Biomedical subjects
Publications and source records attributed to B Westra.
Clinical documentation is becoming increasingly important, not only for patient care, but for satisfying payors' need for proof of efficient and cost-effective care. What factors are involved in a computerized documentation system and what should providers look for?
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Twenty children of physically abused women who were temporarily living in shelters were studied. These children, from 2 1/2 to 8 years of age showed significantly poorer cognitive, verbal, motor and quantitative abilities than would be expected in a normal population. They also demonstrated evidence of personality problems, with a concerning penchant for hostile-aggressive behavior. Hearing problems and articulation deficits were common. The children studied were from middle to lower-middle class families. The problems showed in this study group are felt to be an underestimate of the true prevalence of developmental and psychological problems in children of abused women. It is suggested that children are at a point of crisis just as admittedly few services available to abused women, there are even fewer services being provided to the children in such families. This is compounded by the relative unavailability of most recently assaulted women to attend to the emotional and developmental needs of their children. The need for health, developmental, and personality screening for children of abused women is highlighted, as well as the need for crisis intervention programs for such children. Groundwork has been laid through this research for more detailed clinical research to aid children of women who are physically abused. A greater appreciation of the problems encountered will facilitate appropriate interventions to optimize the growth and development of these children.
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As key stakeholders from the clinical setting and vendor communities, the authors share a summary of their collective experience related to the challenges and issues associated with implementing the vocabularies recognized by the American Nurses Association in several installations of commercially available clinical information systems. Although the focus of the article is on summarizing the challenges and issues, it is of note that the authors' experiences across care settings suggest that the experience and effort of using one of the ANA-recognized vocabularies in a computer-based system are essentially worthwhile and positive. The issues and challenges fall into two categories: 1) those related to the developmental status of nursing vocabularies, and 2) those related to the adoption or implementation of new technology.
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Explore the source record for details and available documents.