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Biomedical subjects

C H Smeltzer

Publications and source records attributed to C H Smeltzer.

At least 37 records · Page 2Linked to original sources

Relationship of nurses' education and experience to implementing the nursing process.

In summary, the findings from the study provide partial answers but also raise many new questions that are important to those whose goal is the quality of patient care. This research points to the need for (1) indepth analysis of different types of units to determine the variables that relate to the nursing staff's achievement of the nursing process and quality of care rendered; (2) study of the education and experience levels that best provide quality patient care in the most effective manner; and (3) identification of additional variables that influence delivery of quality patient care.

Clinical Competence↗

Focus paper: A method for discussing nursing issues.

A position paper can be one avenue or method of providing a framework for discussing nursing issues with peers, colleagues, and health care executives. A position paper/issue paper will frequently focus on one view with subsections, but can raise many other questions as well as touching on additional nursing issues. It should be clear when developing a position paper that the goal of the paper is to provide a framework for discussion--with the major emphasis being on issues being raised, not resolved. The paper should also address how nursing is affected by these issues and how the entire hospital may be affected. Last, a position paper should also articulate your--the nurse executive's--position on the issues under discussion.

Communication↗

An analysis of emergency department time: laying the groundwork for efficiency standards.

A time and motion study of emergency department (ED) patient waiting time was conducted at the University Medical Center at the Arizona Health Sciences Center in Tucson as a follow-up to a more general study. The time and motion study examined waiting times associated with all phases of emergency care delivery and various levels of patient acuity. The time it took for other departments to provide services and procedures was seen as a significant contributing factor to ED waiting time. Data from this study have already been used to help the medical center identify and correct ED inefficiencies.

Appointments and Schedules↗

Innovative retention strategies for nursing staff.

The creation of innovative retention strategies will be a major focus for nursing administration as a shortage of nurses recurs and turnover of staff becomes a problem. A recent study provides information on which to formulate retention strategies. The findings suggest that retention strategies, to be effective, need to be targeted specifically to particular conditions of the nursing staff, e.g., educational preparation and the clinical service on which staff are functioning. The authors outline their research findings and the innovative strategies that have been constructed.

Adult↗

Analyzing patient time in the emergency department.

Inefficiency in hospital emergency departments (EDs), reflected by unduly long patient visits, threatens patient care quality and hospital public relations. To assess its situation with regard to this problem, the University Medical Center at the Arizona Health Sciences Center (Tucson) analyzed ED visits according to time spent in triage, in the examination/treatment room, and awaiting discharge. Patient acuity, laboratory and radiology procedures, consultations, and arrangements for inpatient admission were taken into account. Findings led to corrective actions to increase efficiency and laid the groundwork for further studies.

Academic Medical Centers↗

Preadmission discharge planning. Organization of a concept.

Preadmission testing programs have been developed to recognize and treat medical abnormalities prior to hospitalization, thus reducing preoperative hospital day costs. A preadmission testing program's objectives can be expanded by combining with a discharge planning program. The two programs combined can facilitate discharge planning and patient education prior to hospitalization and coordinate the nursing process. This article will discuss the purposes, organization, and benefits of a preadmission discharge planning program.

Continuity of Patient Care↗

Nursing quality assurance: a process, not a tool.

A meaningful quality assurance program comes only with appropriate knowledge, communication, and accountability for all quality assurance functions among nurses at all levels. Describing the implementation of their quality assurance program, these authors tell of their eventual realization that, in fact, they had merely implemented a quality assurance tool that brought the nursing staff little benefit and a lot of grief. Highlighting the identified problems, the factors contributing to the program's failure, and the actions they took to develop and meet appropriate objectives, they detail their later, successful implementation of the concept and the process of quality assurance. Their experience provides readers with food for thought and stimulus for critical evaluations of their own quality assurance programs.

Attitude of Health Personnel↗