Increasing access to health care: a study of pediatric nurse practitioner outcomes in a school-based clinic

Article Abstract:

School-based clinics may be a good source of cost-effective managed care. A study of pediatric nurse practitioner outcomes in a Texas school-based clinic found more health maintenance visits and fewer visits to the emergency department than before. The availability of medical care may have influenced parents to seek both preventive care and early care for minor illness. These results were achieved with the nurse practitioner spending only one day weekly in the clinic. School-based clinics may therefore prove good candidates for meeting the requirements of managed care plans.

Analysis, Managed care plans (Medical care), School nursing

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Nurse-sensitive health care outcomes in acute care settings: an integrative analysis of the literature

Article Abstract:

A more comprehensive, multifacility approach must address the queston of which structure of nursing care produces the best patient outcomes. An analysis of the nursing literature from 1974 to 1996 using the specific indicators identified by the American Nurses Assn report card, the Institute of Medicine, and the nursing-sensitive outcomes classification as well as Donabedian's structure-process outcome framework confirms this, showing a need to integrate the clinical and administrative studies in future nursing care research.

Research, Officials and employees, Hospitals, Primary nursing, Primary care nursing

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Multidimensional outcomes in intravenous access device maintenance: a pilot study

Article Abstract:

Maintaining intravenous access via 0.9 percent saline flushes can be safe and inexpensive. The merits of heparinized versus non-heparinized saline flushes have been a subject of controversy since the 1970s. In comparison to the traditional technique of using heparinized saline flushes, pure saline avoids the complication of thrombocytopenia and saves about $10,000 per year. Details of the saline flush procedure are included.

Equipment and supplies, Intravenous therapy, Infusion therapy, Intravenous equipment

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