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Biomedical subjects

D S Oda

Publications and source records attributed to D S Oda.

At least 19 recordsLinked to original sources
PubMed1995

A preventive child health program: the effect of telephone and home visits by public health nurses.

A randomized trial was conducted to determine if a public health nursing intervention consisting of telephone contacts or home visits affected the receipt of preventive health services by children eligible for the Early Periodic Screening, Diagnosis, and Treatment program. Each nursing intervention was applied using a protocol, and outcome data for 1654 case subjects were obtained from state-paid provider claims. However, the trial revealed no statistically significant differences between the study groups, nor was ethnicity a significant factor. Methodological and study context issues were identified that may have affected the results, the generalization of which is limited by the strict selection of cases.

Child↗
PubMed1994

Collaboration in investigator initiated public health nursing research: university and agency considerations.

There is a significant difference in the collaborative process between whether a public health nursing research project is requested (of the researchers) by the agency or if it is conceived by an outside investigator. This article discusses the underlying concepts of negotiation, mutuality, and respect that support the process of an externally initiated study in an agency. In a progressive listing format, the important components within the planning, development, implementation, and completion phases are then described so that they can be useful to beginning researchers as a guide and to experienced researchers as a reminder.

Community-Institutional Relations↗
PubMed1994

Public health nursing services for drug-exposed infants and mothers: a pilot study.

The purpose of this exploratory study was to identify the pattern of public health nursing service provided to substance-using mothers and their infants. To determine the effectiveness of public health nursing in a later randomized clinical trial (subsequent study), the first essential step was to identify clearly the nursing services that would constitute the intervention. For consistency, a clinical-practice checklist was developed by the public health nurses (PHNs) with the assistance of the investigators. Over a 6-month period, six PHNs made home, telephone, and office or clinic visits to mothers and their infants who were referred for follow-up due to a positive toxicology screen test at the time of delivery. For this client group (N = 28), the PHNs made one or two home visits to 17 mothers (61%), one or two telephone visits to 12 mothers (43%), and one or two office or clinic visits to 5 mothers (2%). Nearly one third of the time (29%), home-visit attempts were unsuccessful, and the client attrition rate was 50%. Polydrug use was common in this group, with 71% using two or more substances at the time of delivery. Referrals to substance-abuse treatment programs were usually not accepted by the clients, and many referrals were made for medical care and infants supplies. The most frequently mentioned area for advocacy was housing. Overall, public health nursing services were provided in a very limited time span of client availability.

Adolescent↗
PubMed1990

The clinical nurse specialist role in the Army Medical Department.

Although clinical nurse specialists (CNSs) have been in the Army Medical Department for more than 10 years, there are no reports in the literature regarding role implementation for them. In this study, a survey of all practicing CNSs in the Army Medical Department (AMEDD) and their supervisors was conducted with the purpose of defining their perceived role and the value placed on it by their supervisors. The results showed that the study population (n = 52) has implemented the role with all components (practice, education, consultation, administration, and research) considered important by them. Further, 85% of the CNSs report positive job satisfaction, and 67% believe they have reached role maturation. Their supervisors were equally or more positive about the importance of the role, and all (n = 26) felt it must be maintained despite budget constraints and nursing shortages. Findings were that CNSs experience role satisfaction, have achieved role maturation, and are valued by their supervisors within the AMEDD.

Adult↗
PubMed1987

School health services.

Since compulsory public education began in the United States, a component of that system which now is titled, School Health Services, has existed. Even with this history, the concept remains somewhat nebulous, even in the minds of its supporters, because of a paucity of verifiable, reproducible research in the area. Until research catches up with practice, and legislation is guided by firm data, it is essential to continue to clarify and strengthen the existing system. That system with a professionally prepared school nurse as its central focus provides the greatest hope for addressing the problems that are within the scope of school health service practice.

Child↗
PubMed1986

Cost documentation of school nursing follow-up services.

The cost of nursing services was documented as part of a grant to study the effect of school nursing follow-up on the outcome of dental screening. Eleven nurses participated in the study with experimental (n = 287) groups of fifth and sixth grade students from a large West Coast school district who were screened for caries. Stratifiers for the randomized group assignment were school, cavity severity, gender, ethnicity, and insurance coverage. A positive difference occurred for the 11 nurses (p = 0.0046). The cost of telephone follow-up averaged $8.92 for 26.69 minutes and compared favorably with a California state allowance of $11 for a half-hour of similar service. The study offers a beginning analytical formulation for examining field services in school and community health nursing using a naturalistic experimental design.

Child↗
PubMed1986

Impact and cost of public health nurse telephone follow-up of school dental referrals.

The effect and cost of nursing follow-up services on school dental screening outcomes were investigated. Experimental and control groups were randomly assigned. A positive difference in dental visit rate occurred for all nurses, with the overall dentist visit-no visit, experimental-control odds ratio being 1.64 (95% CL = 1.15, 2.35). The service averaged 27.7 minutes and $8.92 per family contacted, suggesting that nursing follow-up increased dental care utilization after screening at low cost in this population.

California↗
PubMed1985

The resolution of health problems in school children.

The resolution rates of health problems identified in school children by primary care, physical examination, or screenings were examined during a two-year period. The evaluation component of the National School Health Program involved a range of school health services provided in four states to more than 13,000 children. A school nurse practitioner-health aide team worked in collaboration with a community physician consultant to manage the resolution of identified problems. More than 95% of the problems were resolved or in process of resolution at the end of each school year. Resolution patterns were relatively consistent across problem severity levels. Factors contributing to the timely resolutions of health problems by nurse practitioners included their ability to manage and resolve more than 90% of the problems within the school-based practice with physician backup and their access to a medical support network for external referrals.

Child↗