bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enhancing Specialist Preparation for the Next Century
Authors: Lipman Terri H , Deatrick Janet A 
Published: April 2021

ABSTRACT
While the curricula of clinical nurse specialist (CNS) programs have proved to be successful in meeting past and current health care needs of specialty populations, the needs of children requiring care by the CNS have changed greatly over the past few years. Because of advanced technology, more children are surviving, although they may have serious physical, developmental, and psychosocial disabilities. At the same time, the educational, health, and social services for these children have become harder to access. A conceptual model, Family-Focused Pediatrie Transitional Care (FFPTC), was used to interpret a survey of graduates of a pediatrie clinical specialist program and their employers. Recommendations regarding possible changes in pediatrie clinical nurse specialist curricula are offered to guide future educational agendas. Advanced skills in clinical decision making and coordinating care across the continuum from the hospital to the community and to the home have become essential role competencies for the clinical nurse specialist.
Nursing Professorate in America: Projected Retirements and Replacements
Authors: Ryan Marilyn , Irvine Phyllis 
Published: April 2021

ABSTRACT
New paradigms are emerging in higher education, and institutions are facing financial shortfalls. Faculty retirements and resignations may have an impact on the quality of education across disciplines. Will adequate numbers of doctorally prepared replacements be entering nursing education to meet projected retirements and resignations? A national study was conducted of National League for Nursing-accredited baccalaureate and higher degree nursing programs with 296 (58%) responding. The purpose was to determine faculty profiles, policies related to retirement, and projected replacements. Projected retirements and resignations over the years 1992 to 2006 are estimated to be approximately one third of the current faculty work force. Numbers of anticipated graduates at the master's level seem to be adequate. However, doctorally prepared candidates will most certainly not fill all the gaps that will exist in nursing education. Implications call for an examination of clinical teaching practices to ensure continued quality nursing education. An examination of faculty retirement policies and plans is warranted.
Nursing Student Perspective of Learning in a Clinical Setting
Authors: Wilson Margaret E 
Published: April 2021

ABSTRACT
The purpose of this qualitative study was to explore and describe nursing students' experience of learning in a clinical practice setting where the students learned to provide care for acutely ill infants. Data were collected using the techniques of observation and ethnographic interviewing. The findings included a nursing student perspective of learning in a clinical setting and consisted of six goals: to do no harm to a patient, to help patients, to integrate theory-based knowledge into clinical practice, to learn clinical practice skills, to look good as a student, and to look good as a nurse. Within this perspective, the students also defined roles for themselves, their instructors, and the staff nurses in the clinical setting. The students defined the learning environment and then used that definition to shape their responses to the educational program.
Reforming Nursing Education for Future Practice
Authors: Oermann Marilyn 
Published: April 2021

ABSTRACT
Health care reform, regardless of the specific proposal ultimately accepted, calls for changes in baccalaureate nursing education to prepare students for community-based practice. These changes include a shift toward the community as the primary setting for clinical practice; greater emphasis in the curriculum and more extensive clinical experiences in health promotion and prevention of illness; integration of primary health care within different levels of the curriculum; more interdisciplinary experiences in the delivery of care; expanded knowledge and skills for care of mothers, children, the aged, and critically ill patients in varied settings; and the reexamination of teaching strategies for preparing students with these expanded competencies. As nursing faculty consider the impact of health care reform, they are called upon to reexamine the curriculum and clinical experiences provided within their programs to prepare students for practice in community-based systems.
The Clinical Evaluation Tool: A Measure of the Quality of Clinical Performance of Baccalaureate Nursing Students
Authors: Krichbaum Kathleen , Rowan Mary , Duckett Laura , Ryden Muriel B , Savik Kay 
Published: April 2021

ABSTRACT
This article describes an approach to the evaluation of students' clinical performance. Specifically, the paper describes: (a) the history of the evaluation of clinical performance in nursing education; (b) the development of the Clinical Evaluation Tool (CET), an instrument designed to measure the clinical performance of nursing students across settings; and (c) the relationships between basic baccalaureate nursing students' scores on the CET and the following variables: age, college credits earned prior to entry to the program, grade point average at entry, college aptitude, and moral reasoning.
Role Model Behaviors in the Clinical Setting
Authors: Wiseman Rebecca F 
Published: April 2021

ABSTRACT
The purpose of this study was to identify the role modeling behaviors of clinical nursing faculty that junior and senior baccalaureate students consider important. Bandura's Social Learning Theory provided the theoretical framework for the three research questions. A questionnaire, composed of 28 role model behaviors, was constructed to correspond to the three research questions. The overall alpha coefficient for the questionnaire was .95. The findings of this study indicate that clinical faculty are considered role models by their students. Students perceived themselves as practicing the role model behaviors, but they also perceived that the clinical faculty were inconsistent in rewarding them for their attempts to emulate those behaviors considered important. Areas for future research are discussed.
Insights Learned from Teaching Pathophysiology on the World Wide Web
Authors: Yucha Carolyn , Princen Tonya 
Published: April 2021

ABSTRACT
This article describes a one-credit, graduate level pathophysiology module taught using the World Wide Web. Student outcomes are compared to those of students who took the same module in a traditional classroom setting. Although the majority of the graduate students were not Web literate, they became more comfortable with this instructional medium over time. A comparison of the Webbased instruction with the traditional format, both directed by the same instructor, showed no significant differences in student performance on a multiple choice examination.
Graduate Education in Nursing Leadership Through Distance Technologies: The Canada-Norway Nursing Connection
Authors: Iwasiw Carroll , Andrusyszyn Mary-Anne , Moen Anne , Østbye Truls , Davie Lynn , Støvring Turid , Buckland-Foster Irene 
Published: April 2021

ABSTRACT
The Canada-Norway Nursing Connection was a collaborative project designed to provide an international educational experience for graduate students in nursing via distance technology. Computer-conferencing and videoteleconferencing were used to address nursing leadership content through case studies. The same technologies were employed to develop the project. The processes of planning and implementing the international linkage are described. Agreement about goals, content, context for online discussion, delivery methods, academic expectations, language support, and logistics was essential. The media proved to be effective for students to gain understandings about nursing leadership, health care, and the forces influencing the nursing profession globally. Insights from the project provided a basis for the development of a model for interactive, international graduate education that will be of value to educators dedicated to helping students gain a global understanding of nursing and health care issues.
Student Voice in Curriculum Making
Authors: Thornton Robert , Chapman Helen 
Published: April 2021

ABSTRACT
Undergraduate student nurses (n = 117) were asked to reflect critically on their psychiatric clinical learning experience and identify strengths and weaknesses not only in the actions and behaviors of others, but also in their own. A questionnaire was specifically constructed to encourage the voicing of issues, concerns, actions, and behaviors that centered around the concept of quality in relation to four predetermined categories: clinical practice, clinical nursing staff, clinical facilitators, and students. Themes, inductively derived from the collected information within each category, were organized into clusters and then into frequency distributions to facilitate interpretation. The study generated information that should be useful in planning and supervising effective and mutually satisfying clinical practicums in any psychiatric context. Moreover, the responses gave voice to matters that otherwise may have gone unrecognized in the curriculum. The study confirms that student voice must become an integral part of the alternatives from which curriculum-making choice is made.
Experiences and Comfort with Culturally Diverse Groups in Undergraduate Pre-Nursing Students
Authors: Eliason Michele J , Raheim Salome 
Published: April 2021

ABSTRACT
A sample of approximately 200 undergraduate students beginning their nursing education responded to questionnaire items concerning experience and levels of comfort working with diverse client groups. Students reported little discomfort with racial/ethnic groups, but reported they would have considerable difficulty working with lesbian, gay, or bisexual clients, and patients with human immunodeficiency virus. Their reasons for discomfort were examined.
A Tool to Evaluate How to Learn from Experience in Clinical Settings
Authors: Dumas Louise , Villeneuve Jean , Chevrier Jacques 
Published: April 2021

ABSTRACT
The purpose of this study was to develop and validate an evaluation tool for the process of learning from experience in a clinical practicum at the post-RN baccalaureate level. This complex process, consisting of integrated cognitive, affective, and behavioral components, is the basis of a person's "good functioning" in a learning environment. To assess the process of learning during a clinical experience provides adult students with a mirror of thenown way to learn from their particular experience; the results can then enhance their abilities of learning-how-to-learn from any experience. The tool was developed during doctoral research following the works of Kolb (1984) and Chevrier and Charbonneau (1990, 1991a, 1991b). The psychometric evidence of the tool supports its initial value as a component of an integrated formative evaluation strategy. This reflective type of process evaluation helps students link theory to practice, think critically, and intervene creatively and professionally in very complex situations.
The Development and Testing of a Community Health Nursing Clinical Evaluation Tool
Authors: Hawranik Pamela 
Published: April 2021

ABSTRACT
This article describes the process of developing and testing a clinical evaluation tool for a community health nursing course in a baccalaureate program for registered nurses. The study was qualitative with a multimethod approach to data collection. The development of the tool included collaboration with community health nurses from urban and rural areas within the province of Manitoba, faculty, and students who were currently enrolled in the community health nursing course. Development of the tool consisted of a review of the literature and focus groups with community health nurses and faculty. A list of behaviors deemed important was derived. Construct validity of the behaviors was tested using a number of strategies with the students, clinical advisors, faculty, and agencies. Testing for item clarity and apparent internal consistency followed. The evaluation tool was pilot-tested and the outcomes of its use are discussed.
Learning to Care for Clients in Their World, Not Mine
Authors: Ryan Marilyn , Twibell Renee , Brigham Carole , Bennett Patricia 
Published: April 2021

ABSTRACT
Current literature and trends support the need to incorporate concepts for culturally focused nursing care and experiences with diverse cultures into nursing curricula. The purposes of this qualitative research were to describe the phenomena of being immersed in a different culture and to generate a conceptual map depicting process and outcomes of the immersion experience. From analysis of stories told by practicing nurses (n=9) who had an immersion experience during a baccalaureate program, a dimensional matrix emerged. The core dimension was learning to care. Situational predetermining factors included educational setting, personal characteristics, and demographic factors. Characteristics of the immersion context were site conditions. Transitional factors included strategies for "learning to care" such as social support, coping responses, and openness to adapt communication patterns. Outcomes included personal and professional growth in values, communication, and nursing practice. The matrix can guide nurse educators in incorporating immersion experiences into nursing curricula.
Clinical Nursing Competence of RN-to-BSN Students in a Nursing Concept-Based Curriculum in Taiwan
Authors: Lee-Hsieh Jane , Kao Chihui , Kuo Chienlin , Tseng Hung-Fu 
Published: April 2021

ABSTRACT
This 3-year longitudinal study used a questionnaire to evaluate the clinical nursing competence of RN-to-BSN students in a nursing concept-based curriculum in Taiwan. The research sample consisted of 52 full-time and 69 part-time RN-to-BSN students. A four-dimensional Clinical Nursing Competence Questionnaire was developed to measure student caring, communication/coordination, management/teaching, and professional self-growth competence. Results indicated full-time students' scores on self-evaluations of overall clinical nursing competence significantly increased with each successive evaluation (p < .05). The scores of part-time students fell significantly with successive evaluations, with the exception of professional self-growth competence (p < .01). Instructor evaluations generally showed no significant difference between the two groups. Student self-evaluations were significantly higher than instructor evaluations (p < .05). The results of this study may serve as a reference for nurse educators developing curricula for RN-to-BSN education.
Lights! Camera! Action!: Video Projects in the Classroom
Authors: Epstein Carol Diane , Hovancsek Marcella T , Dolan Pamela L , Durner Erin , La Rocco Nicole , Preiszig Patricia , Winnen Caitlin 
Published: April 2021

ABSTRACT
We report on two classroom video projects intended to promote active student involvement in their classroom experience during a year-long medical-surgical nursing course. We implemented two types of projects, Nursing Grand Rounds and FPBTV. The projects are templates that can be applied to any nursing specialty and can be implemented without the use of video technology. During the course of several years, both projects have proven effective in encouraging students to promote pattern recognition of characteristic features of common illnesses, to develop teamwork strategies, and to practice their presentation skills in a safe environment among their peers. The projects appealed to students because they increased retention of information and immersed students in the experience of becoming experts about an illness or a family of medications. These projects have enabled students to become engaged and invested in their own learning in the classroom.
Persistence of the Primary Vitreous in Association with the Morning Glory Disc Anomaly
Authors: Brown Gary C , Gonder John , Levin Andrew 
Published: April 2021

ABSTRACT
Two patients with the morning glory disc anomaly are reported. In one, fibrovascular stalk passed forward into the vitreous cavity, while in the second a persistent hyaloid artery extended anteriorly from a tuft of fibrous tissue to the posterior lens capsule. These cases suggest that in some eyes the morning glory disc anomaly occurs as a variant of persistent hyperplastic primary vitreous (PHPV).
The Role of Retinal Cryopexy in the Management of Experimental Perforation of the Eye During Strabismus Surgery
Authors: Mittelman David , Bakos Irene M 
Published: April 2021

SUMMARY
In order to investigate the role of retinal cryopexy in the management of accidental perforation of the globe during strabismus surgery, the retinas of 30 rabbit eyes were perforated with a needle simulating the clinical incident. Ten of these eyes received no further treatment, ten eyes were treated with moderate transscleral cryopexy of the surrounding retina, and the remaining ten eyes were treated with excessively heavy cryocoagulation. The incidence of secondary retinal detachment was identical in the first two groups of rabbits, while it was markedly increased in those rabbits treated with excessively heavy transscleral cryopexy (P < .01). Based on these findings and a review of the literature, recommendations are made for the management of accidental perforation of the globe during strabismus surgery.
Role of the Neural Crest in Anterior Segment Development and Disease
Authors: Beauchamp George R , Knepper Paul A 
Published: April 2021

ABSTRACT
Certain eye and associated systemic developmental anomalies are apparently related by virture of a common neural crest origin. The development of the anterior segment is extremely complex and is dependent upon the presence or absence of certain local factors (including extracellular matrices and glycoproteins), inductors, receptors, and specific time sequencing. Understanding anterior segment anomalies and their systemic associations requires an understanding of neural crest proliferation and migration patterns; and they may be unified under the designation of neurocristopathies. Goldenhars syndrome, not previously considered a neurocristopathy, may be considered one on the basis of the relationship between clinical findings and neural crest embryology.
Visual Results of Lens-Sparing Vitreoretinal Surgery in Infants
Authors: Maguire Albert M , Trese Michael T 
Published: April 2021

ABSTRACT
Lens removal is routinely performed when vitreoretinal surgery is done in infant eyes. We performed vitreous surgery in nine infants (10 eyes) without removing the crystalline lens. Surgery was done to correct vitreoretinal pathology involving the macula. Indications for surgery included: 1) tractional retinal detachment secondary to retinopathy of prematurity, familial exudative vitreoretinopathy, or congenital retinal folds; and, 2) nonclearing preretinal hemorrhage secondary to shaken-baby syndrome. Surgical objectives were achieved in all cases. Postoperatively, 8 of 10 eyes showed no evidence for lens opacification with a median follow-up period of 8 V2 months (range, 5 to 19 months). Two eyes with retrolental adhesions due to stage 5 retinopathy of prematurity developed progressive cataracts and light perception vision. Six of seven eyes without lens opacity had vision of 20/2400 or better (median = 20/800) as measured by Teller acuity methods. Lens-sparing surgery may be performed with favorable anatomic and functional results in eyes with vitreoretinal disease posterior to the equator. Lens preservation may optimize optical rehabilitation and stimulation of the developing visual system.
The Ophthalmologic Manifestations of the Cardio-Facio-Cutaneous Syndrome
Authors: Young Terri L , Ziylan Sule , Schaffer David B 
Published: April 2021

ABSTRACT
The cardio-facio-cutaneous (CFC) syndrome is an uncommon multiple congenital anomalies/mental retardation syndrome whose major manifestations are congenital heart defects, relative macrocephaly, stunted growth, ectodermal dysplasia, characteristic facial appearance, and psychomotor developmental delay. All described cases were sporadic and cytogenetically normal. We report three additional patients with this diagnosis. All three patients developed strabismus, requiring extraocular muscle surgery. Two of our patients also had nystagmus. Combining the 18 previously reported cases with our additional 3, 9 of 21 had strabismus, 10 of 21 had ptosis, and 6 of 21 had nystagmus. Ophthalmic craniofacial abnormalities of hypoplastic supraorbital ridges, prominent epicanthal folds, and antimongoloid slant of the palpebral fissures were also common features contributing to the characteristic facies described for this syndrome. The ophthalmologist could aid in the diagnosis and treatment of these patients because of the prominent ophthalmologic symptomatology of the CFC syndrome.
Ophthalmic Features of Alagille Syndrome (Arteriohepatic Dysplasia)
Authors: Wells K K , Pulido Jose S , Judisch G F , Ossoinig K C , Fisher T C , Labrecque D R 
Published: April 2021

ABSTRACT
Eight patients with Alagille syndrome (AGS) are reported. In addition to previously reported findings of posterior embryotoxon, pigmentary retinopathy, and choroidal folds, new findings include decreased axial eye lengths, small corneal diameters, and shallow anterior chambers. Optic disc swelling was noted ophthalmoscopically and abnormally increased orbital subarachnoidal fluid was detected through measurements of the arachnoidal diameters with standardized echography.
Insertion Site Dynamics and Histology in a Rabbit Model After Conventional or Suspension Rectus Recession Combined With Ipsilateral Antagonist Resection
Authors: Hertle Richard W , James Milton , Farber Martha G 
Published: April 2021

ABSTRACT
We have used a rabbit model to study insertion movement, rotational forces, disinsertion forces, and histology of the surgically created insertion site after recession of the inferior rectus (IR) using a conventional (CONV) or suspension (SUS) technique combined with an ipsilateral superior rectus (SR) resection. During the 5-week observation period, the CONV and SUS recessed IR showed an initial posterior movement followed by an anterior movement while all resected SR had an initial posterior movement which remained stable. SR rotational forces increased and IR remained constant throughout the 5-week observation period. There were no rotation force differences between the SUS and CONV recession techniques. Disinsertion forces showed an initial large decrease in force followed by a gradual increase to preoperative levels by 3 postoperative weeks. Disinsertion force differences between the CONV and SUS recessions were observed for 5 weeks after surgery. Histologic analysis showed a delayed inflammatory response on the SUS recession compared to the CONV recession and at the middle of the insertion compared to the poles which was minimized by 3 weeks after surgery.
Aneurysmal Bone Cyst: Report of a Case Mimicking Orbital Tumor
Authors: Bealer A , Cibis Gerhard W , Barker Bruce F , Egelhoff John C , Freeman Arnold I , Zwick David A 
Published: April 2021

ABSTRACT
Aneurysmal bone cysts are rare bone tumors which normally affect the vertebral region or long bones. Involvement of facial bones is uncommon. Although nonneoplastic, these lesions are expansile and may cause local destruction of bone and soft tissues. When making the diagnosis, it is imperative to consider the clinical, radiologic, and histologic features of the entity to avoid confusion with other possibly malignant giant cell tumors. We report an unusual case involving the orbit in a 2 ½-year-old girl.