Abstract

The purpose of this pilot study was to examine the effectiveness of a collaborative case management (CCM) model on an end stage renal disease (ESRD) patient population. The study attempted to confront some of the conceptual and methodological issues surrounding the study of case management. Those issues included: absence of a theoretical framework; the omission of operational definitions of case management; lack of clear specification and measurement of sample selection criteria; the frequent use of weak pre-post designs; and the use of unstandardized instruments. The following strategies to address these issues were presented: a theoretical framework was developed in which to study the phenomenon; a testable model with operational definitions was developed; components of the model were tested and statistically analyzed; the study was guided by a pre-post, quasi-experimental design that utilized specific sample selection criteria; and an attempt to quantify and measure specific prevention nursing interventions was completed. The study design was developed around a fundamental belief: the educational preparation of the clinical nurse specialist (CNS) in areas of health promotion, disease prevention, and the focus of the individual in the context of the family render this practitioner the most qualified person to serve in the role as "case manager."

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9909888; ProQuest document ID: 304431064. The author still retains copyright.

Author Details

Linda Q. Everett, PhD, RN, NEA-BC, FAAN

Sigma Membership

Delta Xi

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Observational

Research Approach

Quantitative Research

Keywords:

Kidney Disease Patients, Patient Care, End Stage Renal Disease (ESRD)

Advisor

Katherine R. Jones

Degree

PhD

Degree Grantor

University of Michigan

Degree Year

1998

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-04-01

Full Text of Presentation

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