Occupational Employment Statistics surveys of hospitals, conducted in 1983, 1986, and 1989, show that, after declining in the early 1980s, hospital employment is increasing. Emphasis on cost control and new technologies caused declines in occupations involving direct patient care and increases in those using complex technology. (SK)

Explores integration of counseling psychology and neuropsychology in hospital setting. Sees example of such interchange occurring in rehabilitation unit or hospital where psychologist has responsibilities for helping patients, families, and staff to understand implications of central nervous system dysfunction and to adapt to changes. Discusses…

This article assesses the effectiveness of in-hospital paternity establishment, a federal requirement since 1993. We avoid biases in previous studies by using a national sample of nonmarital births (N= 3,254), by including detailed controls for characteristics of unwed mothers and previously unavailable controls for characteristics of fathers, and…

Claims Veterans Administration (VA) hospitals can provide rich and varied work experiences for psychologists. These settings have eased the way for counseling psychologists into behavioral medicine, neuropsychology, and health psychology, as well as maintaining role of vocational assessment. Notes VA psychology positions are geared toward…

Elaborates on standards of care for assessment, management, and treatment of hospitalized suicidal patients. Attempts to synthesize concepts of minimal standard of care with clinical risk management and clinical judgment. Points out areas of overlap and shows where optimum care diverges from legal standards of care. Tables differentiate…

Describes the professional and personal issues that are likely to be encountered by new counseling psychologists entering employment in hospital/medical settings. Claims this setting provides a sense of satisfaction from assisting people who benefit greatly; allows a wide diversity of professional activities; offers a relatively lucrative salary;…

Discusses key decisions made by mental health staff in the assessment and treatment of suicidal patients in hospitals and clinics. Clarifies the decision process for issues such as hospitalization, timing of discharge, institution of special observation and precautions, choices among treatment modalities, and the role of policy and procedure…

Context: The recent explosive growth of information technology in hospitals promises to improve hospital and patient outcomes. Financial barriers may cause rural hospitals to lag in adoption of information technology, however, formal studies that examine rural hospital adoption of information technology are lacking. Purpose: To determine the…

Describes process by which a multiple-level collaborative database system was designed. Notes that by clearly elaborating the various design goals, it was possible to build a system through which ongoing program evaluation efforts could be easily managed without disrupting the service delivery process. (Author)

Traces the history of nursing education for Blacks since the 1880s. Discusses the establishment and activities of the four earliest Black nursing schools: Spelman Seminary Nurse Training School (Atlanta, Georgia), Provident Hospital and Training School (Chicago, Illinois), Hampton (Virginia) Training School for Nurses, and Tuskegee (Alabama)…

Presents a perspective to help social workers develop the organizational skills needed to practice effectively in hospitals. Examines the nature of hospitals and the hospital worker's practice-building and practice-implementing skills. Examples illustrate task management, creating power, and developing the work role. (JAC)

Presents model for interdisciplinary discharge planning team, with emphasis on functional status and improved coordination and continuity among providers. Describes design and implementation of such a program at university hospital. Explains how model resulted in more patients being discussed and served, with more emphasis on the functional…

Notes that economic, demographic, and political factors pressure health care providers into improving discharge planning and long-term care services for clients. Examines the application of computer technology to case management and describes a computerized, hospital-based case management program for the elderly. (Author/NB)

In an increasingly cost-conscious health care environment, average length of hospital stay has decreased. Although psychiatric inpatient treatment is largely exempt from the constraints of the Medicare diagnosis related groups (DRG's), length of stay for geropsychiatric hospital services has decreased also. A trend toward higher rates of early…

This report concerns the Health Care Financing Administration's (HCFA) contracting with Utilization and Quality Control Peer Review Organizations (PROs) as a means of monitoring the medical necessity and quality of in-hospital care provided to Medicare beneficiaries. Findings from a HCFA survey of PROs in California, Florida, and Georgia are used…