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Biomedical subjects

B Pillar

Publications and source records attributed to B Pillar.

13 recordsLinked to original sources

Technology anxiety as a potential mediating factor in response to medical technology.

Technology anxiety, defined as a fear of working with medical equipment, was measured via the use of the Technology Response Questionnaire. Nurses (N = 414) working on nine types of nursing units at two hospitals participated in the study. Nurses working on psychiatric units were found to be most anxious about working with medical equipment, while nurses working on surgical and adult intensive care units were least anxious. A comparison of the nurses who were highest and lowest on technology anxiety indicated that those who were most anxious about technology were less positive toward computers, felt more stressed by their work, were lower on job satisfaction, less positive toward the physicians they worked with, lower on personality scales of autonomy and adaptability, were less likely to do care planning regularly or to use nursing diagnoses, and tended to be older than less anxious nurses.

Analysis of Variance

The appropriate use of high-cost, high-risk technologies: the case of total parenteral nutrition.

An assessment of total parenteral nutrition (TPN), a high-cost, high-risk technology, is used to illustrate the importance of technology assessment to quality assessment. A review of the literature suggests that TPN is only sometimes effective and that it actually produces measurable harm by increasing complication rates in certain groups of patients. However, there are strong advocates for its use. The economic and ethical implications of TPN for the quality of care are also discussed at the levels both of the individual and of society. Continuous assessment of health care technologies, particularly those that are high-cost and high-risk, is critical to the overall quality of health care.

Cost-Benefit Analysis

Reporting consensus.

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Consensus Statements as Topic

Technology, its assessment, and nursing.

Technology assessment provides nurses with the knowledge they need to participate in decisions about the use of health care technology.

Cost-Benefit Analysis

A classification of nursing technology.

In the previous issue, the authors described the process of technology assessment and its implications for nursing. In this article, the authors propose a classification system for nursing technology. They argue that, in the face of competition from other, rapidly proliferating health care professions, such a system is necessary to insure that nurses are acknowledged and adequately compensated for the functions they actually perform.

Health Policy