NURSE CASE MANAGEMENT WORKSHOP

1
NURSE CASE MANAGEMENTWORKSHOP

• CDHB Aranui Nursing Project
• measuring benefits outcomes
• Jackie Cooper Oct 2005

2

• The project takes a
• community development
• approach, which is
• whanau-centered and
• is framed by the context
• of the realities in the
• Aranui locality

3
Nurse Case Management Project Evaluation Model
C A S E
4
Nurse Case Management Project Evaluation Model
Client And their Social Environment
5
Nurse Case Management Project Evaluation Model
Initiation why when how
Client And their Social Environment
6
Nurse Case Management Project Evaluation Model
Initiation why when how

Case
Work

Analysis
? benefits
? represented
Client And their Social Environment
7
(No Transcript)
8
Measuring benefits outcomes

• Project diary
• Date
• Where
• Topic
• Outcome
• Project element - clinical, community
  development, workforce development
• Impact measure collaboration, improving access

9
(No Transcript)
10
Measuring benefits outcomes

• Project communication
• Date
• Format
• Topic
• Outcome
• Project element - clinical, community
  development, workforce development
• Impact measure collaboration, improving access

11
(No Transcript)
12
Measuring benefits outcomes

• Project consultation
• ID
• Gender
• Ethnicity
• Age
• Date
• Where
• Topic systemic
• Prescription needed ?
• Referral to ?
• Clinical notes

13
Measuring benefits outcomes

• Project outputs
• New service delivery model proposal
• Documentation to support new model
• Force field analysis of networking required
• Establishment, progress final reports
• Dissemination of process experience project,
  change risk

14
Nurse Case Management Project Evaluation Model
Initiation why when how

Case
Work

Analysis
? benefits
? represented
Client And their Social Environment
Identify skills/ service models/ Policy developmen
t opportunities
15
Nurse Case Management Project Evaluation Model
Initiation why when how

Case
Work

Analysis
? benefits
? represented
Client And their Social Environment
Disseminate
Identify skills/ service models/ Policy developmen
t opportunities
16
Nurse Case Management Project Evaluation Model
Initiation why when how

Case
Work

Analysis
? benefits
? represented
Support Change
Client And their Social Environment
Disseminate
Identify skills/ service models/ Policy developmen
t opportunities
17
Nurse Case Management Project Evaluation Model
community focus whanau centred
collaborative storying embedded in reality
respect trust whakawhanangatanga
spiral discorse
Initiation why when how

Case
Work

Analysis
? benefits
? represented
Support Change
Client And their Social Environment
Disseminate
Identify skills/ service models/ Policy developmen
t opportunities
18
Measuring benefits outcomes

• Evaluation process need to be
• the result of reciprocal interactions between
  service providers and service consumers
• the reconstruction (of the story) through
  on-going enquiry
• and to
• constantly revisit the kaupapa of the project
• ref. Bishop Glynn 1999

19
Measuring benefits outcomes

• Nurse Case Management as an exercise in joined
  up
• clinical practice might expose how
• our ability to work together has risen to the
  level of parallel play, exhibited by toddlers
• Phillip Derbyshire 1987
• Nurse Case Management illustrates how
• Dependent people need others to get what they
  want.
• Independent people can get what they want through
  their own effort.
• Interdependent people combine their efforts with
  the efforts of others to achieve the greatest
  success
• Stephen Covey 1989