The National Health Disparities Report notes that Hispanics have poorer quality of
care in 23 of 38 core measures. The result of this disparity is great personal and
health system costs, which could be reduced. Prior studies have focused on access
and language. We studied outcomes improvement.
The purpose of this project was to develop a replicable theory-based outcomes improvement
model for delivery of nursing care to Hispanic patients.
The Leininger Sunrise Enabler approach was used to design a program specific to the
cultural needs of a home care population. Outcome and Assessment Information Set (OASIS)
data from 125 unduplicated home care patients were tracked. Nursing care delivery
was analyzed using ethnographic research techniques.
Delivery of nursing care using a culturally congruent approach reduced acute hospitalization
and emergent care visits. Medication management and customer and nursing satisfaction
also improved.
National standards for culturally and linguistically appropriate services in health
care help reduce healthcare disparities, but improving Hispanic outcomes requires
moving beyond symptoms and symptom management to transcultural care. The estimated
savings to the health care system are significant.
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Biography
Louise Woerner, MBA, FAAN, is Chairman & CEO, Home Care of Rochester (HCR), Rochester, NY.
Biography
Javier Espinosa, PhD, is an Associate Professor, Rochester Institute of Technology, Rochester, NY.
Biography
Susan Bourne, RN, MSN, is Director of Clinical Specialty Programs, Home Care of Rochester (HCR), Rochester, NY.
Biography
Marie O'Toole, EdD, RN, FAAN, is Chair, Department of Nursing, Nazareth College, Rochester, NY.
Biography
Gail L. Ingersoll, EdD, RN, FAAN, is a Loretta Ford Professor & Director, Center for Outcomes Measurement & Practice Innovation, University of Rochester School of Nursing, Rochester, NY.
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© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
