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Biomedical subjects

D Biordi

Publications and source records attributed to D Biordi.

14 recordsLinked to original sources

Nurses' retirement preparation.

Nurses expect that professional achievement and dedication to society will reward them with economic security in their later years. Such rewards may not be theirs without deliberate and careful attention to early preparation. This study showed that although nurses expect an adequate income during retirement, their current pension, benefit, and savings status suggests otherwise. Nurses who do not actively manage personal finances or attend to details of employment benefit packages place themselves at distinct risk for economic crisis during their decades of retirement.

Aged↗

Coronary artery disease in women: assessment, diagnosis, intervention, and strategies for life style change.

Coronary heart disease is reaching epidemic proportions in women. With increased longevity, more women are living many years beyond menopause, the time when heart disease peaks in women. For midlife women, it is important to determine a personal profile of unmodifiable (family history, age, and race) and modifiable risk factors. The goal for every woman must be to control coronary risk factors such as smoking, hyperlipidemia, diabetes, sedentary life style/weight control and stress, which have been proven to be amenable to modification strategies. Many women also may consider hormonal replacement but must be counseled to make informed choices concerning the benefits and risks. Finally, as nurses and as leaders in the health care of women, we must model heart healthy behaviors to encourage each other and to increase our effectiveness with the clients we serve.

Coronary Disease↗

Negotiating nurse-patient authority in pediatric home health care.

In this qualitative study, pediatric home health nurses described the solitary, ambiguous, and unprogrammed nature of home health nursing. As employees of the family, the nurses in this study found it necessary to negotiate their work tasks and working conditions with family members. In describing the meaning of their work, the nurses emphasized differences between hospital and home health nursing with regard to their authority for care decisions, methods of child discipline, parental control of care, and innovations of nursing routines and interventions. Characteristics of pediatric home nursing are identified in order for these to be communicated to prospective home care nurses, to pediatric nurse educators, and to home health managers. With knowledge of these characteristics, a new home health nurse will be better prepared to negotiate shared patient care responsibilities with the client's family.

Child↗

Female nurse executives. Finally, at an advantage?

Discrimination, subtle and overt, from socialization and institutional forces, continues to keep nurse executives, most of whom are women, out of chief executive officer (CEO) positions. However, because of the women's movement, changing organizational forces, and shifting demographics, more nurse executives are likely to move into the ranks of CEOs. The authors explore the issues of managerial discrimination and indicate strategies that are beginning to open doors to female nurse executives who desire CEO positions.

Career Mobility↗

A smoke-free environment: psychiatric nurses respond.

1. After only 1 month of establishing a smoke-free environment, 75% of the staff on Ward "A" and 70% of the staff on Ward "B" reported that the nonsmoking policy was a success. 2. Levine's Four Conservation Principles of Nursing provide a conceptual framework for developing nursing interventions that address the patient with an urge to smoke. 3. Administrative implications for nurses who manage a smoke-free unit have been presented as guidelines that can foster a successful transition to a smoke-free environment.

Health Promotion↗

Marketing the home healthcare agency. Do nurses and physicians agree?

Increasingly, hospital nurse administrators are being called upon to organize and implement home care services and to market these services to physicians, patients, and family members. A survey of hospital personnel revealed that both nurses and physicians perceived themselves as the persons primarily responsible for determining the patient's need for postdischarge home care. In listing criteria for selecting a home care agency for patient referral, nurses and physicians rated service dependability and nursing care quality as the most important criteria.

Advertising↗

Nurse executive effectiveness.

Community hospital chief nurse executives (CNEs) and chief executive officers (CEOs) ranked, in a nationwide survey, seven characteristics of nurse executive effectiveness. Human management skill was ranked first by both groups. CNEs cited CEO support as the second most important factor in their effectiveness, while CEOs ranked total organizational view second. Both groups cited the need for fiscal management skills for CNEs. Results differ from an earlier study of university hospital based CNEs and CEOs. Such discrepancies, including differences in education, tenure, and salary, hold strong implications for the pursuit of careers in nursing administration.

Administrative Personnel↗

Accounting for nursing costs by DRG.

This study demonstrates the feasibility of determining total nursing costs by DRGs and reinforces the findings of previous studies using the patient classification system methodology. Study implications regarding population trends, inequities of nursing resource use by DRGs, and outliers are discussed also. A final note warns of the potential liability of isolating nursing costs.

Accounting↗

Nursing care costs for a DRG sub-group.

This study determined the average cost of nursing care for two DRGs and evaluated how a specific nursing intervention, Phase I Cardiac Rehabilitation, impacts on these costs. A unit-based methodology to determine the cost of providing nursing care to patients who stay on more than one nursing care unit during their hospital stay will facilitate decision making by nurse administrators and clinicians to contain rising health care costs.

Cost-Benefit Analysis↗