PubMed HealthSearch

Biomedical subjects

M E Mills

Publications and source records attributed to M E Mills.

16 recordsLinked to original sources

Technology anxiety as a potential mediating factor in response to medical technology.

Technology anxiety, defined as a fear of working with medical equipment, was measured via the use of the Technology Response Questionnaire. Nurses (N = 414) working on nine types of nursing units at two hospitals participated in the study. Nurses working on psychiatric units were found to be most anxious about working with medical equipment, while nurses working on surgical and adult intensive care units were least anxious. A comparison of the nurses who were highest and lowest on technology anxiety indicated that those who were most anxious about technology were less positive toward computers, felt more stressed by their work, were lower on job satisfaction, less positive toward the physicians they worked with, lower on personality scales of autonomy and adaptability, were less likely to do care planning regularly or to use nursing diagnoses, and tended to be older than less anxious nurses.

Analysis of Variance

Doctoral specialization in nursing informatics.

A prototype program of doctoral study has been developed at the University of Maryland School of Nursing to prepare students with nursing expertise in the conceptualization and research of computer based information systems in hospitals, industry and other health care organizations. The graduate will be prepared to design effective nursing information systems; create innovative information technology; conduct research regarding integration of technology with nursing practice, administration, and education; and develop theoretical, practice, and evaluation models for nursing informatics.

Education, Nursing, Graduate

Operations improvement.

There are ever increasing pressures to reduce the cost of providing health care while improving productivity and quality. An interdisciplinary, systemwide approach promotes full analysis of the organization and results in innovative solutions to cost reduction and revenue enhancement. Through the technique of operations improvement, budget reductions are effected by a process designed to strengthen the healthcare system.

Communication

Policy considerations related to AIDS.

The nurse administrator faces many legal obligations as well as administrative responsibilities in the care of patients and staff with AIDS infection or at risk of infection. The authors discuss several resources nurse administrators can use to develop and implement policy for patients and staff at risk for or with AIDS infection.

Acquired Immunodeficiency Syndrome

Psychosocial influences on heart rhythm in the coronary-care unit.

This report is an extension of previous studies which have shown that significant heart rate and rhythm changes can occur in coronary-care patients during a variety of socio-clinical interactions. Results of continuous day-long observations and concurrent monitoring of one such coronary-care patient disclosed that twice as many ectopic beats occurred during routine nursing interactions compared to resting periods, even though such interactions accounted for less than half of the total observation period. These results are similar to previous studies that have shown that the frequency of ectopic beats can be significantly altered in coronary-care patients by such routine interactions as pulse palpation. Combined with other clinical and animal studies, these data suggest that psycho-social interactions can have major effects on cardiac functioning.

Aged

Effect of pulse palpation on cardiac arrhythmia in coronary care patients.

In a study of 62 coronary care patients, 31 of whom exhibited types of cardiac arrhythmia, the frequency of ectopic beats changed significantly when a nurse palpated the pulse. This finding suggests that autonomic responses to human contact can significantly alter the rate of ectopic impulse generation. These findings further suggest that studies of cardiac arrhythmia should attend to the nature of the social field in which data are collected.

Aged

Professional recognition and compensation for staff RNs: 1990 and 1995.

Hospitals are searching for means to attract and retain professional nurses. Professionally oriented recognition and compensation programs have been suggested. In 1990 programs relied heavily on basic, time-limited incentives such as educational leave and tuition reimbursement. Projections for 1995 suggest increased implementation of more motivational programs such as gain sharing and salaried compensation.

Economics, Nursing

Nursing compensation: the realities of seeking equity.

The importance of equitable salary compensation has been identified as a key factor in recruitment and retention. Costing out nursing care can identify revenues, improve budget negotiation leverage, and perhaps supply data needed to readjust hospital reimbursement rates.

Costs and Cost Analysis