Skip to main content
construction release_alert
The Scholars Team is working with OIT to resolve some issues with the Scholars search index
cancel

Elizabeth Merwin

Consulting Professor in the School of Nursing
School of Nursing

Selected Publications


Moving toward standardized surveillance of "nurse" suicide mortality.

Journal Article Nursing outlook · January 2025 BackgroundThe National Academies, National Action Alliance for Suicide Prevention (NAASP), and National Strategy for Suicide Prevention disseminated recommendations for improving the quality, scope, usefulness, timeliness, and accessibility of mor ... Full text Cite

Epidemiology of Suicide Mortality Among Nurses Internationally

Journal Article Issues in Mental Health Nursing · January 1, 2025 Aim: To examine the epidemiology of suicide mortality among nurses internationally. Methods: The literature was searched to identify studies that analyzed suicide mortality among nurses internationally. Cumulatively, n = 61 studies were included (i.e. n = ... Full text Cite

Methods of Suicide Among Nurses Globally: Examination of Epidemiological and Cohort Evidence

Journal Article Journal of the American Psychiatric Nurses Association · January 1, 2025 Aim: Examine methods of suicide among nurses cross-nationally. Methods: The literature was searched to identify epidemiological and cohort studies that analyzed suicide mortality among nurses cross-nationally. Studies were included if nurse suicide mortali ... Full text Cite

Suicide Mortality Among Nurses in the United States: Incidence, Factors Associated with Suicide, Circumstances Preceding Suicide, and Methods of Suicide

Journal Article Issues in Mental Health Nursing · January 1, 2024 The aim of this review was to identify and integrate evidence on suicide mortality among U.S. nurses. To the best of our knowledge, this represents the first review to focus exclusively on suicide among U.S. nurses. Electronic medical databases, reference ... Full text Cite

Infant Outcomes in Hypertensive Women: Are there Moderating Effects of Prenatal Care and Race/Ethnicity?

Journal Article Matern Child Health J · July 2023 BACKGROUND: Hypertensive disorders of pregnancy is one of the leading causes of adverse infant outcomes. Black women are disproportionately affected by hypertensive disorders of pregnancy, and it associated adverse outcomes. Adequate prenatal care may impr ... Full text Link to item Cite

Faculty Professional Development Strategies Supporting Increased Scholarship.

Journal Article Journal of continuing education in nursing · March 2023 In this article, we describe the implementation of two nursing continuing professional development activities and a 15-week online Writing for Publication course for faculty using American Nurses Credentialing Center accreditation program criteria. ... Full text Cite

The National Practitioner Database Malpractice Study of Severity of Alleged Malpractice Injuries Trends 2008-2018.

Journal Article American journal of medical quality : the official journal of the American College of Medical Quality · September 2022 This research examined trends and severity of alleged injury in malpractice over a 10-year period. An understanding of the severity of patient outcomes is important to gauge improvements in care delivery. Analysis of the National Practitioner Database (NPD ... Full text Cite

Social determinants of human papillomavirus vaccine series completion among U.S. adolescents: A mixed-methods study.

Journal Article SSM - population health · June 2022 IntroductionHuman papillomavirus (HPV) vaccination can significantly reduce HPV-associated cancers. In the US, two doses are recommended for vaccine completion for younger adolescents. However, series completion rates remain below the nation's goa ... Full text Cite

Hypertension and infant outcomes: North Carolina pregnancy risks assessment monitoring system data.

Journal Article Pregnancy Hypertens · June 2022 This study examined the risk factors that moderate the relationship between hypertension and infant outcomes or were independent risk factors in a large and diverse sample of pregnant women with and without hypertension before conception. The sample includ ... Full text Link to item Cite

Self-Care Capacity and Its Relationship to Age, Disability, and Perceived Well-Being in Medicare Beneficiaries.

Journal Article Nursing research · January 2022 BackgroundSelf-care is a multicomponent set of capacities that influence beliefs about health and well-being.ObjectivesWe examined the relationship between self-care capacity, age, and disability status with two perceptions of well-being ... Full text Cite

Factors Associated With Human Papillomavirus Vaccine Series Completion Among Adolescents.

Journal Article American journal of preventive medicine · November 2021 IntroductionMost cancers associated with the human papillomavirus are preventable through vaccination. However, adolescent series completion rates are at 75.8%. Two vaccine doses are recommended for adolescents, but factors influencing 2-dose seri ... Full text Cite

Psychiatric-mental health nursing workforce in 2018: Implications for the future.

Journal Article Archives of psychiatric nursing · October 2020 The workforce was examined using the 2018 National Sample Survey of Registered Nurses to determine supply characteristics and perspectives of psychiatric-mental health nurses. The study looked at the success in achieving some of the workforce related recom ... Full text Cite

Application of Behavioral Risk Factor Surveillance System Sampling Weights to Transgender Health Measurement.

Journal Article Nursing research · July 2020 BackgroundObtaining representative data from the transgender population is fundamental to improving their health and well-being and advancing transgender health research. The addition of the Behavioral Risk Factor Surveillance System (BRFSS) gende ... Full text Cite

Use of the NBCRNA Self-Evaluation Examination to Predict Applicant Success in Passing the National Certification Examination on the First Attempt

Journal Article Journal of Nursing Regulation · July 1, 2020 Introduction: The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) produces the National Certification Examination (NCE) and grants credentials to registered nurse anesthetists. To provide the profession with adequately p ... Full text Cite

"That Guy is Gay and Black. That's a Red Flag." How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men.

Journal Article AIDS and behavior · January 2020 Young Black men who have sex with men's (YBMSM) attitudes and personal beliefs about themselves and their risk for HIV can be modified as a result of experiences with racism and HIV stigma. In-depth qualitative interviews were conducted with 25 HIV-negativ ... Full text Cite

Sickle-Cell Disease Co-Management, Health Care Utilization, and Hydroxyurea Use.

Journal Article J Am Board Fam Med · 2020 BACKGROUND: Sickle-cell disease (SCD) causes significant morbidity, premature mortality, and high disease burden, resulting in frequent health care use. Comanagement may improve utilization and patient adherence with treatments such as Hydroxyurea. The pur ... Full text Link to item Cite

The health status of transgender and gender nonbinary adults in the United States.

Journal Article PloS one · January 2020 The goal of this exploratory study was to delineate health differences among transgender subpopulations (transgender women/TW, transgender men/TM, gender nonbinary/GNB adults). 2015 Behavioral Risk Factor Surveillance System data were analyzed to compare t ... Full text Cite

Identifying Individuals With Intellectual Disability Within a Population Study.

Journal Article Nurs Res · 2020 BACKGROUND: Much remains unknown about the longitudinal health and well-being of individuals with intellectual disability (ID); thus, new methods to identify those with ID within nationally representative population studies are critical for harnessing thes ... Full text Link to item Cite

Health Care Experiences of Transgender Adults: An Integrated Mixed Research Literature Review.

Journal Article ANS. Advances in nursing science · April 2019 This integrated literature review, framed by the gender affirmation framework, sought to contextualize the experiences of transgender adults interfacing with health care after the release of Healthy People 2020. The constructs of the gender affirmation fra ... Full text Cite

Modeling Health Disparities and Outcomes in Disenfranchised Populations.

Journal Article Community mental health journal · January 2019 The Health Disparities and Outcomes (HDO) model originally created to explain the complexity of obtaining healthcare in rural settings has been revised and updated using emerging theoretical models of adversity and inequity and two decades of empirical wor ... Full text Cite

Health, Physical Growth, and Neurodevelopmental Outcomes in Preterm Infants of Women With Hypertensive Disorders of Pregnancy.

Journal Article J Obstet Gynecol Neonatal Nurs · January 2019 OBJECTIVE: To compare the health, physical growth, and developmental outcomes in preterm infants of women with and without hypertensive disorders of pregnancy (HDP). DESIGN: Cross-sectional analysis of health outcomes; physical growth (head circumference, ... Full text Link to item Cite

Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers.

Journal Article Health Care Manag (Frederick) · 2019 The purpose of this article is to describe changes in hospital readmissions and costs for US hospital patients who underwent total knee replacement (TKR) in 2009 and 2014. Data came from the Healthcare Cost and Utilization Project net-Nationwide Readmissio ... Full text Link to item Cite

Hospital Readmission in Total Hip Replacement Patients in 2009 and 2014.

Journal Article Arch Phys Med Rehabil · June 2018 OBJECTIVE: To document changes in 30-day hospital readmission rates and causes for returning to the hospital for care in THR patients. DESIGN: Retrospective cross-sectional descriptive design. SETTING: Community-based acute care hospitals. PARTICIPANTS: To ... Full text Link to item Cite

Reducing RN Vacancy Rate: A Nursing Recruitment Office Process Improvement Project.

Journal Article The Journal of nursing administration · June 2018 ObjectiveThe aim of this study was to reduce the RN vacancy rate at an academic medical center by improving the hiring process in the Nursing Recruitment Office.BackgroundInability to fill RN positions can lead to higher vacancy rates and ... Full text Cite

Association Between Parental HPV Knowledge and Intentions to Have Their Daughters Vaccinated.

Journal Article Western journal of nursing research · April 2018 Human papillomavirus (HPV) 16 and 18 causes 66% of cervical cancers (Dunne et al., 2014). Vaccination during adolescence can prevent HPV-associated cervical cancers, yet less than half of adolescent girls are vaccinated. This study examined the association ... Full text Cite

Improving Quality and Safety Through Use of Secondary Data: Methods Case Study.

Journal Article Western journal of nursing research · November 2017 Researchers need to evaluate the strengths and weaknesses of data sets to choose a secondary data set to use for a health care study. This research method review informs the reader of the major issues necessary for investigators to consider while incorpora ... Full text Cite

Differences in Pediatric Non-Interventional Radiology Procedural Sedation Practices and Adverse Events by Registered Nurses and Physicians.

Journal Article Journal of pediatric nursing · July 2017 PurposeThe purpose of this study was to determine differences in sedation-related adverse events according to the type of provider monitoring and delivering sedation.Design and methodsA retrospective, cross-sectional, correlational design ... Full text Cite

A Patient Safety Dilemma: Obesity in the Surgical Patient.

Journal Article AANA journal · December 2016 Patient safety and the delivery of quality care are major concerns for healthcare in the United States. Special populations (eg, obese patients) need study in order to support patient safety, quantify risks, advance education for healthcare-workers, and es ... Cite

Are International Classification of Diseases Codes in Electronic Health Records Useful in Identifying Obesity as a Risk Factor When Evaluating Surgical Outcomes?

Journal Article The health care manager · October 2016 This research addresses an important methodological issue on patient safety and obesity for the purposes of examining clinical and administrative data for the reliability of using International Classification of Diseases (ICD) diagnoses codes alone to reli ... Full text Cite

Self-Care and Mobility Following Postacute Rehabilitation for Older Adults With Hip Fracture: A Multilevel Analysis.

Journal Article Arch Phys Med Rehabil · May 2016 OBJECTIVE: To examine contextual (facility and community) and individual factors associated with self-care and mobility outcomes among Medicare hip fracture patients receiving inpatient rehabilitation. DESIGN: Retrospective cohort study of 3 linked data fi ... Full text Link to item Cite

Changes in Payment Regulation and Acute Care Use for Total Hip Replacement: Trends in Length of Stay, Costs, and Discharge, 1997-2012.

Journal Article Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · March 2016 PurposeTo describe trends in the length of stay (LOS), costs, mortality, and discharge destination among a national sample of total hip replacement (THR) patients between 1997 and 2012.DesignLongitudinal retrospective designMethods Full text Cite

Inpatient Rehabilitation Outcomes in a National Sample of Medicare Beneficiaries With Hip Fracture.

Journal Article Journal of applied gerontology : the official journal of the Southern Gerontological Society · January 2016 Effects of patient characteristics on rehabilitation outcomes (functional status at discharge, discharged home) were assessed in a retrospective study of Medicare beneficiaries admitted to Medicare-certified inpatient rehabilitation facilities (IRFs) follo ... Full text Cite

Performance-based outcomes of inpatient rehabilitation facilities treating hip fracture patients in the United States.

Journal Article Archives of physical medicine and rehabilitation · May 2015 ObjectiveTo examine the influence of facility and aggregate patient characteristics of inpatient rehabilitation facilities (IRFs) on performance-based rehabilitation outcomes in a national sample of IRFs treating Medicare beneficiaries with hip fr ... Full text Cite

A secondary data analysis of Internet use in caregivers of persons with dementia.

Journal Article Nursing open · December 2014 AimThis paper is a secondary data analysis to investigate relationships among caregiver stress appraisal, self-rated health and health-related Internet use.DesignCross-sectional correlation design.MethodsNational Alliance for Car ... Full text Cite

Population density, distance to public transportation, and health of women in low-income neighborhoods.

Journal Article Public health nursing (Boston, Mass.) · November 2013 ObjectivesThe purpose of this research was to determine the impact of two neighborhood walkability (the extent to which the built environment is pedestrian friendly) metrics on health outcomes of women living in low-income urban neighborhoods, bot ... Full text Cite

Chiropractic Use, Health Care Expenditures, and Health Outcomes for Rural and Nonrural Individuals With Arthritis.

Journal Article Journal of manipulative and physiological therapeutics · August 2012 OBJECTIVE: Arthritis is considered the leading cause of disability among adults in the United States today and contributes substantially to the rising cost of health care. Residents of rural areas are especially affected. The purposes of this article are t ... Full text Cite

The educational pipeline for health care professionals: understanding the source of racial differences.

Journal Article Journal of Human Resources · December 2010 The underrepresentation of blacks in the healthcare professions may have direct implications for the health outcomes of minority patients, underscoring the importance of understanding movement through the educational pipeline into professional healthcare c ... Cite

Health care reform and the federal transformation initiatives: capitalizing on the potential of advanced practice psychiatric nurses.

Journal Article Policy, politics & nursing practice · August 2010 In the last decade the US federal government proposed a transformation vision of mental health service delivery; patient-centered, evidence-based and recovery oriented treatment models. Health care reform brings additional expectations for innovation in me ... Full text Cite

What does quality care mean to nurses in rural hospitals?

Journal Article Journal of advanced nursing · June 2010 AimThis paper is a report of a study conducted to answer the question: 'How do rural nurses and their chief nursing officers define quality care?'BackgroundEstablished indicators of quality care were developed primarily in urban hospitals ... Full text Cite

The effects of rurality on mental and physical health.

Journal Article Health Services & Outcomes Research Methodology · June 2010 The effects of rurality on physical and mental health are examined in analyses of a national dataset, the Community Tracking Survey, 2000-2001, that includes individual level observations from household interviews. We merge it with county level data reflec ... Full text Cite

Feasibility of using technology to disseminate evidence to rural nurses and improve patient outcomes.

Journal Article Journal of continuing education in nursing · January 2010 BACKGROUND: Rural African American women receive less frequent mammography screening and die of breast cancer at a higher rate than is seen in the general population. To overcome this disparity, it is necessary to assist rural providers in their efforts to ... Full text Cite

Factors that influence the presence of a hospice in a rural community.

Journal Article Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau · December 2009 OBJECTIVE: The purpose of this study was to identify socioeconomic, physician-related, and rural-urban factors that may influence the presence of a Medicare-certified hospice in three rural-urban areas. METHODS: This was secondary analysis of selected soci ... Full text Cite

Race and ethnicity and rural mental health treatment.

Journal Article Journal of health care for the poor and underserved · August 2009 OBJECTIVE: Research has shown that there is less use of mental health services in rural areas even when availability, accessibility, demographic, and need factors are controlled. This study examined mental health treatment disparities by determining treatm ... Full text Cite

Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes.

Journal Article Health care management review · July 2009 BackgroundGiven the trend toward eliminating reimbursement for "never events," hospital administrators are challenged to implement practices designed to prevent their occurrence. Little evidence exists, however, that patient safety practices, as e ... Full text Cite

New estimates for CRNA vacancies.

Journal Article AANA journal · April 2009 A national survey to estimate vacancy rates of Certified Registered Nurse Anesthetists (CRNAs) in hospitals and ambulatory surgical centers was conducted in 2007. Poisson regression methods were used to improve the precision of the estimates. A significant ... Cite

Salaries, recruitment, and retention for CRNA faculty--Part 1.

Journal Article AANA journal · April 2008 Cite

Focus on rural health. Preface.

Journal Article Annual review of nursing research · January 2008 Cite

Improving the quality of rural nursing care.

Journal Article Annual review of nursing research · January 2008 The purpose of this chapter is to review the literature on quality of care in rural areas. Keywords related to rural quality of care were used to search CINAHL and MEDLINE databases for articles published between 2005 and 2007 (limited to studies occurring ... Full text Cite

Rurality and mental health treatment.

Journal Article Administration and policy in mental health · May 2007 Diversity within rural areas renders rural-urban comparisons difficult. The association of mental health treatment rates with levels of rurality is investigated here using Rural-Urban Continuum Codes. Data from the 1996-1999 panels of the Medical Expenditu ... Full text Cite

Using data to increase the national presence of psychiatric mental health nursing.

Journal Article Archives of psychiatric nursing · April 2007 Full text Cite

Supply, demand, and equilibrium in the market for CRNAs.

Journal Article AANA journal · August 2006 This study determined the current trends in supply, demand, and equilibrium (ie, the level of employment where supply equals demand) in the market for Certified Registered Nurse Anesthetists (CRNAs). It also forecasts future needs for CRNAs given different ... Cite

Differential access to quality rural healthcare: professional and policy challenges.

Journal Article Family & community health · July 2006 Using a national dataset, the influence of the community and individual provider characteristics on the availability of healthcare resources in rural areas was evaluated. Disparities continue to exist in the availability of providers including organization ... Full text Cite

Rurality, gender, and mental health treatment.

Journal Article Family & community health · July 2006 Mental health problems are common and costly, yet many individuals with these problems either do not receive care or receive care that is inadequate. Gender and place of residence contribute to disparities in the use of mental health services. The objectiv ... Full text Cite

Methodologies used in nursing research designed to improve patient safety.

Journal Article Annual review of nursing research · January 2006 Nursing research studies of patient safety for 2002-2005 were reviewed to determine methods used and methodological challenges within this field of research. Methods used in traditional clinical research and in health services research were often combined ... Full text Cite

Effects of antipsychotic medication on psychiatric service utilization and cost.

Journal Article The journal of mental health policy and economics · June 2005 BackgroundBased on randomized clinical trials, consensus has been emerging that the first line of treatment for individuals with psychotic disorders should be the newer atypical or second generation antipsychotic medications rather than the older ... Cite

Antipsychotic medication use by Medicaid recipients with severe mental illness

Journal Article Drug Benefit Trends · April 1, 2004 Data on Medicaid recipients with severe mental illness were studied to determine antipsychotic medication use and any trends in racial variation in the prescribing of newer antipsychotic drugs. The study was conducted in 3 states. Participants were intervi ... Cite

Shortages of rural mental health professionals.

Journal Article Archives of psychiatric nursing · February 2003 This study presents a conceptual model of the supply and demand for mental health professionals. It uses national data to profile differences in the supply of mental health professionals in different types of rural and urban areas. It contrasts the availab ... Full text Cite

Service use and health status of persons with severe mental illness in full-risk and no-risk medicaid programs.

Journal Article Psychiatric services (Washington, D.C.) · March 2002 ObjectiveThe service use patterns and health status outcomes of Medicaid recipients with severe mental illness in a system that assigned full financial risk to managed care organizations through capitation and a system that paid for mental health ... Full text Cite

The lengths of psychiatric hospital stays and community stays.

Journal Article Virginia Economic Journal · October 2001 No abstract. Conclusion: This paper has demonstrated the value of including observed covariates, duration dependence, and unobserved heterogeneity in a survival model of psychiatric hospital and community stays. In particular regression analysis would have ... Link to item Cite

Survival models of community tenure and length of hospital stay for the seriously mentally ill: a 10-year perspective.

Journal Article Health Services & Outcomes Research Methodology · September 2001 Objective: To examine the effects of personal and community characteristics, specifically race and rurality, on lengths of state psychiatric hospital and community stays using maximum likelihood survival analysis with a special emphasis on change over a te ... Cite

Psychiatric health service areas in the southeast.

Journal Article Administration and policy in mental health · May 2001 Analysis of small areas in psychiatric health services research is sensitive to the choice of geographic units. To partially overcome the arbitrary aspects of political boundaries, service areas can be synthesized from empirical data on consumer migration ... Full text Cite

Malpractice: provider risk or consumer protection?

Journal Article American journal of medical quality : the official journal of the American College of Medical Quality · March 2001 The National Practitioner Data Bank (NPDB) began operation in September 1990 as a clearinghouse for adverse action, licensure, and malpractice information in an effort to protect consumers and promote quality in health care. This study analyzed 66,107 and ... Full text Cite

Trends in psychiatric nursing graduate education.

Journal Article Psychiatric services (Washington, D.C.) · July 1999 Full text Cite

Trends in psychiatric mental health nursing education.

Journal Article Archives of psychiatric nursing · April 1999 Eighty-five program coordinators responded to a survey concerning Psychiatric Mental Health (PMH) graduate-nursing education. Twelve of these 85 program coordinators reported their programs had closed. Data from the remaining 73 indicated that the number o ... Full text Cite

Patient outcomes used by advanced practice psychiatric nurses to evaluate effectiveness of practice.

Journal Article Archives of psychiatric nursing · August 1997 Health care in the 1990s requires Advanced Practice Psychiatric Nurses (APPNs), like other health care providers, to identify and evaluate the outcomes of their practices. Many APPNs report that they are not currently engaging in outcome evaluation, and ma ... Full text Cite

Advanced practice psychiatric nursing: a national profile.

Journal Article Archives of psychiatric nursing · August 1997 The results of a national survey of Advanced Practice Psychiatric Nurses (APPN) are presented. Results are based on the Society for Education and Research in Psychiatric/Mental Health Nursing's (SERPN) Primary Mental Health and Advanced Practice Psychiatri ... Full text Cite

Alternative statistical methods to use with survival data.

Journal Article Nursing research · November 1996 Full text Cite

Certified psychiatric clinical nurse specialists.

Journal Article Psychiatric services (Washington, D.C.) · March 1996 Full text Cite

Building interdisciplinary mental health services research teams: a case example.

Journal Article Issues in mental health nursing · January 1996 The experience of developing an interdisciplinary research team to study outcomes of psychiatric nurse labor use in free-standing psychiatric hospitals is presented. The creation of roles for research team members, the development of working relationships, ... Full text Cite

Professional self-interest and quality patient care.

Journal Article Nursing Policy Forum · 1996 Cite

An organizational and economic framework for restructuring psychiatric nurse labor use.

Journal Article Issues in mental health nursing · January 1996 A conceptual framework of psychiatric nurse labor use is developed based on organizational and economic theories. The relationship between staffing decisions and quality of care is presented. Implications for restructuring the workforce within the context ... Full text Cite

Psychiatric nursing outcome research: the state of the science.

Journal Article Archives of psychiatric nursing · December 1995 A review of the nursing literature from 1989 to 1994 indicates that few psychiatric nursing studies are published in the major nursing research journals. The psychiatric specialization literature includes a large number of studies that are classified as ei ... Full text Cite

Human resource issues in rural mental health services.

Journal Article Community mental health journal · December 1995 Human resource issues related to the provision of mental health care in rural areas under the proposed health care reform are addressed. Rural areas continue to utilize more non-specialty providers in the provision of mental health care. First, issues surr ... Full text Cite

Building interdisciplinary mental health services research teams: a case example.

Journal Article Issues in mental health nursing · November 1995 The experience of developing an interdisciplinary research team to study outcomes of psychiatric nurse labor use in free-standing psychiatric hospitals is presented. The creation of roles for research team members, the development of working relationships, ... Full text Cite

Implications of health care reform for rural mental health services.

Journal Article Administration and Policy in Mental Health and Mental Health Services Research · September 1995 Efforts toward health care reform for people with mental illness in rural America must take into consideration the unique characteristics of these areas. Universal coverage, for example, would remove the barriers to accessing care for this population, but ... Full text Cite

Relationship of clinical case management to hospitalization and service delivery for seriously mentally ill clients.

Journal Article Issues in mental health nursing · May 1995 This article describes the use of a clinical case management team approach in the care of severely mentally ill individuals and the organization of the service. Patient characteristics and use of community services are evaluated as predictors of the use of ... Full text Cite

De facto mental health services in the rural south.

Journal Article Journal of health care for the poor and underserved · January 1995 Health care reform efforts highlighted the continuing scarcity of mental health services for the rural poor. Most mental health services are provided in the general medical sector, a concept first described by Regier and colleagues in 1978 as the de facto ... Full text Cite

A community-based smoking-cessation program: self-care behaviors and success.

Journal Article Public health nursing (Boston, Mass.) · October 1994 Given the serious health consequences of smoking, nurses need to be well-informed on how to help various client populations with smoking cessation. Much recent research is focused upon effectiveness of various programs to enhance self-efficacy and self-man ... Full text Cite

The role of the principal clinical coordinator in the Health Care Financing Administration's Health Care Quality Improvement Initiative.

Journal Article Clinical performance and quality health care · April 1994 The Health Care Quality Improvement Initiative (HCQII) is the Health Care Financing Administration's latest approach to quality management by peer review organizations (PROs) of the health care delivered to Medicare beneficiaries. The principal clinical co ... Cite

Creation of state-level Medicare database for healthcare evaluation applications.

Journal Article Proceedings. Symposium on Computer Applications in Medical Care · January 1993 The Health Care Quality Improvement Initiative (HCQII) of the Health Care Financing Administration (HCFA) calls for Professional Review Organizations (PROs) to undertake pattern analysis of large administrative datasets for the purposes of quality of care ... Cite

Cost-effective integration of mental health professions.

Journal Article Issues in mental health nursing · April 1992 This article describes the need for cost-effectiveness evaluation of the use of labor within mental health systems. It calls for building on the unique knowledge base of each mental health discipline in the development of new models of care that incorporat ... Full text Cite