Nursing Interventions to Support Low-Income Individuals with Hypertension Application of Self-Management Theory Using Clinical Data from Nurse Managed Health Centers Mary Jo Baisch, PhD, RN Kathleen Sawin, PhD, CPNP-PC, FAAN Pei-Yun Tsai, PhD, RN Bev Zabler, PhD, RN Jean Bell-Calvin, MS, RN Rachel Schiffman, PhD, RN, FAAN
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Mary Jo Baisch, PhD, RN Kathleen Sawin, PhD, CPNP-PC, FAAN Pei-Yun Tsai, PhD, RN
Nursing Interventions to Support Low-Income Individuals with Hypertension Application of Self-Management Theory Using Clinical Data from Nurse Managed Health Centers. Mary Jo Baisch, PhD, RN Kathleen Sawin, PhD, CPNP-PC, FAAN Pei-Yun Tsai, PhD, RN Bev Zabler, PhD, RN Jean Bell-Calvin, MS, RN - PowerPoint PPT Presentation
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Nursing Interventions to Support Low-Income Individuals with Hypertension
Application of Self-Management Theory Using Clinical Data from Nurse Managed Health Centers
Mary Jo Baisch, PhD, RN
Kathleen Sawin, PhD, CPNP-PC, FAAN
Pei-Yun Tsai, PhD, RN
Bev Zabler, PhD, RN
Jean Bell-Calvin, MS, RN
Rachel Schiffman, PhD, RN, FAAN
UWM Nurse Managed
Health Centers
• Founded in 1978 – Community Nursing Centers (CNC) co-located in two
community social service agencies– Serve about 1000 clients per year in 5000 visits– Underserved populations across the lifespan
• Document outcomes of the Lundeen CNC model• Academic/practice model supports student and faculty
community health/primary care practice• Model of advanced practice nursing
Silver Spring Community Nursing Center
House of Peace Community Nursing Center
Documentation of NMHC Practice
• Developed a data system: ACHIS (Automated Community Health Information System) – Relational database– Longitudinally tracks nursing practice (began in 1986) – Includes demographic, billing, provider information
and health services for individuals and groups – Problems, interventions and outcomes coded using
Omaha System (ANA approved standard terminology for nursing)
Research Collaborative• UWM Self Management Science Center (SMSC)
– Initial funding by US National Institute of Nursing Research
– Expands programs of research that enhance the science of self-management in individuals and families
– Supports researchers in development, implementation, & evaluation of self-management interventions.
• UWM Institute for Urban Health Partnerships– Administrative home for CNCs– Mission: Promote health and reduce health disparities– Links practice and research
Goals of This Collaboration• Apply Individual and Family Self-Management
Theory as a conceptual model for improving outcomes in patients with hypertension.
• Determine how the ACHIS/Omaha System captures health care practices at the NMHCs.
Value of Theoretical Models for Practice
• Connects nursing “World-Views”
• Offers a systematic structure for nursing process
• Supports nursing as a discipline – knowledge building