Search PubMed⌕ Search

Biomedical subjects

E J Halloran

Publications and source records attributed to E J Halloran.

At least 19 recordsLinked to original sources
PubMed1997

Patient outcomes and nurses' classification data.

The patient classifications done by nurses for all adult patients (n = 15,500) discharged from an urban teaching hospital in one year were retrieved and analyzed by discharge status. Classification results were summarized by physical-functional, psychological-social, and dependence categories and were associated with discharge disposition; patients discharged home were less dependent than others discharged to nursing homes or those who died in the hospital. Diagnosis related group (DRG) payment weights were somewhat independent of the patient classification scores and were not associated with adverse outcomes.

Adult↗
PubMed1996

Nurses' pensions: a need for change.

Although most hospitals provide retirement benefits to nurses, a number of factors conspire to prevent many nurses from enjoying the benefits. It is quite possible for nurses to work continually in their profession and yet be ineligible for a pension on retirement. The unique circumstances of nurses career working patterns are outlined as are characteristics of hospitals' pension plans. Action is recommended at three levels: individual, employee and professional.

Age Factors↗
PubMed1996

Virginia Henderson and her timeless writings.

This paper provides a reflection on the written works of Miss Virginia Avenel Henderson. Miss Henderson is a nurse, a scientist, an artist and a quintessential human being--all traits which informed her written output. Nursing practice, research and education were all subjects of her extensive chronicle. The four-volume Nursing Studies Index is her contribution to nursing research. The Index was sandwiched between two revisions of Principles and Practice of Nursing (5th and 6th eds), the placement of which caused the Index to focus on practice and the Principles (6th ed.) to be based on research. The sixth edition of Principles, written with Gladys Nite and 17 contributors, is considered the most important single professional document written in the twentieth century. The book synthesizes nursing practice, education, theory and research in an age when many nurses are challenged by the seeming incongruity in these essential professional functions.

Abstracting and Indexing↗
PubMed1995

Predictive validity of the Nursing Severity Index in patients with musculoskeletal disease. Nurses of University Hospitals of Cleveland.

Prior studies have not examined the validity of severity of illness instruments in patients at low risk for mortality. We, therefore, examined the predictive validity of a newly developed instrument, the Nursing Severity Index in 5347 adult medical and surgical patients with musculoskeletal diagnoses admitted to an academic medical center in 1985-88. The Index is based on aggregating 34 clinical observations which were recorded by primary nurses during patient care; observations reflect biologic, functional, cognitive and psychosocial abnormalities. Other data, including patient demographic data and outcomes were obtained from hospital data bases. We found that, among all study patients, admission Nursing Severity Index scores were highly related (p < 0.001) to in-hospital death rates-which were 0, 0.4, 0.8, 2.6, 6.7 and 23.5% in six hierarchical strata defined by the Index-and to nursing home discharge rates. In multivariate analyses, adjusting for diagnosis and other important covariates, each strata was associated with a 2.5-fold increased risk of mortality and a 1.6-fold increased risk of nursing home discharge. In addition, the Nursing Severity Index was an independent predictor (p < 0.001) of hospital charges and length of stay. We conclude that the Nursing Severity Index assesses multiple dimensions of illness, can be easily recorded during routine patient care, and accurately predicts hospital outcomes in an important 'low risk' group of patients. The validity of the Nursing Severity Index in other clinical subgroups should be further studied.

Adult↗
PubMed1994

Nursing dependency needs of HIV-infected patients, Part 1: Methods and clinical findings.

The adequacy with which nurses address the needs of patients infected with the human immunodeficiency virus (HIV) depends upon their ability to recognize such needs. A 61-item Nurse/Patient Summary was completed on all patients by day shift nurses at a tertiary care center. The Nurse/Patient Summary encompasses the physical, functional, psychological, and social needs of patients as perceived by their nurses. Data were collected from 1987 to 1989. Findings indicate that the needs identified by the day shift nurses were congruent on the whole with the nursing literature on persons with HIV disease, although some identified needs were not adequately explored in the literature. This study does not address directly the question as to whether nurses in AIDS units might have identified more needs than their nonspecialty colleagues. Using the literature as a proxy, however, these findings indicate that nonspecialty nurses are able to identify the needs of persons with HIV disease. Thus, specialty units need not be predicated on the basis of a lack of nursing expertise in general units.

Adolescent↗
PubMed1994

Nursing dependency needs of HIV-infected patients, Part 2: Implications for management.

Nurses on undifferentiated patient care units observed significant differences in the nursing needs of persons with human immunodeficiency virus (HIV) disease compared with other hospitalized patients. These needs were reflected in the provision of greater nursing hours per case and greater lengths of hospital stay. Less time was spent in the intensive care unit by HIV-infected patients, although 25 percent died in the hospital. There were few HIV patients overall, but given the percentage dying, additional support services may be required in the community to enable terminally ill persons to die at home or in a similar low-technology environment.

Dependency, Psychological↗
PubMed1992

Development and validation of the Nursing Severity Index. A new method for measuring severity of illness using nursing diagnoses. Nurses of University Hospitals of Cleveland.

The purpose of this study was to develop and validate the Nursing Severity Index, a new method used to measure the admission severity of illness of hospital patients using nursing diagnoses, which categorize biologic, functional, cognitive, and psychosocial abnormalities. This retrospective cohort study with independent development and testing phases was conducted at a U.S. academic medical center. In the development phase, data regarding 14,183 adult medical-surgical patients admitted to the medical center in 1985 and 1986 was used. In the testing phase, data regarding 7,302 patients admitted in 1987 and 1988 was used. Primary nurses prospectively recorded the presence or absence of 61 nursing diagnoses on admission. Demographic and clinical data were obtained from hospital data bases. In the development phase, the number of admission nursing diagnoses was highly related (P < 0.001) to in-hospital mortality. Using multiple logistic regression, 34 nursing diagnoses were identified as independent predictors of mortality; the Nursing Severity Index equals the number of these 34 diagnoses. In the testing phase of 7,302 patients, the Nursing Severity Index was related (P < 0.001) to mortality rates, which were 0.5%, 1%, 2%, 6%, 13%, 22%, and 31% in seven hierarchical strata defined by the Index. The Index was as accurate in predicting mortality as MedisGroups (receiver-operating-characteristic curve areas, 0.814 +/- 0.016 vs. 0.845 +/- 0.015, respectively, P = 0.12). Furthermore, the Nursing Severity Index and MedisGroups together (receiver operating characteristic curve area 0.880 +/- 0.014), were more accurate (P < 0.01) than either measure alone. The Nursing Severity Index assesses multiple dimensions of illness, can be easily measured during routine patient care, accurately predicts the risk of in-hospital death, and has similar prognostic accuracy as MedisGroups. Its usefulness in outcomes assessment, quality assurance, and case management merits further study.

Academic Medical Centers↗
PubMed1987

Variability in nurse staffing research.

Variability in nurse staffing research has existed and still exists in two major areas: the method of data collection and analysis, and the method of reporting. The authors take a broad look at these two areas of variability and consider the implications for future nurse staffing research. It has become imperative that nurses take responsibility for the determination of what constitutes nursing work and who should perform that work.

Concept Formation↗
PubMed1985

Nursing workload, medical diagnosis related groups, and nursing diagnoses.

Patient conditions associated with the relative amount of time nurses spent caring for patients were identified in this study. The patient conditions examined were: nursing condition using 37 nursing diagnoses, medical condition using diagnosis-related groups (DRGs), and demographic characteristics of age, sex, and race. Nursing time was estimated using the Rush-Medicus patient classification workload measurement tool. Data were gathered from checklists of nursing diagnoses and the discharge records of 2560 adult inpatients of an acute care community hospital. Using multiple regression analysis nursing condition explained twice the variation in daily nursing workload (52.4%) than medical condition (26.3%). The finding that nursing care time is predicted better by a patient's nursing condition than by either medical condition or demographic characteristics indicates that nursing care is not physician prescribed.

Adolescent↗
PubMed1984

Case mix management.

Explore the source record for details and available documents.

Costs and Cost Analysis↗