to the organization.
Subject (authority = RUETD)
Topic
Nursing
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_5587
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
vii, 96 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = vita)
Includes vita
Note (type = statement of responsibility)
by Elizabeth Kleber
Subject (authority = ETD-LCSH)
Topic
Heart failure
Subject (authority = ETD-LCSH)
Topic
Medicare beneficiaries--Medical care
Subject (authority = ETD-LCSH)
Topic
Older people--Home care
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/T3RJ4GRM
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Kleber
GivenName
Elizabeth
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2014-04-26 20:12:05
AssociatedEntity
Name
Elizabeth Kleber
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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ETD
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windows xp
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