ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

A 28-year-old married woman, gravida 3 para 2002, was transferred to a tertiary care hospital at 27 2/7 weeks gestation for verification of gross fetal anomalies. Ultra-sonography studies showed the child she carried had a dramatic gastroschises, an enlarged heart, and small limb buds for arms. The patient was informed of her fetus' condition and, after she discussed the situation with her husband, both parents asked that the pregnancy be terminated.Using prostaglandin, the physician induced labor prematurely in a labor and delivery room suite. Both parents held the child until shortly before its death.A voluntary abortion this late in pregnancy for nonlethal birth defects caused considerable concern and even distress among the nursing staff on this unit. As a matter of conscience, almost half of the nursing staff refused to care for any patients having elective abortions, and this case raised even more moral questions than usual. Moreover, this couple—and even their family members—receivedthreateningphone calls and letters while the woman was still in the hospital, and the couple reported receiving even more after she returned home.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The effectiveness of Neonatal Nurse Practitioner (NNPs) in a Level III Neonatal Intensive Care Unit (NICU) was evaluated by using a retrospective medical records review. Two groups of infants received care in a Transitional Care Unit (TCU), one by house officers and the second cared for by NNPs. Medical diagnoses, lengths of stay, hospital charges, discharge/transfer disposition and hospital readmissions were studied. No differences were found in DRG codes, discharge disposition, hospital readmission or number of infants transferred from TCU to NICU because of deteriorating condition. Though the infants cared for by the NNPs had significantly lower birth weight and lower gestational age, they averaged 2.4 fewer days in the hospital and $3,491 less in total hospital charges than the group cared for by house officers. This study confirms that NNPs can provide care comparable to house officers in a Level III NICU and be more cost effective.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID

摘要:

The Colorado Differentiated Practice Model for Nurses has been implemented at a community hospital and is decreasing patient length of stay while simulataneously becoming a satisfaction factor for nurses, physicians, patients and families. Also, a new role, with more responsibility and authority, has evolved for the BSN-prepared staff nurse.

ISSN:0744-6314    

出版商:OVID    

年代:1994

数据来源: OVID