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Biomedical subjects

H M Griffith

Publications and source records attributed to H M Griffith.

At least 19 recordsLinked to original sources
PubMed1995

Putting prevention into clinical practice: a program for occupational health nurses.

1. Preventive services are delivered much less frequently than recommended by primary care providers. Many barriers exist. 2. Occupational health nurses can access the valuable, inexpensive resource--"Put Prevention Into Practice" program--to incorporate prevention into illness care, screening, and other visits to their worksite clinics. 3. Use of the "Guide to Clinical Preventive Services," the tools in a kit of materials, and the passport size, client held minirecords can improve the delivery of clinical preventive services.

Health Services Accessibility↗
PubMed1994

Implementing the Put Prevention into Practice program.

Put Prevention into Practice (PPIP) is a national program designed to improve the delivery of preventive care to patients by all primary care clinicians. It covers the full range of clinical preventive services, including immunizations, screening tests, chemoprophylaxis, and counseling interventions. The materials that comprise this program involve patients, office/clinic systems and staff, and clinicians, including nurse practitioners. The need for preventive care, the barriers to be overcome, the PPIP program, and a strategy for its implementation are delineated. Principles for successful implementation include: high level administrative support, ownership by all the players in the implementation process, a person designated to manage implementation, and an ongoing evaluation/auditing process that provides feedback to clinicians and others participating in the program.

Adult↗
PubMed1994

Put prevention into practice: implementing preventive care. U.S. Department of Health and Human Services.

Delivery rates for many preventive services are low in the U.S., often falling below 50%. Many factors contribute to this shortcoming, a number of which are within the control of the practicing clinician. This section discusses two important aspects of the delivery of clinical preventive services--establishing a preventive care protocol and implementing it in practice--and reviews basic principles of screening, immunization, and counseling. The references serve as a basic bibliography on the implementation of preventive services in primary care settings.

Adult↗
PubMed1994

Guidelines for clinical preventive services. Essential for nurse practitioners in practice, education, and research.

Guidelines for clinical preventive services, including counseling, screening, and immunizations, are important to nurse practitioner practice, education, and research. Delivery of clinical preventive services can be improved by the use of evidence-based guidelines, which provide recommendations on what services should be provided and who should receive them. Development of guidelines by the U.S. Preventive Services Task Force is discussed, as well as principal findings that evolved from their deliberations. The authors provide a rationale and options for the development of nursing guidelines for clinical preventive services. Implementation of guidelines can be facilitated by use of the "Put Prevention Into Practice" materials.

Delivery of Health Care↗
PubMed1993

Current Procedural Terminology (CPT) coded services provided by nurse specialists.

In this exploratory study, a random sample of nurses from nine nursing specialties was surveyed to identify which Current Procedural Terminology (CPT) coded procedures they perform and how frequently they perform them. CPT codes are used universally to file claims for physician payment. The sample included 74 school nurses, 67 enterostomal nurses, 53 family nurse practitioners, 43 critical care nurses, 43 oncology nurses, 40 rehabilitation nurses, 39 orthopaedic nurses, 34 nephrology nurses and 25 nurse-midwives. Specific questionnaires were developed for each specialty with codes identified by expert panels. The number of CPT codes ranged from 233 for family nurse practitioners to 58 for school nurses. The mean number of coded services performed by individual respondents ranged from 79 (FNP) to 18 (school nurses); individual respondents performed 0-162 codes. Supervision by physicians was very infrequent. Charges to Medicare in 1988 for the coded services included in the survey were $22,793,427.34 (aggregate allowable charges). The study provides some documentation of the degree to which nurses perform the same services and procedures for which physicians are being paid. If policy makers are serious about reaching innovative solutions to the problems of quality, access and cost, everything must be "on the table," including the contributions of nurses.

Abstracting and Indexing↗
PubMed1992

Survey of the degree to which critical care nurses are performing current procedural terminology-coded services.

PURPOSE: To identify the degree to which current procedural terminology-coded services are provided by critical care nurses. Current procedural terminology codes are used by government and private insurers for reimbursement for office, home, hospital, nursing home and emergency department services. METHOD: Out of 100 randomly selected registered nurses invited to participate in this national survey, 43 completed the survey questionnaire. The majority of respondents were 18 to 40 years old, had a bachelor's degree, had practiced nursing between 5 and 10 years, and were employed as staff or charge nurses in an intensive care or emergency room setting. RESULTS: More than 70% of the group were found to perform 28 codes. The codes performed by the greatest number (42) were blood or blood component transfusion and cardiopulmonary resuscitation. One-way analysis of variance applied to the amount of supervision the nurses received while performing the codes and the educational level of the nurses revealed a significant difference between the groups. Post hoc analysis of all possible group comparisons showed that diploma-prepared nurses reported significantly more supervision than nurses having a bachelor's or master's degree. CONCLUSION: This exploratory study indicates that critical care nurses frequently perform selected codes with little or no supervision by a physician.

Abstracting and Indexing↗
PubMed1986

A case-control study of dietary intake of renal stone patients. I. Preliminary analysis.

The average daily dietary intake of 88 idiopathic renal stone cases and 88 age and sex matched controls was assessed by history using a standardised questionnaire. Statistical analysis was undertaken on the whole group and on male and female subgroups, to establish if there were any significant differences between cases and controls. There were statistically significant differences in dietary intake between the whole group, the female cases and the control group. Male cases showed only a significantly lower intake of thiamine compared to controls. There was little difference between cases and controls intake of iron or multivitamin supplements but vitamin C supplements (greater than 1 g/day) were taken more than twice as frequently by cases than controls. These results suggest that control dietary studies of renal stone patients without regard to their sex may conceal many differences in dietary intake between cases and controls.

Adult↗
PubMed1986

A case-control study of dietary intake of renal stone patients. II. Urine biochemistry and stone analysis.

The dietary intakes of 88 renal stone cases and 88 age and sex matched controls were assessed by dietary history using a standardised questionnaire. The stone cases were divided into six subgroups established on the basis of urine biochemistry (calcium, oxalate and uric acid) and stone composition. The average intake of each group was then compared with that of their controls using standard statistical procedures. Cases with idiopathic calcium oxalate stones had significantly lower intakes of dietary fibre, non-cellulose polysaccharide, phytate, magnesium, phosphate and thiamine than controls. No significant difference in dietary intake was found between cases with high urinary calcium and uric acid and their respective controls. All cases with a high urinary oxalate had a significantly higher intake of vitamin C than controls. Our results support the belief that dietary intake is an important pre-urinary risk factor of idiopathic renal stone disease.

Calcium↗
PubMed1981

A control study of dietary factors in renal stone formation.

Fifty-one first admission renal stone patients and an equal number of controls were interviewed and a dietary history of the average weekly intake was collected from each participant. A comparison of the dietary intake per kilogram body weight in each group was made using standard statistical procedures. None of the nutrient intakes showed a significant difference, but dietary fibre intake and the percentage of energy provided by carbohydrate were consistently higher in the control group, whereas the percentage of energy provided by fat was consistently higher in the renal stone group.

Diet↗