A review of cost-accounting methods for nursing services.
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Biomedical subjects
Publications and source records attributed to S R Edwardson.
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Intensive care units (ICUs) account for a large portion of hospital costs. A review of recent literature and a study of one ICU suggest that these costs could be reduced by more careful patient assignments to units suited to meet their needs. Fifty patients cared for in an ICU 24 hours or less before the implementation of the diagnosis related group (DRG)-based prospective reimbursement were compared with 50 post-DRG patients. Although the average age of patients dropped slightly after the DRG system's implementation, few patients in either time period required the medical interventions and specialized equipment of an ICU.
This study explored the decision making process of physicians and parents in choosing between hospital and home care for children in the terminal phase of cancer. Data were gathered from hospital records of the children and from interviews with their parents. Discriminant function analysis of hospital record data suggested that the physician's influence over care and treatment choices remained the dominant influence into the terminal phase. Yet parents reported that they were most influenced by their child's and their own desires and beliefs about their ability to provide care. The possibility of a two-stage decision process is offered to explain this discrepancy.
Nurses responsible for quality assurance in ten metropolitan hospitals surveyed nurses from their institutions in an attempt to understand sluggish interest in quality assurance activities. The registered nurses surveyed agreed that involvement in quality assurance is an important part of the professional nurse's role, but this belief did not often translate into positive attitudes toward nor participation in quality assurance activities.
A computer-based tutorial for teaching nursing financial management concepts was developed using the macro function of a commercially available spreadsheet program. The goals of the tutorial were to provide students with an experience with spreadsheets as a computer tool and to teach selected financial management concepts. Preliminary results show the tutorial was well received by students. Suggestions are made for overcoming the general lack of computer sophistication among students.
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