Nurs Econ
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This study examined the differences in severity of illness and resource allocation between patients with do-not-resuscitate (DNR) orders and non-DNR patients in intensive care units. Severely ill intensive care patients with DNR orders continued receiving aggressive medical care following cardiac or respiratory arrest. The continued use of advanced therapies for DNR patients raises important questions about the use of costly intensive care resources.
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ICU nurses who are satisfied with their work are more likely to be retained, leading to institutional cost savings. In this study, higher levels of nurse-physician collaboration in making decisions about patient care were found to be very important to nurses' satisfaction.
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The relationships between epidural anesthesia and selected intrapartum outcomes was examined in 140 first-term pregnancies. Significant relationships were found with four outcomes: increased use of forceps or vacuum extractor, increased length of second stage labor, increased incidence of Cesarean birth, and increased need for oxytocin augmentation. These findings have significant implications for staffing on labor units and costs.
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The Food and Drug Administration (FDA) has recently been the target of congressional investigations and has seen recent changes in its approval procedures. In this interview, FDA Commissioner Frank Young responds to harsh congressional criticisms and details the FDA approval process.