bluuebunny/crossref_metadata_2025 huggingface dataset:
A Laboratory‐based Study to Assess the Performance of Surgical Gloves
Authors: Korniewicz Denise M. , El‐Masri Maher M. , Broyles John M. , Martin Christopher D. , O'Connell Kevin P.
Published: August 2006

The inherent tear resistance and elasticity of latex and the touch sensitivity it provides has made it the traditional material of choice for surgical gloves, protecting both health care workers and patients from the transmission of bloodborne infections. Although increased incidence of latex allergy has led to increased use of nonlatex surgical gloves, the effectiveness of these gloves as a barrier to infection has not been examined thoroughly. This laboratory‐based study compared the performance of latex and nonlatex surgical gloves in a simulated stress protocol. The propensity of surgical gloves to fail was dependent on glove material, manufacturer, and stress. Nonlatex neoprene and nitrile gloves were comparable to latex and can provide a good alternative to latex for allergic patients and health care workers. In this study, isoprene was found to be inferior to latex and other nonlatex materials. The presence or absence of glove powder had no significant influence on the probability of glove failure. AORN J 71 (April 2003) 772–779.
Panniculectomy—An Option for People who are Morbidly Obese
Authors: Payer Marilyn , Youngberg Barbara , Pfister Shirley
Published: August 2006

Obesity is becoming a major health issue across the nation. Surgical procedures to alleviate problems of severely limited ambulation, development of open wounds, and overeating may be an option for people who are morbidly obese. A gastric bypass procedure and panniculectomy are among the surgical options available. In this article, the preoperative, intraoperative, and postoperative care of a patient undergoing a panniculectomy are presented. A safe, complication‐free procedure can be performed with preplanning; a precise, detailed team effort; and an informed, motivated patient. AORN J 77 (April 2003) 782–794
Perioperative Care of the Patient with Morbid Obesity
Authors: Graling Paula , Elariny Hazem
Published: August 2006

Obesity recently has been called an epidemic. In the United States, more than 60% of adults are overweight. Although obesity and morbid obesity share numerous etiological factors (eg, genetic, environmental, psychosocial, economic), accepted treatment options differ. Morbid obesity requires urgent and definitive correction to treat both current and possible future complications and to help prevent a probable shortened lifespan. Generally, it is accepted that nonsurgical approaches to weight loss for a person who is morbidly obese are unsuccessful. This Home Study describes the major surgical procedures currently available to treat morbid obesity and discusses the information that nurses need to know about perioperative care of patients who are morbidly obese. AORN J 77 (April 2003) 802–819.
Optimizing Second Shift OR Staffing
Authors: Dexter Franklin , Epstein Richard H.
Published: August 2006

In surgical suites when ORs sometimes run late, nurse anesthetists or perioperative nurses may be scheduled to work a second shift to cover procedures. Nurse anesthetists' OR workload in the afternoons can differ from that of perioperative nurses. At the end of long procedures, times to transport and stabilize patients can be considerable. This article shows that optimal second‐shift OR staffing is the same for nurse anesthetists and perioperative nurses when assessed using anesthesia billing data and OR information systems data respectively. Managers do not need hospital information systems staff members to provide data from both anesthesia billing and OR information systems to make second‐shift staffing decisions. One or the other is adequate. AORN J 77 (April 2003) 825–830.
DON'T MEAN NOTHING: SHORT STORIES OF VIETNAM
Authors: Bidwell Maureen A.
Published: August 2006

DON'T MEAN NOTHING: SHORT STORIES OF VIETNAM, Susan O'Neill, 2001, hardback, 252 pp $22
IN THE COMPANY OF WOMEN
Authors: Davis Rebecca J.
Published: August 2006

IN THE COMPANY OF WOMEN, Pat Heim, Susan Murphy, 2001, hardback, 224 pp $24.95
FUNDAMENTALS OF NURSING
Authors: Scheu Robert
Published: August 2006

FUNDAMENTALS OF NURSING, Patricia A. Potter, Anne Griffin Perry, fifth ed, 2001, hardback, 1785 pp $68
COMMUNITY HEALTH NURSING: PROMOTING THE HEALTH OF POPULATIONS
Authors: Sook Cynthia
Published: August 2006

COMMUNITY HEALTH NURSING: PROMOTING THE HEALTH OF POPULATIONS, Mary A. Nies, Melanie McEwen, third ed, 2001, hardback, 860 pp $64
Common Knowledge: How Companies Thrive by Sharing What They Know
Authors: Edwards Mary Jane
Published: August 2006

Common Knowledge: How Companies Thrive by Sharing What They Know, Nancy M. Dixon, 2000, hardcover, 188 pp $29.95
Economics for Healthcare Managers
Authors: Jensen Susan
Published: August 2006

Economics for Healthcare Managers, Robert H. Lee, 2000, hardback, 184 pp $74
Customer Service in Health Care: A Grassroots Approach to Creating a Culture of Service Excellence
Authors: Coe Anne Lindstrom
Published: August 2006

Customer Service in Health Care: A Grassroots Approach to Creating a Culture of Service Excellence, Kristin Baird, 2000, paperback, 250 pp $39
The Interpersonal Communication Skills Workshop
Authors: Bidwell Maureen
Published: August 2006

The Interpersonal Communication Skills Workshop, Joshua D. Guilar, 2001, paperback, 400 pp $35
Communicating with Your Patients: Skills for Building Rapport
Authors: Nunemaker Patricia A.
Published: August 2006

Communicating with Your Patients: Skills for Building Rapport, Christine A. Hinz, 2000, paperback, 80 pp $39
A Brief History of Disease, Science, and Medicine: From the Ice Age to the Genome Project
Authors: Golobich Linda M.
Published: August 2006

A Brief History of Disease, Science, and Medicine: From the Ice Age to the Genome Project, Michael T. Kennedy, 2003, paperback, 526 pp $29.95
Trauma in Patients Who are Morbidly Obese
Authors: Bushard Susan
Published: August 2006

Trauma is the fifth leading cause of death in the United States. There is an eight‐fold increase in mortality rates among victims of blunt trauma who are morbidly obese. Airway, circulation, and breathing mechanisms are altered in patients who are morbidly obese, which makes assessment and treatment difficult. Normal diagnostic and treatment procedures performed in the field and hospital must be modified. Some treatments or diagnostic procedures cannot be performed in the average hospital setting on patients who are obese; therefore, perioperative nurses must modify OR routines to provide care. AORN J 76 (Oct 2002) 585–589.
Roux‐en‐Y Gastric Bypass for Morbid Obesity
Authors: Barrow Cynthia J.
Published: August 2006

Obesity among adults has increased 60% since 1991, and 25% of children are over weight or obese. Direct and indirect costs of obesity represent almost 17% of total health care costs. People who are morbidly obese are far more likely to develop diabetes, hypertension, sleep apnea, osteoarthritis, and some forms of cancer, as well as depression and anxiety disorders than people who are not obese. Medical treatment of obesity only has long‐term success rates of approximately 5%. Stidues have validated that bariatric surgery, on the other hand, has greater success rates for weight loss maintenance. Of current surgical options, Roux‐en‐Y gastric bypass offers the best results: complications ratio and us seen as the “gold standard” in bariatric surgery. AORN J 76 (Oct 2002) 593‐604.
Hamstring Tendon Graft for Anterior Cruciate Ligament Reconstruction
Authors: Boni Deborah M. , Herriott George E.
Published: August 2006

In an age of increasing emphasis on sports, the most common contact injury of the lower extremity is anterior cruciate ligament (ACL) rupture. The classic history of an ACL injury is a sudden twisting of the knee accompanied by a popping or snapping sound. The patient usually complains of a feeling of hesitation, instability, or giving way of the knee. By the end of the day, the patient's knee will be swollen and unstable. There are many ways that the ACL can rupture, but a common method is a contact injury in which a valgus force is applied to the flexed, rotated externally knee. This can produce tears to the ACL, medial collateral ligament, and menisci. Noncontact injuries, such as those incurred while skiing or jumping, occur when the knee is extended and the tibia is internally rotated on the femur. There are several methods of repairing a ruptured ACL, such as using an allograft or autograft of the patella tendon or a hamstring tendon graft for the repair. This article focuses on the use of a hamstring tendon graft for ACL reconstruction and how to care for patients undergoing this procedure. AORN J 76 (Oct 2002) 612–624.
Invitational Theory and Perioperative Nursing Preceptorships
Authors: Finger Susan D. , Pape Tess M.
Published: August 2006

The role of perioperative nurses is unique in that they must be able to maintain clinical expertise in nursing practice and develop technical surgical skills. Even experienced perioperative nurses who transfer to the OR from other hospital settings or change employment to another facility require a certain amount of preceptor orientation. The current shortage of experienced perioperative nurses calls for the development of strategies to increase their number. “Inviting” OR preceptorship experiences may increase the recruitment, retention, and, subsequently, number of perioperative nurses. Nurse preceptors may be either personally or professionally “inviting” or “disinviting” when sharing knowledge and techniques with less experienced nurses. This article includes findings from a research study of perioperative nurse preceptees. The intent of the study was to identify whether the invitational operating room teaching survey could be used as a reliable tool in the OR. Survey items evaluate preceptees' attitudes toward preceptors and characteristics of effective preceptors. Cronbach's α reliability analysis revealed reliability of the tool. AORN J 76 (Oct 2002) 630–642.
Benchmarking in Ambulatory Surgery
Authors: Copp Nancy A.
Published: August 2006

The health care industry is relatively new to benchmarking. More clinical benchmarking is needed because little is known about which practices and processes lead to which outcomes. Benchmarking is a valuable quality improvement tool that can be used to improve practices and performances when instituted properly. This article describes the benchmarking process, its usefulness, and how ambulatory surgery centers can improve performance by using benchmarking. AORN J 76 (Oct 2002) 643–647.
Ethics in Perioperative Practice—Advancing the Profession
Authors: King Cecil A.
Published: August 2006

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and should be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this seventh of a nine‐part series that is designed to help perioperative nurses relate the ANA code to their own area of practice, the author looks at the seventh statement, which emphasizes commitment to the profession. AORN J 76 (Oct 2002) 654–656.
A Study of the Impact of Discharge Information for Surgical Patients
Authors: Allen George
Published: August 2006

A STUDY OF THE IMPACT OF DISCHARGE INFORMATION FOR SURGICAL PATIENTS, A Henderson, W Zernike, August 2001, Journal of Advanced Nursing, 435–441
Anaphylaxis During Anesthesia. Results of a Two‐Year Survey in France
Authors: Steelman Victoria M.
Published: August 2006

Groupe d'Etudes des Reactions Anaphylactoides Peranesthesiques, MC Laxenaire, PM Mertes, Vol 87, October 2001, British Journal of Anaesthesia, 549–558
Pain Management Patient Education Resource Manual
Authors: Barich Mary E.
Published: August 2006

PAIN MANAGEMENT PATIENT EDUCATION RESOURCE MANUAL, Eleftheria T. Karapas, ed, 2001, loose‐leaf binder, 12 sections $229
Chicken Soup for the Nurse's Soul
Authors: COOK Brenda J.
Published: August 2006

CHICKEN SOUP FOR THE NURSE'S SOUL, Jack Canfield et al, 2001, paperback, 361 pp $12.95
Patient Safety Competency Assessment Module
Authors: Lagueux Donna
Published: August 2006

PATIENT SAFETY COMPETENCY ASSESSMENT MODULE, Jean Reeder, 2002, paperback, 100 pp $50
Environmental Accountability in Perioperative Settings
Authors: Melamed Ann
Published: August 2006

Global environmental problems are connected to patient care issues. The amount and toxicity of medical waste have increased in recent decades. Certain medical products contribute significantly to pollution and contamination of the food chain with persistent, bioac‐cumulative toxins, including mercury and dioxins. Perioperative nurses need to understand how best to segregate waste and take advantage of opportunities for reuse and recycling. There are many ways nurses can contribute to pollution prevention in health care, some of which are detailed in this article. AORN J 77 (June 2003) 1157‐1168.
Treatment of Cholelithiasis in Children with Sickle Cell Disease
Authors: Hendricks‐Ferguson Verna , Nelson Martha A.
Published: August 2006

Medical and surgical advances have improved the treatment of cholelithiasis (ie, gallstones) in children with sickle cell disease (SCD). Children with SCD have an increased risk of developing pigment gallstones that initially may be asymptomatic but that can lead to acute symptoms of cholelithiasis. An elective laparoscopic cholecystectomy procedure is recommended for pediatric patients with SCD to prevent the risk of requiring an emergency cholecystectomy procedure. The primary benefits of this approach include a shorter hospital stay after surgery, decreased postoperative discomfort, decreased risk of complications, and a quicker return to normal activities. AORN J 77 (June 2003) 1170‐1182.
The Silent Dragon—Hepatitis C
Authors: Walker Beverly , Howard Linda
Published: August 2006

The hepatitis C virus is the most common bloodborne pathogen in the world. A disease with no cure or vaccine, it kills between 8,000 and 10,000 people annually in the United States. Only recently have experts begun to understand the virus, its natural progression, and how it differs from other hepatitis viruses. Most transmission is a result of direct percutaneous exposure, and the disease is more common among minority groups. Alpha interferon and ribavirin are the currently approved first‐line treatment medications. Evolving medication therapies, full liver transplantation from nonliving donors, and split liver transplantation from living donors hold promise for the 170 million people who are thought to carry the virus. AORN J17 (June 2003) 1191‐1204.
Preoperative Teaching and Hysterectomy Outcomes
Authors: Oetker‐Black Sharon L. , Jones Susan , Estok Patricia , Ryan Marian , Gale Nancy , Parker Carla
Published: August 2006

This study used a theoretical model to determine whether an efficacy‐enhancing teaching protocol was effective in improving immediate postoperative behaviors and selected short‐ and long‐term health outcomes in women who underwent abdominal hysterectomies. The model used was the self‐efficacy theory of Albert Bandura, PhD. One hundred eight patients in a 486‐bed teaching hospital in the Midwest who underwent hysterectomies participated. The participation rate was 85%, and the attrition rate was 17% during the six‐month study. The major finding was that participants in the efficacy‐enhancing teaching group ambulated significantly longer than participants in the usual care group. This is an important finding because the most prevalent postoperative complications after hysterectomy are atelectasis, pneumonia, paralytic ileus, and deep vein thrombosis, and postoperative ambulation has been shown to decrease or prevent all of these complications. This finding could affect the overall health status of women undergoing hysterectomies. AORN J 77 (June 2003) 1215‐1231.
Experiential Learning as Service for Others
Authors: Canales Mary K. , French Helen
Published: August 2006

Experiential learning provides an avenue for educating oneself, others, and communities and can lead to involvement in efforts designed to change social systems and improve conditions that affect a nation as a whole. This article provides an overview of experiential learning related to service and presents an example of one nurse's efforts to contribute to her community through the MERCI: Medical Equipment Recovery of Clean Inventory program at the University of Virginia Health System, Charlottesville. AORN J 77 (June 2003) 1232‐1239.
Community Health Education and Promotion
Authors: Herlehy Anne Marie
Published: August 2006

Community Health Education and Promotion, Mary Ellen Wurzbach, 2002, paperback, 660 pp $54
Case Manager's Desk Reference
Authors: Morris Jim
Published: August 2006

Case Manager's Desk Reference, Frances Snowden, 2001, paperback, 520 pp $89
Treating Varicose Veins with Transilluminated Powered Phlebectomy
Authors: Zotto Lisa M.
Published: August 2006

In the past, patients endured hours of surgery, many incisions, and multiple scars to manually remove painful, unsightly, swollen varicose veins. Patients now have a new treatment option. Endoscopic resection and ablation of superficial varicosities is possible using a powered vein resector, irrigated illuminator, and tumescent anesthesia. This article describes this new technique, called transilluminated powered phlebectomy, and explains how the procedure reduces the number of incisions and provides direct visualization of the veins as they are resected. AORN J 76 (Dec 22002) 981–990.
Anterior Cervical Discectomy and Fusion for Cervical Disc Disease
Authors: Cherry Cecile
Published: August 2006

Anterior cervical discectomy and fusion (ACDF) is a surgical procedure proven successful in the treatment of symptoms caused by cervical degenerative disc disease that is unresponsive to conservative therapy. Retrospective studies of patients who have undergone ACDF indicate that this procedure has a high rate of success for relieving symptoms and a low rate of associated complications. This article discusses normal cervical spine anatomy, the pathology of degenerative cervical disc disease, and perioperative nursing care for patients undergoing ACDF. Cortical ring allograft bone grafting and internal fixation with cervical locking plates also is discussed. AORN J 76 (Dec 2002) 998–1008.
Complementary and Alternative Medicine Use by Surgical Patients
Authors: Norred Carol L.
Published: August 2006

This national multisite study examined complementary and alternative medicine (CAM) use by surgical patients during the two weeks preceding their surgery. A simple descriptive design consisting of anonymous self‐report questionnaires was used to measure CAM use and determine participant demographics. A purposive sample of adult, English‐speaking, elective outpatients from 16 hospitals representing seven US regions was used. Data were collected randomly at each site. Sixty‐seven percent of participants disclosed use of all types of CAM; 27% consumed herbs, 39% used dietary supplements, 54% took vitamins, and 1% reported use of homeopathics. Thirty‐four percent of participants reported using CAMs that potentially can interact with anesthetics and inhibit coagulation. The results of this study suggest that perioperative nurses should encourage patients to disclose CAM use and should educate patients about anesthetic interactions that may contribute to bleeding. AORN J 76 (Dec 2002) 1013–1021.
Nursing School Curricula and Hospital‐based Training Programs
Authors: Ward Rick P. , Saylor Coleen
Published: August 2006

Perioperative nursing is at the threshold of an unprecedented shortage that may affect the profession for years to come as the existing workforce ages and nursing schools continue to marginalize perioperative curricula. The purpose of this study is to investigate perioperative staffing issues, preceptorship training programs, and nursing school curricula in the metropolitan area surrounding the city of San Jose, Calif. Results show that 77% of the ORs surveyed had vacant positions and experienced moderate to severe difficulty in filling these vacancies. Results for the schools of nursing show that 83% do not offer preceptorships or clinical internships in the perioperative setting. Recommendations regarding the development of professional, community, and academic partnerships to help address the perioperative nursing shortage are presented. AORN J 76 (Dec 2002) 1022–1031.
A Precepted Perioperative Elective for Baccalaureate Nursing Students
Authors: McCausland Linda L.
Published: August 2006

A major factor contributing to the recruitment crisis in perioperative nursing is the lack of perioperative experiences offered to nursing students. A clinical elective designed to provide interested baccalaureate nursing students with OR experience was implemented at one university. A faculty member collaborated with perioperative nurses from area hospitals to provide a 36‐hour, precepted perioperative experience. The course allows students to learn about the perioperative nursing role and helps them develop nursing skills. Students acknowledged that this brief experience was adequate to meet their learning needs and help them decide whether they wanted to pursue further a career in perioperative nursing. AORN J 76 (Dec 2002) 1032–1040.
Complementary and Alternative Medicine Management Forms and Guidelines
Authors: De Lima Michelle M.
Published: August 2006

COMPLEMENTARY AND ALTERNATIVE MEDICINE MANAGEMENT FORMS AND GUIDELINES, Michelle Bowman, G. Frank Lewis, 2001, loose‐leaf binder, 13 sections $259
Electrosurgery Competency Assessment Module
Authors: Lindell Colleen
Published: August 2006

ELECTROSURGERY COMPETENCY ASSESSMENT MODULE, Rosemari C. Moss, 2000, paperback, 64 pp $50
Pharmacology Made Easy for NCLEX‐RN
Authors: Snyder Vickie
Published: August 2006

PHARMACOLOGY MADE EASY FOR NCLEX‐RN, Linda Waide, Berta Roland, 2001, paperback, 240 pp $21.95
Ensuring Correct Site Surgery
Authors: Scheidt Rita C.
Published: August 2006

ABSTRACT

In 2000, a report was published that focused on the high rate of medical errors in the United States. Wrong site surgery is defined as any surgery performed on the wrong site or patient or performing the wrong procedure. Since January 1995, 197 wrong site surgeries have been reported through the Joint Commission on Accreditation of Healthcare Organization s sentinel event reporting system. Incidents of wrong site surgery should not happen. The perioperative health care team composed of nurses, physicians, anesthesia care providers, unlicensed assistive personnel, admission workers, clerks, and other ancillary staff members must make patient safety an uncompromising goal. This article describes the problem and identifies potential causes for incidences of wrong site surgery. The article also describes steps to act on AORN s patient safety initiative, which includes five suggestions for the development of any surgical site verification policy. Using these suggestions as guidelines for developing a policy and procedure will help decrease the risk of avoidable errors. AORN J 76 (Nov 2002) 770–777.
Ovarian Mass—Benign or Malignant?
Authors: Schrecengost Ann
Published: August 2006

Ovarian cancer strikes 23,000 American women every year, accounting for 52% of all gynecological cancer deaths. The death of comedienne Gilda Radner from ovarian cancer in 1991 brought the disease to the forefront for the American public. Unfortunately, since that time, there has been an absence of publicity about this dreadful disease. Seventy‐five percent of ovarian cancers are not diagnosed until the cancer has advanced to stage III or IV for several reasons. Clinical guidelines for the diagnostic screening of ovarian cancer have not been developed, which markedly hinders the diagnosis of ovarian cancer until it is in later stages. The tumor marker CA‐125 is not specific and, therefore, is an inadequate screening tool. This article discusses the epidemiology of ovarian cancer, the components of diagnostic screening, and treatment options. Nursing care of the patient undergoing surgical treatment for ovarian cancer also is discussed. AORN J 76 (Nov 2002) 792–806.
Optimizing Perioperative Pain Management
Authors: Arnstein Paul
Published: August 2006

ABSTRACT

All nurses, regardless of specialty or practice setting, must provide effective measures to relieve their patients' pain. Uncontrolled pain can result in negative consequences, such as impaired cardiac functioning and neuroplastic changes in the spine and brain. This article discusses the problem of uncontrolled pain and perioperative nurses' role in relieving pain, including assessing pain and providing pharmacological and nonpharmacological relief.AORN J76 (Nov 2002) 812–818.
Preoperative Skin Preparation of Cardiac Patients
Authors: Segal Cynthia G. , Anderson Jacqueline J.
Published: August 2006

Nurses at a large southwestern hospital undertook an initiative to optimize the preoperative skin preparation of patients undergoing open heart surgery. After an extensive review of the literature, a proposal was submitted to and accepted by the surgeons and internal review board of the hospital. High‐risk patients were identified before surgery and randomized into groups to receive one of four different skin preps. The incidence of infection was lower in the two groups of patients who were prepped with insoluble iodine, indicating that the type of surgical skin prep could affect whether patients develop surgical site infections. The clinical practice of skin preparation in this hospital changed based on the results. AORN J 16 (Nov 2002) 821–828.
Bloodless Medicine and Surgery in the OR and Beyond
Authors: Cogliano Janet , Kisner Debbie
Published: August 2006

ABSTRACT

Ideas about bloodless surgery are changing. It now is more than transfusion‐free surgery for Jehovah's Witnesses. Technological advances and concerns about the safety and availability of blood have led to interest in bloodless surgery among non‐Witnesses. Perioperative nurses need to be aware of bloodless surgery technology, which typically incorporates the use of recombinant human erythropoietin and special surgical techniques and equipment. They must have a proper attitude toward blood conservation and respect patient autonomy. Bloodless surgery care extends across specialties and inpatient areas. A knowledge of bloodless surgery will facilitate clear communication between staff members, patients, and patients' family members. AORN J 76 (Nov 2002) 830–841.
Establishing a Collaborative Relationship with a College of Nursing
Authors: Mitchell Laurie , Stevens Darlena , Goodman Jennifer , Brown Mary
Published: August 2006

Perioperative nursing typically is a small part of nursing school curricula, which makes it difficult to recruit new graduates into the perioperative field. St Luke's Episcopal Hospital, Houston, has taken a unique approach to addressing this problem by establishing a collaborative relationship with Prairie View A&M University, Houston. This collaborative relationship introduces perioperative nursing to nursing students who may never have considered the OR as an area of practice. In addition, it provides an opportunity for students to network with perioperative nurses, and it serves as a method for recruiting new graduates to St Luke's Episcopal Hospital. AORN J 76 (Nov 2002) 842–850.
Using Ductoscopy to Detect Breast Mass at an Early Stage
Authors: Sparks Carol A.
Published: August 2006

Using a new procedure termed fiberoptic ductoscopy, a surgeon can visualize a patient's breast mammary ducts directly with a 0.9‐mm scope. Eighty‐five percent of breast cancers are thought to originate in the epithelial lining of the mammary ducts. The hope is that this new technique will allow surgeons to detect breast cancer in high‐risk patients before a mass is felt or seen via mammography. AORN J 76 (Nov 2002) 851–854.
Perioperative Nurses and Sexual Harassment
Authors: Hamlin Lois , Hoffman Anita
Published: August 2006

ABSTRACT

Sexual harassment is widespread in health care. Recent Australian research reveals this type of abuse is a significant cause of stress among perioperative nurses. This article investigates the nature and effects of sexual harassment of RNs in the OR. Specifically it explores the nature of sexual harassment, its occurrence in nursing generally and among perioperative nurses in particular, gender issues, effects, costs, and legal aspects. The article concludes with strategies that can be employed by individual nurses and organizations to combat sexual harassment. AORN J 76 (Nov 2002) 855–860.
Ethics in Perioperative Practice—Promoting Health, Welfare, and Safety
Authors: King Cecil A.
Published: August 2006

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and should be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this eighth of a nine‐part series that is designed to help perioperative nurses relate the ANA code to their own area of practice, the author looks at the eighth statement, which emphasizes nurses' responsibility to promote the health, welfare, and safety of all people. AORN J 76 (Nov 2002) 866–870.
A Healthy Retirement
Authors: Goldberg Earl
Published: August 2006

As members of the nursing profession age, they must begin planning for their retirement years. Social gerontological theory advocates a high level of activity during senior years. Additionally, individuals must continue lifelong activities as they age and remain engaged socially and professionally. High activity of a continuous nature has been correlated with positive life satisfaction in older adults. AORN J 76 (Nov 2002) 873–874.
Human Factors Issues in Ventricular Assist Device Recipients and their Family Caregivers
Authors: King Cecil A.
Published: August 2006

Human Factors Issues in Ventricular Assist Device Recipients and their Family Caregivers, MA Dew et al, ASAIO Journal, Vol 46 May/June 2000, 367‐373
Body of Knowledge
Authors: Miller Deb
Published: August 2006

Body of Knowledge, Steve Geigerich, 2001, hardback, 269 pp $24
Critical Care Nursing of the Elderly
Authors: Turner Cynthia D.
Published: August 2006

CRITICAL CARE NURSING OF THE ELDERLY, Terry T. Fulmer et al, second ed. 2001, hardback, 430, $53.95
The Changing Face of Hand Protection
Authors: Graves Peter B. , Twomey Caraolyn L.
Published: August 2006

ABSTRACT

Perioperative nurses are empowered to act as patient advocates. As such, it is their responsibility to critically evaluate all products used in the surgical environment, including gloves. A basic understanding of the history of surgical gloves, health issues associated with their use, glove materials, and the essential properties of hand scrubs can help perioperative nurses choose appropriate products. This article explores these issues so that nurses and other health care workers can develop a framework for making informed decisions based on clinical reasoning. AORN J 76 (Aug 2002) 248‐258.
Reducing the Hazards of Exposure to Cornstarch Glove Powder
Authors: Cuming Richard G.
Published: August 2006

ABSTRACT

Latex allergy has received considerable attention during the past decade. The occurrence of latex allergy in health care workers is higher than in the general population. Latex gloves are the most frequent form of exposure that health care workers have to natural rubber latex; therefore, the relationship between gloves and latex allergies has been well studied. Scientific evidence supports the link between glove powder and the occurrence of latex allergies, as well as the development of postoperative complications in surgical patients. This article describes how a multihospital system, which is the seventh largest not‐for‐profit health care corporation in the nation and includes 35 ORs, successfully eliminated powdered gloves from the environment. AORN J 76 (Aug 2002) 288‐295.
Do‐Not‐Resuscitate Orders in the OR—Suspend or Enforce?
Authors: Goldberg Susan
Published: August 2006

ABSTRACT

Retaining self‐determination about medical care is a basic patient right. Advance directives (eg, living wills, powers of attorney, health care proxies) are becoming more common in today's health care settings, including the OR. Perioperative personnel should be aware of and respect these documents and the patient's wishes—without compromising their own morals or ethics. AORN J 76 (Aug 2002) 296‐299.
Performing Modified Ultrafiltration on Pediatric Patients
Authors: Quattro Lauren , Bowser Marla , Schwendt Adriana
Published: August 2006

ABSTRACT

Pediatric patients undergoing cardiopulmonary bypass (CPB) surgery often retain excessive fluid postoperatively, which results in negative outcomes. Modified ultrafiltration (MUF) is an innovative procedure performed at Johns Hopkins Hospital, Baltimore, that is initiated immediately after CPB to reduce this fluid. This article provides a basic understanding of the MUF technique, how it is performed at Johns Hopkins Hospital, and its positive effects. AORN J 76 (Aug 2002) 300‐305.
Ethics in Perioperative Practice—Duty to Self
Authors: Seifert Patricia C.
Published: August 2006

ABSTRACT

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's)Code of Ethics for Nurses with Interpretive Statements. In this fifth of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the fifth statement, which emphasizes commitment to one's self.AORN J76 (Aug 2002) 306‐313.
Health Effects Associated With Medical Glove Use
Authors: Dillard Sharon F. , Hefflin Brockton , Kaczmarek Ronald G. , Petsonk Edward L. , Gross Thomas P.
Published: August 2006

Adverse reactions to medical gloves represent an important public health issue. Accordingly, there is increasing interest in understanding the information reported to the US Food and Drug Administration (FDA) describing health effects associated with the use of medical gloves. This article provides a retrospective analysis and summary of health effects associated with medical glove use reported to the FDA. The FDA's medical device adverse event databases were searched via computer using keywords to identify reports of reactions associated with any type of medical glove. Demographic and clinical information abstracted from these reports was used to perform frequency and trend analyses. The reported medical glove‐related events, including the noted trends in reporting, suggest the need for further study and continued monitoring of such reports. AORN J 76 (July 2002) 88‐96.
Reprocessing Single‐use Devices—Regulatory Roles
Authors: Dunn Debra
Published: August 2006

This is the third in a series of three articles about reprocessing medical devices labeled as “single use” by the manufacturer. The goal of reprocessing single‐use devices (SUDs) is to save money and decrease environmental pollution. Reprocessing can be performed on SUDs that have been used on other patients or opened but not used. This article discusses the roles of the involved regulatory agencies and organizations guiding the process. The first article in the series, published in the May 2002 issue of the AORN Journal, discusses the ethical component of reusing SUDs. The second article, published in the June 2002 issue of the Journal, discusses the procedures for reprocessing (eg, cleaning, inspecting, sterilizing, tracking, testing, validating) and establishing a reuse program. AORN J 76 (July 2002) 100‐127.
The Maze III Surgical Procedure
Authors: Green Beverly
Published: August 2006

The maze III procedure is a surgical treatment for atrial fibrillation (A fib), a rhythm problem in which the heart's upper chambers (ie, atria) beat rapidly and irregularly, sometimes beating more than 400 times per minute. Approximately 10% of Americans older than 60 years of age suffer from A fib. The maze procedure was designed to create a maze on the atria with multiple incisions that allow sinus rhythm to be conducted to the atrioventricular node without creating a reentry circuit. Currently, if is not a widely used procedure, but its popularity continues to increase. The maze III procedure generally is reserved as a treatment of last resort for a patient with A‐fib that is unresponsive to medication therapy, electrical cardioversion, surgical ablation, or pacemaker implantation. The maze III procedure, performed as open‐heart surgery, has a high success rate for sustaining normal heart rhythms, usually without the need for a pacemaker; however, all other medical and nonsurgical treatment options are exhausted before the maze III procedure is performed. AORN J 76 (July 2002) 134‐146.
Ethics in Perioperative Practice‐Commitment to the Patient
Authors: Seifert Patricia C.
Published: August 2006

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this fourth of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the second statement, which emphasizes commitment to the patient. AORN J 76 (July 2002) 153‐160.
A Collaborative Program for Cardiovascular Patient Follow‐up
Authors: Deaton Christi , Kurtz Sherron , Weintraub William S.
Published: August 2006

Transitions from one health care system to another are common, but they can affect coordination of care and measurement of patient outcomes. In this project, a community hospital and a tertiary center collaborated to obtain follow‐up information on patients 30 days after they underwent cardiac catheterization and revascularization. Results show that patients experienced similar physical and emotional concerns regardless of diagnosis or procedure. Although the intent was to gather information, nurses also provided education and arranged services for patients. This project has implications for the development of collaborative interventions to improve care for patients after undergoing coronary procedures. AORN J 74 (July 2001) 22‐31.
A Practical Approach to Achieving Bloodless Surgery
Authors: Ozawa Sherri , Shander Aryeh , Ochani Teekam D.
Published: August 2006

The term bloodless surgery refers to the practice of performing surgical procedures without the use of allogenic blood and avoiding the use of stored blood, including autologous blood, entirely. This article reviews the scientific and clinical literature regarding bloodless surgery and describes the application of a full‐service, bloodless program within a community hospital.AORN J74 (July 2001) 34‐47.
Dental Surgery in Pediatric Patients with Spina Bifida and Latex Allergy
Authors: Hudson Mary E.
Published: August 2006

Dental rehabilitation is a common outpatient pediatric surgical procedure. It requires the dentist to restore or extract the teeth of children with severe tooth decay or poor dental hygiene. Medical, physical, or emotional problems can make safe treatment in an outpatient setting impossible. These children require sedation or anesthesia for the dentist to gain access to their oral cavities. This article discusses caring for pediatric patients with spina bifida and latex allergy undergoing dental rehabilitation. Perioperative nurses must act as patient advocates in providing a latex‐safe environment and also ensure quality care. AORN J 74 (July 2001) 57‐72.
Competencies for Management of the Operating Room
Authors: Miller Debra
Published: August 2006

Competencies for Management of the Operating Room, Billie Fernsebner, second ed, 2000, paperback, 348 pp $55.
Neonatal Cleft Lip and Cleft Palate Repair
Authors: Sandberg Debra J. , Magee William P. , Denk Michael J.
Published: August 2006

Facial clefting is one of the most common birth defects and having a child born with this defect can be a devastating experience for parents and family members. Until recently, repair of cleft lip and palate deformities was deferred until the infant had reached 10 weeks of age, 10 pounds in weight, and a hemoglobin level of 10 gm per 100 mL. This criteria eliminated neonates 28 days of age or younger from the possibility of early repair. Waiting until these criteria were achieved often caused problems with parentinfant bonding and infant growth and development. Advances in neonatology and pediatric anesthesia now have made it possible to perform cleft surgery during the neonatal period. This article discusses the anatomy and embryology of cleft deformities and how cleft repair surgery now can be performed on the neonate. AORN J 75 (March 2002) 490–499.
Medialization Thyroplasty for Unilateral Vocal Cord Paralysis
Authors: Herman Cherry
Published: August 2006

Unilateral vocal cord paralysis causes disturbances with vocal function and swallowing, to include aspiration. Thyroplasty type I has become one of the preferred surgical treatments for unilateral vocal cord paralysis. It is tolerated better by the patient, improves predictability of surgical results, and provides good voice results when compared to more traditional procedures, such as teflon injection. Use of a premade thyroplasty implant has made it possible to accomplish permanent medial displacement of a paralyzed vocal cord, avoiding the complications of other surgical options. AORN J 75 (March 2002) 512–522.
Morality in Perioperative Nurses
Authors: Killen Aileen R.
Published: August 2006

This study examined nurses' moral motivation, character, and action using a Model of Morality for Perioperative Nurses. Influences on moral actions and selected outcomes for surgical patients and perioperative nurses were examined. Results indicate that motivation and character are related directly to the moral actions of perioperative nurses (R =.13 to .31, P <.001). Fourteen percent of the variance in action was explained by motivation, character, self‐perceived level of practice, and ethics education. Results suggest that current models do not describe the moral behavior of perioperative nurses adequately. Future research should examine constructs that explain the moral actions of nurses in the perioperative setting. AORN J 15 (March 2001) 532–549.
Reprocessing Single‐use Medical Devices
Authors: Cohoon Barbara D.
Published: August 2006

Health care providers today often can choose between reprocessed single‐use devices (SUDs) or SUDs from original equipment manufacturers. The concern about whether reprocessing is safe and should continue was reflected in the US Food and Drug Administration's draft regulations regarding reprocessing and reuse of SUDs; the Government Accounting Office study on SUDs; legislation introduced at both the federal and state levels; and Congressional hearings by the US House of Representatives and the US Senate. This article offers a review of these activities. AORN J 75 (March 2002) 557–567.
Understanding Incarcerated Populations
Authors: Cooke Cheryl L.
Published: August 2006

Approximately 1.3 to 1.8 million people are incarcerated in the United States at any given time. When providing emergency or elective surgical intervention, perioperative nurses may encounter incarcerated individuals, including many who require treatment for traumatic injury. Nurses, therefore, need to educate themselves about this patient population and understand the specific clinical and educational needs of this group. This article explores key concepts involved in caring for incarcerated individuals, including their characteristics and assumptions others make about them. The article concludes with a discussion of educational and policy implications.AORN J75 (March 2002) 568–580.
Occupational Asthma in Adults in Six Canadian Counties
Authors: Allen George
Published: August 2006

Occupational Asthma in Adults in Six Canadian Counties, AR Johnson et al, American Journal of Respiratory & Critical Care Medicine, vol 162 December 2000, 2058‐2062
Bailliére's Nurses' Dictionary
Authors: Barton Ann
Published: August 2006

Bailliére's Nurses' Dictionary, Barbara F. Weller, 23rd ed, 2000, paperback, 616 pp $19.95
Style: Toward Clarity and Grace
Authors: Dreger Vicki
Published: August 2006

Style: Toward Clarity and Grace, Joseph M. Williams, sixth ed, 1995, paperback, 208 pp $12
Clinical Nurse Specialist Practice—Spheres of Influence
Authors: Zuzelo Patti Rager
Published: August 2006

Many nurses are uncertain of the differences in the educational backgrounds and practice domains of clinical nurse specialists (CNSs) and nurse practitioners (NPs). This uncertainty may make it difficult for perioperative nurses to select the advanced practice role that is most congruent with their career goals and interests. The National Association of Clinical Nurse Specialists developed the Statement on Clinical Nurse Specialist Practice and Education, which provides an organizing framework for the CNS practice role. This article offers distinctions between the educational experiences of CNSs and NPs and suggestions for perioperative CNS practice. AORN J 77 (Feb 2003) 361‐372.
Changing Acute Pain Management Outcomes in Surgical Patients
Authors: Sherwood Gwen D. , McNeill Jeanette A. , Starck Patricia L. , Disnard Geri
Published: August 2006

Patient outcome studies indicate that patients accept pain as part of hospitalization. The majority of hospitalized patients who report experiencing pain are recovering from surgical intervention. To achieve successful outcomes, a comprehensive multidisciplinary effort must begin preoperatively and continue through discharge. The perioperative period is an essential link in effective pain management, and perioperative nurses are key in helping direct the care of surgical patients before, during, and after surgical procedures. Pain relief and the patient's satisfaction with care frequently are used to measure pain management outcomes. This article examines the results of a secondary analysis of a subset of surgical patients drawn from a larger data set that was collected during two studies in urban and rural hospitals. It focuses on two outcomes, namely characteristics of pain and patient satisfaction with pain management after surgery. These outcomes were measured using the American Pain Society patient outcome questionnaire and the pain management index. Correlational, descriptive, and regression analyses indicate that postoperative management of patients' pain in these studies was less than optimal. From this new understanding, strategies for effective pain management of surgical patients are recommended. AORN J 77 (Feb 2003) 374–395.
Effects of Music on Patient Anxiety
Authors: Mok Esther , Wong Kwai‐Yiu
Published: August 2006

Undergoing surgery with local anesthesia is stressful because patients often are aware of their surroundings. This study investigated music as a method of reducing patients' anxiety during minor surgery with local anesthesia. For this study, researchers assessed the effectiveness of music as a relaxation modality by measuring patients' vital signs and self‐reported anxiety before and after surgery. Study results indicate that patients who listened to their choice of music during surgery experienced significantly lower anxiety levels, heart rates, and blood pressure than patients who did not listen to music. AORN J 77 (Feb 2003) 396‐410.
Using Intraoperative Radiation Therapy—A Case Study
Authors: Domanovic Mary Ann , Ouzidane Malika , Ellis Rod J. , Kinsella Timothy J. , Beddar A. Sam
Published: August 2006

The Introduction of a mobile linear accelerator in the OR has made intraoperative radiation therapy (IORT) more plausible. An IORT treatment can deliver a single high dose of radiation to a tumor or tumor bed after surgical resection or surgical exposure of high risk areas. This article details a case study in which IORT was used on a patient with sigmoid carcinoma and the procedure outcomes. AORN J 77 (Feb 2003) 412‐417.