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Biomedical subjects

B M Henry

Publications and source records attributed to B M Henry.

14 recordsLinked to original sources
PubMed1993

The fourth canal: its incidence in maxillary first molars.

The purpose of this study was to determine the frequency with which a fourth canal is clinically located, instrumented and obturated in maxillary first molars. The results indicate that it can be located, instrumented and filled at least 77 per cent of the time. This is an important finding for the general practitioner and endodontist alike, as clinical success is directly related to the complete debridement and obturation of the root canal system.

Dental Cavity Preparation↗
PubMed1986

Perspectives on nursing issues and health care trends.

A national survey of nurse administrators from magnet hospitals and faculty directors of graduate programs in nursing administration delineated perspectives on the foremost issues facing professional nurses and the most significant trends in health care policy and delivery. The findings are useful in developing data-based nursing curriculums sensitive to an increasingly market-oriented economy, and for resource-conscious nurse executives struggling to prioritize which issues to address and which directions to take when spending is restrained.

Administrative Personnel↗
PubMedDate not supplied

Methodologic principles of cost analyses in the nursing, medical, and health services literature, 1990-1996.

BACKGROUND: Cost analyses are needed to inform resource decisions. Oftentimes, however cost-benefit analysis (CBA), cost-effectiveness analysis (CEA), cost-minimization analysis (CMA), and cost-utility analysis (CUA) are performed using untested techniques and adhering to a variety of questionable principles. OBJECTIVES: To analyze, compare, and present a set of useful principles for the main types and methods of cost analyses through a synthesis of current information in the published literature. METHODS: The area of interest included all reports of cost research published as full articles in professional journals from January 1990 to August 1996 in the nursing, medical, and health services fields. In all, 88 sampled articles met the criteria for inclusion. A four-page data collection guide with 28 items grouped as demographics, cost-analysis types, methods, and principles was designed for the review. Incremental testing for interrater reliability using the kappa statistic for two raters was performed. Sampling, process-oriented, construct, and correlational validity were assessed. RESULTS: The 88 articles included 4 from nursing, 59 from medical, and 25 from health services journals. Of these articles, 45 (51%) reported CBA, 36 (41%) CEA, 2 CMA, 4 CUA, and 1 both CBA and CEA. Three nursing studies were authored only by nurses. Three fourths of the medical and four fifths of the health services publications had interdisciplinary authorship. Existing databases were the primary source of data in 61 (69%) publications. Adherence to six main methodologic principles was apparent in 19 (22%) articles. None of the nursing studies adhered to all six principles, whereas 16% of the health services and 25% of the medical studies did. CONCLUSIONS: Funded cost analyses of nursing interventions that adhere to the six known methodologic principles are needed to inform policy-level health care decisions. Because of the complexity of cost analysis methodology, including sensitivity analysis, future interdisciplinary efforts using existing databases may prove most effective. The six methodologic principles presented in this article can be useful for future nursing education and cost-analysis research designed to control cost and increase the quality of health care.

Costs and Cost Analysis↗
PubMedDate not supplied

Strategic decision making.

A key management function is making strategic decisions when there is competition for scarce resources. The authors report an in-depth study of decision making and the choices made by nurse executives when acquiring, distributing, and redistributing funds, information, space, and personnel. They describe successful strategies for resource allocation and present a model for analyzing strategic decisions.

Administrative Personnel↗
PubMedDate not supplied

Nursing administration in small rural hospitals.

Most of the world's population is rural and 45% of all United States hospitals are small or located outside of urban centers. The interdependence of rapidly changing rural communities and hospitals is described in this study of nursing directors' jobs. Findings provide needed information about the challenges and demands of nursing administration in small organizations useful for development of curriculums sensitive to values, politics, and economies; and for all nurse executives eager to understand the complexity of decisions and actions, whether in small organizations or in large multi-institutional systems comprising hospitals of varying sizes.

Administrative Personnel↗