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Biomedical subjects

J C Scherubel

Publications and source records attributed to J C Scherubel.

5 recordsLinked to original sources

Isolating the impact of psychiatric consultations in the general hospital: psychiatric comorbidities and nursing intensity.

The amount of nursing services represents a substantial portion of the total cost of hospital treatment of medical/surgical patients. Patients receiving psychiatric consultations were compared to matched patients (DRG and LOS) who did not receive psychiatric services on the intensity of their nursing service needs. These two groups were then compared on the measure of nursing intensity before and after the timing of the consultation. Those who received a consultation had significantly lower intensity scores prior to seeing the psychiatrist. Although patients receiving psychiatric consultations did not show a significantly greater reduction in nursing acuity relative to their baseline levels than did the matched control patients, the amount of time the psychiatrist spent with consultation patients was positively related with the change in nursing intensity post-consultation.

Costs and Cost Analysis

The unification model: a collaborative effort.

The Rush unification model unites clinical practice with nursing education. In this system, nursing faculty possess joint responsibilities to the college of nursing and to a specific unit in the medical center. Collaboration among managers, clinical specialists, educators, and researchers leads to achievement of unit, college, and departmental goals. The collaborative process among the leadership group members in the medical intensive care unit, consisting of the unit leader, the assistant unit leader, the clinical nurse specialists, and the practitioner-teachers, is described in detail to show how utilization of the skills and strengths of each team member increases the benefits to the unit and the patient.

Education, Nursing

Selected pre-admission and academic correlates of success on State Board Examinations.

The purpose of this retrospective study was to examine student performance prior to and following admission to a baccalaureate nursing program in comparison with their performance on the individual sections of the State Board Test Pool Examinations (SBE) and an overall assessment of Pass-Fail on the SBE. The following hypothesis guided the study: It is possible to determine which variables are most influential in predicting success on SBEs. Additional research questions addressed the relationship between theoretical and clinical nursing courses and SBE performance, the pertinence of various demographic variables, and differences between students passing and failing SBEs. The sample was composed of the 139 Class of 1980 graduates for whom SBE results were available. Data pertaining to individual course grades, grade point averages, credit hours earned prior to admission, school attended prior to admission, previous academic degree, race, and all SBE scores were obtained. Stepwise multiple regression analysis revealed the junior or senior year cumulative clinical nursing theory GPA had the highest weighting in each section of the SBE and for Pass-Fail SBE. Cumulative clinical nursing theory GPAs were more highly correlated with SBE performance than were cumulative clinical nursing practicum GPAs. The pre-admission liberal arts and cumulative GPAs were also highly correlated with performance. In addition, the number of credit hours earned prior to admission, school attended, and race of the student were found to significant factors. Significant differences between students passing and failing SBEs were found in regard to their level of performance in course work.

Achievement