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Biomedical subjects

L J Howell

Publications and source records attributed to L J Howell.

26 records · Page 2Linked to original sources
PubMed1982

Evaluation of initial implementation of an organized adult health program employing family nurse practitioners.

An organized program for periodic health evaluation of adults was instituted at one Group Health Cooperative Clinic (A) using a fixed exam schedule and two family nurse practitioners (FNPs), working in a team with six family practitioners, to perform as many of the examinations as possible. We evaluated the effects of the FNP program at Clinic A in terms of six specific objectives, comparing it with the preexisting conventional pattern in another clinic (B). The evaluation showed 1) diminished waiting times at Clinic A; 2) no diminution in quality of examinations performed by FNPs; 3) lesser unit costs in Clinic A; 4) no indication of higher overall postexam outpatient utilization or costs for those examined by FNPs; 5) greater patient satisfaction at Clinic A than Clinic B, and for those examined by FNPs, compared with those examined by physicians (MDs); 6) only 17 per cent of FNP time was spent on health evaluations and met one half the overall demand at Clinic A; 7) FNPs made day-to-day practice qualitatively more complex for some MDs; and 8) different staffing ratios are probably necessary when FNPs are teamed with family physicians rather than internists.

Adult↗
PubMedDate not supplied

Fetal surgery: exploring the challenges in nursing care.

The diagnosis and treatment of fetal abnormalities before birth remain formidable challenges. Prospective parents have several options upon discovery of a fetal abnormality, and nurses play an important role in helping the family through the decision-making process. A case study focusing on the care of a fetus diagnosed with a congenital cystic adenomatoid malformation is presented to illustrate the role of the nurse in providing comprehensive, expert care. Advances in obstetric and neonatal technology continue to create controversy; however, the use of research and evidence-based practice will improve the outcomes for the children of tomorrow.

Adult↗