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Biomedical subjects

S Salyer

Publications and source records attributed to S Salyer.

2 recordsLinked to original sources
PubMed1998

Interdisciplinary collaboration.

This quasiexperimental study investigated interdisciplinary collaboration over a 16-month period on units using different collaborative practice strategies. Measures of collaboration and perceived physician involvement in collaborative practice were completed by 335 licensed staff members working on seven general adult units in an acute care hospital located in an academic medical center. Data were collected at two time points: in 1993 and 1995. A small but statistically significant decline in collaboration was found (p = 0.01) over the 16-month period. Analysis of variance revealed a significant difference (p = 0.03) in collaboration related to the method used to develop collaborative paths. Post hoc Tukey's test indicated that the presence of a case manager without collaborative paths did show higher levels of collaboration (p = 0.05). Regardless of the strategy used, perceived high physician involvement was related to greater collaboration than perceived low involvement with differences increasing over time (p = 0.02). These findings suggest the importance of perceived physician involvement in collaborative practice to interdisciplinary collaboration.

Adult↗
PubMed1986

Improved outcome of twice weekly nonstress testing.

The nonstress test is a commonly used tool for fetal well-being assessment. The antenatal death rate using the nonstress test as a primary modality is significantly higher than that with the use of the contraction stress test. The nonstress test is commonly performed on a once-a-week basis. The rate of stillbirths with reactive nonstress tests, performed once a week, was 6.1 per 1000 in the author's previously published report. Nonstress tests were performed on a twice-a-week basis beginning January 1981, and results are reported on 913 such patients. The rate of stillbirths with reactive nonstress tests was reduced to 1.9 per 1000 in this second group. It is suggested that the patients who are at risk for fetal stress should be evaluated on a twice-a-week basis when the nonstress test is used as the primary test.

Female↗