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Biomedical subjects

H B Porter

Publications and source records attributed to H B Porter.

7 recordsLinked to original sources
PubMed1998

Effectiveness and efficiency of nurse-given cancer patient education.

Increasing health care costs make it imperative that nurse-given cancer education programs be evaluated according to their economic effectiveness and efficiency. The purpose of this research was the comparison of two programs of nurse-given education at a Canadian cancer centre examining patients' knowledge of chemotherapy and associated side effects, the number of self-care behaviours for side effects, the degree of extra health resource utilization, patient and nurse satisfaction with teaching programs, and the nursing time needed for teaching. Results show that the experimental intervention is more effective and more efficient than the usual well-organized patient education program at this centre. These study findings begin to address the knowledge gap regarding the cost-effectiveness of a critical component of ambulatory cancer nursing.

Ambulatory Care↗
PubMed1998

The research experience: reflections of a novice researcher.

The oncology nurses at the Windsor Regional Cancer Centre (WRCC), like other health professionals, realize that professional proficiency can be improved through systematic strategies designed to enhance and streamline patient care. For this reason, all nurses in the systemic therapy department of the WRCC agreed to take part in a research study called "Effectiveness and Efficiency of Nurse-Given Cancer Patient Education" (Porter, 1998). Their opinions, accomplishments and feelings about this research experience are recorded under selected headings of the research process.

Attitude of Health Personnel↗
PubMed1998

Health resource utilization and quality of life outcomes of low-risk coronary artery bypass graft patients: a comparison study.

Coronary artery bypass graft surgery (CABG), undertaken because of a decline in quality of life (QOL), is known to decrease morbidity and mortality, but it is expensive. At University Campus, London Health Science Centre, (UC-LHSC), a clinical path for CABG patients categorized as low-risk by UC-LHSC was developed to decrease the costs of CABG surgery through a shortened hospital stay while maintaining quality of patient care. The purpose of this research was to compare traditional care of the CABG patient with the care of those on the Clinical Path for Coronary Artery Bypass Graft Patients on health resource utilization (HRU) and QOL outcomes 6 to 12 months post surgical discharge. The results of this study showed that while the experimental group made significantly more emergency department visits than did the control group, the groups did not differ on the health resource utilization categories of extra office visits, home care, or hospital admission. It was also found that within the experimental (Clinical Path) group there were significantly fewer extra office or clinic visits required by the subjects who received the Preadmission Program than by the participants who did not receive this program. No differences were found in quality of life 6 months after CABG surgery between low-risk patients receiving traditional care and those patients on the CABG Clinical Path. Results of this study have increased understanding of the impact of a shorter hospital stay upon CABG patients and on the health care system.

Aged↗
PubMed1995

The effect of ambulatory oncology nursing practice models on health resource utilization. Part 2, Different practice models--different use of health resources?

The continuous rise in healthcare expenditures concerns providers, recipients, and payers alike, all of whom seek to explain, justify, or contain these costs. Although nurses are major healthcare providers in ambulatory oncology settings, the efficiency or productivity of nursing, expressed as frequency and cost of services (resource utilization), has not been addressed. Part 1 presented findings from a retrospective comparative study that delineated two different models of oncology nursing practice, the Nurse Complement Model and the Nurse Substitute Model of practice. Part 2 discusses these differences in the economic effectiveness of ambulatory oncology nursing in terms of health resource utilization.

Breast Neoplasms↗
PubMed1995

The effect of ambulatory oncology nursing practice models on health resource utilization. Part 1, Collaboration or compliance?

The role of the nurse in ambulatory oncology care varies widely based on the setting and the philosophy of its practitioners and administrators. In an era of steadily decreasing monetary resources, assessing the effect of the activities of the ambulatory oncology nurse on economic outcomes related to cancer patients is imperative. A retrospective comparative study identified differences between two basic economic concepts--complement (compliance) and substitute (collaboration). Based on these concepts and the study results, Part 1 discusses two models of ambulatory oncology nursing practice delineated: the Nurse Complement Model, and the Nurse Substitute Model. Part 2 will present the direct but differing impact of these models on the effectiveness and efficiency of oncology patient care.

Ambulatory Care↗