Pregnancy and heart valve prostheses.
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Adult↗
Biomedical subjects
M L Hage
Publications and source records attributed to M L Hage.
Interpretations of nonstress tests by obstetric nurses.
Five 20-minute nonstress-test strips were mailed to 1,000 members of NAACOG--the organization for obstetric, gynecologic, and neonatal nurses. The individuals were selected systematically from NAACOG's 10 districts. For the 412 (41%) respondents, at least 84% of the answers concurred on each of the five strips. The majority opinion was taken to be the correct answer. Concurrence with the majority was independent of clinical experience, clinical training, and the extent of present nonstress-test responsibilities. The same five strips were interpreted by obstetricians in a previously reported survey. On a two-point, reactive-nonreactive scale, the sample of obstetric nurses' degree of agreement differed significantly from the sample of physicians' degree of agreement (92 versus 98%) on only one strip.
Education, Nursing↗
Management decisions after nonstress testing.
Evaluation of patient management after the utilization of a specific diagnostic test has been difficult to interpret from retrospective studies. Specifically, the impact of the interpretation of the diagnostic study, the environment where the test is performed, and the biases of the physician have been difficult to separate. In this study, agreement on first-choice management decisions by a national sample of obstetricians blinded to specific clinical information, based on interpretations of five nonstress tests, was low (kappa = 0.24 +/- 0.02). The response "evaluate for delivery" was significantly different between "reactive" and "nonreactive" interpretations. There was better management agreement among those respondents with more experience with nonstress testing; those from larger hospitals; and those who practiced at universities, HMOs, and military hospitals. The attitudes of individual respondents as measured by the first-choice goals of the test did not significantly influence overall management agreement. Reliability of management was less among physicians aged 50-59 years. There was no obvious national consensus regarding management following nonstress testing.
Female↗