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Biomedical subjects

M E Mills

Publications and source records attributed to M E Mills.

At least 37 records · Page 2Linked to original sources
PubMed1991

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↗
PubMed1990

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↗
PubMed1990

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↗
PubMed1984

Wage and hour laws. Their impact on 12-hour scheduling.

An often-overlooked aspect of implementing flexible scheduling is the existing payroll system and wage and hour laws. In this article, the authors of a 12-hour scheduling system discuss how they influenced the legislative process to help ensure the cost-effectiveness of their system.

Cost-Benefit Analysis↗
PubMedDate not supplied

The relationship among medical diagnosis, nursing diagnosis, and nursing intervention and the implications for home health care.

The purpose of this study was to identify the most commonly used medical diagnoses, nursing diagnoses, and nursing interventions for home health care based on 244 patient records. Nursing interventions were categorized into three groups: assessment, instruction, and other. The results showed that for the three most commonly used medical diagnosis groups--"infectious and parasitic disease," "disease of the circulatory system," and "neoplasms"--the most related nursing diagnoses were "alteration in mobility," "alteration in cardiac status," and "alteration in comfort: pain." The most used nursing interventions were "instructions." The results indicated that nurses identified patients' physiological problems mostly in relation to medical diagnoses, and teaching was the most frequently used nursing intervention in home health care.

Aged↗
PubMedDate not supplied

Emphasis courses: preparing baccalaureate students for transition to the workforce.

In response to identified needs for stronger preparation of baccalaureate graduates to enter the workforce, the University of Maryland School of Nursing created, implemented, and evaluated the use of Clinical Emphasis Seminars and Practicum. A sequence of 3 courses was ultimately developed for students to take during the final year of their upper-division nursing curriculum. The courses, totaling 5 credits, allow students to develop their knowledge and experience in a focus area within 1 specific type of clinical nursing. These courses follow up completion of required foundational clinical courses. Emphasis areas include all clinical areas offered within the nursing curriculum such as cardiovascular, critical care, and community health. Courses begin and end with 1-credit seminars and include one 3-credit clinical Practicum. In the latter course, students work with a clinical preceptor, following the preceptor's work hours for a minimum of 9 hours a week over the 15-week semester. Advantages of the Emphasis Courses are many: students develop an in-depth knowledge and clinical skills in a selected area of clinical practice. Potential employers have an opportunity to observe students in a preemployment setting and to evaluate the fit of skills and personal attributes to the specific setting. Students are provided with "value-added" knowledge and experience. The emphasis course model offers advantages to students transitioning into the workforce, to employers, and, ultimately, to clients served.

Baltimore↗
PubMedDate not supplied

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↗
PubMedDate not supplied

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↗
PubMedDate not supplied

Web-based courses. More than curriculum.

Online program development depends on an educationally and technologically sound curriculum supported by a solid infrastructure. Creation of a virtual environment through design of online registration and records, financial aid, orientation, advisement, resources, and evaluation and assessment provides students with access and program integrity.The planning of an academic support system as an electronic environment provides challenges and institutional issues requiring systematic analysis.

Curriculum↗