Academic community nursing centers (CNCs) provide leadership in clinical research, and research utilization, with a goal of translating research to evidence-based practice. In this presentation we share outcome data from a longitudinal study conducted at an academic CNC that has provided access to nursing care for vulnerable populations for over 15 years. There are limited data about nursing interventions and outcomes in community settings, and limited access to sophisticated computer analysis of such data. The conceptual framework was the Lundeen Community Nursing Center Model which reflects community-based, comprehensive, collaborative, coordinated, and culturally competent care. The setting was a CNC located in the Neighborhood Center of a large federally subsidized housing development; the sample was a subset of 949 clients of the CNC. The design of the study was a retrospective review of client record data from 1989 to 2000. The instrument was the Omaha System, a nursing taxonomy developed to code client problems, clinical interventions and client outcomes. All client computerized record data were reviewed retrospectively for those clients who were seen at least 6 times within the study period. This represented approximately 30% of all clients seen at the center during that time (N=949). Nursing interventions and change over time were identified and tracked for client knowledge, health behaviors, and health status (KBS) related to frequently seen health concerns of the clients. Analysis was facilitated using the Automated Community Health Information System (ACHIS), a relational data management system, and SPSS PC for Windows V12.0.2 (R). Results illustrate a positive change in KBS in these nurse-managed clients. The description of client problems, nursing interventions and the translation of findings into practice were facilitated through the use of the relational database. Conclusions and implications for practice: Community based advanced practice nursing interventions have a significant effect on client health.
Session #1210 - Elder Issues in the Community
The 29th Annual MNRS Research Conference (April 1-4, 2005)