Numbers of observations and variables in multivariate analyses.
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Biomedical subjects
Publications and source records attributed to N Campbell-Heider.
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The acceptance and assimilation of new medical technologies into the health-care arena is a complex process involving financial, humanistic, and clinical considerations. This experimental research compared nurses' attitudes regarding the clinical acceptability of conventional methods of measuring vital signs with their attitudes toward a new, automated method, using the IVAC Model 4000 Vital-Check. Two studies were conducted, at different university-affiliated hospitals, involving different nursing-care-delivery models. The 102 nurses who participated in the studies generally favored the automated method with respect to provider convenience, patient acceptance, and the opportunity to simultaneously perform other nursing assessments. Conventional techniques were preferred for patients on isolation precautions and in some very specific clinical situations such as those requiring detection of abnormalities in the heart rhythm. Interviews of patients were also conducted at both sites and their comments supplemented and supported the quantitative findings for the nurses. Patients seemed to adapt very well to the new technology. They were particularly interested in being better able to monitor their own measurements with the automated process.
This paper discusses social and cultural factors that impede collegial interaction of physicians and nurses. While physicians encourage a form of 'team work' in which nurses are subordinate, nurses seek mutual collegiality with physicians. This phenomenon is apparent in various degrees between all educational categories of nurses and physicians. We suggest that nurse expectations of status enhancement through increased knowledge and skill--the nurse practitioner model--fail to consider the deeply rooted structures of hierarchy, in particular gender hierarchy, that pervades medical care. Physician-nurse collegiality does offer benefits to patients; to achieve it nurses must devise methods to alter these structural barriers.
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