bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enabling Student Nurses to Use the Information Superhighway
Authors: Bachman Jean A , Panzarine Susan 
Published: April 2021

ABSTRACT
Nursing graduates must be sophisticated in the use of information technologies and understand how these technologies interface with various health care systems. The purpose of this project was to evaluate the impact of a newly developed Internet course, focusing on current information technologies, on 20 RN-to-MSN students. Author-developed instruments were used to measure weekly computer use, perceived computer skill, and knowledge related to the information superhighway. The Strange & Brodt Nurses Attitudes Toward Computerization Questionnaire was used to assess attitudes toward computerization. Qualitative data was elicited using weekly evaluation forms. When compared to 23 students at a similar stage of their nursing program, quantitative findings indicated that, at the end of the semester, students in the pilot course had more computer knowledge, reported greater computer skill, and used computers more. Qualitative findings suggested that pilot students:
* Were connected with nursing networks and expressed their intent to maintain these networks.
* Were able to use current health information found on the Internet in their nursing practices.
* Used skills learned in the pilot class to complete projects in other classes.
* Communicated with classmates via the Internet, thus forming a potentially valuable professional support system.
* Used the library and librarians early in their programs.
* Understood the relevancy of telemedicine and the Internet to the future survival of nursing in a changing health care arena.
While the authors caution that an adequate infrastructure must be available to support such an endeavor, they emphasize that knowledge of the relevancy and use of the information superhighway is crucial to the future survival of nursing in a rapidly changing health care arena.
Portfolio: Authentic Assessment in the Age of the Curriculum Revolution
Authors: Wenzel Lisa Schnepper , Briggs Karen Lunke , Puryear Barbara L 
Published: April 2021

ABSTRACT
This article provides an extensive review of the literature on portfolio use in education. There is a gap in the literature related to portfolio use in nursing education. Portfolios are one method of authentic assessment, showing evidence of student growth and achievement over time. Development of the student portfolio promotes collaboration between student and faculty. The Integrated Proficiency-Criterion (IPC) framework is one proposed method for portfolio development and evaluation, using Benner's stages of proficiency and NLN criteria for accreditation of baccalaureate nursing programs.
The Reticent Student: Implications for Nurse Educators
Authors: Leonard Teresa C , Johnson Joyce Y 
Published: April 2021

ABSTRACTNursing education bas recently begun to shift to a more emancipatory learning format. In accord with Freiré, many nursing classrooms currently use dialogical teaching approaches as an integral part of the education process. There are many students unable to share in the process of dialogue because of reticence. Reticence is a personality quality in which a person is reluctant to speak. While dialogue appears to be a way to promote learning and is intended to result in emancipation for students, it may result in subjugation for the shy, reticent student. The literature does not provide information regarding the impact of reticence on the student in higher education, particularly the student in a profeesional program. This article discusses the impact of reticence on the learning experiences of nursing· students and the effects of classroom dynamics and teaching methodologies used with nursing students.
Evaluation of an Educational Game for Health Sciences Students
Authors: Ingram Carolyn , Ray Karen , Landeen Janet , Keane David R 
Published: April 2021

ABSTRACT
An educational game was developed to promote student problem solving in the context of small group, problem-based learning (PBL). This study evaluated the game's effects on hypothesis and issue generation in PBL.
Students in the Year III PBL course of a BScN program (¿V = 131) were stratified by program status and then randomly assigned to groups of 9 to 11 people per group. Half of the groups were randomly assigned to use the game (G); the remaining groups used the conventional method (CM) of generating issues and hypotheses. The G and CM groups crossed over for Term II.
A Term I posttest demonstrated G groups had a higher proportion of accurate responses (85%) than CM groups (74%). A Term II posttest demonstrated no important differences between G and CM groups, suggesting the educational impact of the game persisted after students stopped using it. Strengths and limitations of the game as a learning aid also are addressed.
Classroom Assessment: Linking Teaching and Learning
Authors: Melland Helen I , Volden Cecilia Misialek 
Published: April 2021

ABSTRACT
Formative evaluation can provide valuable data when evaluating student learning and the teaching strategies being used. Classroom assessment techniques as developed by Angelo and Cross are a type of formative assessment which involve ongoing assessment of student learning and assist faculty in selecting teaching techniques that are most effective in particular settings with specific groups of students. Classroom assessment techniques with applications to specific nursing education situations are included.
A Pilot Study to Compare the Effectiveness of Preceptored and Nonpreceptored Models of Clinical Education in Promoting Baccalaureate Students' Competence in Public Health Nursing
Authors: Brehaut Carol J , Turik Lori J , Wade Karen E 
Published: April 2021

ABSTRACT
Preceptor models in nursing have only recently begun to be evaluated, and the published results of their effectiveness are inconsistent and inconclusive. To date, the preceptor evaluation studies found in nursing literature refer to clinical practice in hospitals.
This descriptive correlational pilot study (N - 25) compared the effectiveness of preceptored and nonpreceptored models of clinical nursing education in promoting baccalaureate nursing students' competence in public health nursing. The study also compared the learning experiences of students in the two models.
Findings from the study revealed that although students in both models reported similar numbers of learning experiences, there were some differences in the types of experiences obtained. Students in both models demonstrated significant gains in perceptions of clinical competence during the 12-week experience. However, there was no significant difference found between the two groups in gain in perceived clinical competence.
Faculty Practice: How It Enhances Teaching
Authors: Good Doreen M , Schubert Carolyn R 
Published: April 2021

ABSTRACT
This article is a presentation of the two authors' views on faculty practice and how both have operationalized the practice option. Both describe how the practice option has positively affected their teaching and their students' learning in a university baccalaureate nursing program located in the midwestern United States. The authors are full-time, master's prepared faculty members who have been in the faculty practice track for 2 years. Both teach in the junior year of a 4-year baccalaureate program. The first author (D. M. G.) is a staff nurse who works in a community hospital and serves on the hospital's clinical nursing research committee. The second author (C.R.S.) is a clinical research nurse coordinator who performs and manages pharmaceutical trials at multiple inpatient and outpatient locations. In this article, the authors examine faculty practice in general and the various models currently used. In addition, they explain their individual academic positions, the duties and responsibilities accompanying each of their practice roles, and the integration of those practice experiences into their clinical and classroom learning.
Designing Clinical Examples to Promote Pattern Recognition: Nursing EducationBased Research and Practical Applications
Authors: Welk Dorette Sugg 
Published: April 2021

ABSTRACT
Despite carefully planned classroom sessions and richly designed clinical experiences, nurse educators know that, realistically, students will not encounter all of the life-threatening patient situations that require recognition and intervention during these sessions and experiences. However, on graduation, these students will be legally accountable for recognition of these situations and the immediate interventions associated with them. Therefore, the challenge for nurse educators is how to structure didactic interactions that promote pattern recognition in anticipation of such yet-to-be-experienced events.
Clinical Evaluation in Advanced Practice Nursing Education: Using Standardized Patients in Health Assessment
Authors: Gibbons Susanne W , Adamo Graceanne , Padden Diane , Ricciardi Richard , Graziano Marjorie , Levine Eugene , Hawkins Richard 
Published: April 2021

ABSTRACT
Clinical education is critically important because competency in practice ultimately will determine the future of advanced practice nursing. Skills taught in Health Assessment, the first in a series of clinical courses, exposed students to tools that form the basis on which other competencies are built. The availability of standardized patients, people who participate in enacting a simulated but seemingly "real life" clinical encounter in a realistic clinical setting for the benefit of student learning and/or evaluation, made this instructional development project possible. The underlying assumption of this project was that clinical advanced practice nursing student education is enhanced by using an authentic clinical environment, known as a simulation center, with standardized patients and by using one or more evaluation techniques with multiple evaluators (i.e., peer, self, faculty, standardized patient). The student clinical experience was expected to improve and overall learning to increase by this method. This improvement was reflected at the end-of-course evaluations and in the quality of the final videotaped physical examination, which was superior to previous years. Student and faculty satisfaction with this teaching-learning process exceeded all expectations.
Merging Reflective Inquiry and Self-Study as a Framework for Enhancing the Scholarship of Teaching
Authors: Drevdahl Denise J , Stackman Richard W , Purdy Jill M , Louie Belinda Y 
Published: April 2021

ABSTRACT
This article provides a model for improving teaching practice and developing new knowledge about teaching. The reflective self-study approach to pedagogical inquiry is rooted in reflective inquiry and self-study as found in nursing and education literature, respectively. The model offers nurse educators a mechanism by which they can better understand themselves as teachers and how their teaching affects students. Essential features of the model include interdisciplinarity and collaboration. Using the framework outlined Ln this article will help establish reflective self-study research as an accepted model of inquiry and further the dialogue on teaching in higher education.
Orbital Aspergillosis: Report of a Case in a Child
Authors: Whitehurst Fred O , Liston Thomas E 
Published: April 2021

Summary
A child developed eyelid swelling that was diagnosed in succession as an abscess, eosinophilic granuloma, malignancy, and inflammatory pseudotumor. Treatment modalities included antibiotics, radiation and corticosteroids. Repeated histologic examination finally provided the diagnosis of orbital mycosis, most consistent with aspergillosis. Despite six weeks of therapy with Amphotericin B, an exenteration was required. Amphotericin B was continued for another six weeks, and there has been no evidence of recurrent disease after two years of follow-up. The problems encountered in the diagnosis and management of this unusual infectious disease of the orbit in children are discussed in detail.
Congenital Toxoplasmosis Associated with Acquired Oculomotor Nerve (CN III) Palsy
Authors: Perry Dwight D , Merritt John C , Greenwood Robert S , Collier Albert M , Tennison Michael B 
Published: April 2021

Abstract
A nine-week-old Caucasian male presented with right ptosis and right exotropia due to a third cranial nerve palsy. Symmetrical macular lesions and a paramacular hyperpigmented lesion with overlying vitreous cells in the left eye were compatible with congenital toxoplasmosis. Computer tomography demonstrated calcifications in the periventricular and midbrain regions where the oculomotor nerve exits the brainstem. The diagnosis was confirmed by the toxoplasma indirect fluorescent antibody titer greater than 1:2048 for the infant and greater than 1:512 for the mother. Treatment was instituted with pyrimethamine, sulfadiazine and folinic acid.
Neurologic sequelae included a right hemiparesis, infantile seizures, and generalized developmental delay. A Mueller's muscle resection (RUL) combined with 9mm recession of the right lateral rectus and 7-mm resection of the right medial rectus muscles produced minimal ptosis and right exotropia one year later. The child now prefers to fix with the right eye and a vertical nystagmus is evident in the left eye.
To our knowledge this is the first reported case of an infant with noncomitant strabismus due to congenital toxoplasma cranial nerve involvement. The finding of an acquired third cranial nerve palsy accompanied by progressive neurologic sequelae warrants consideration of congenital toxoplasmosis.
Evaluation of the Posterior Fixation Plus Recession Operation with Saccadic Velocities
Authors: Kushner Burton J 
Published: April 2021

ABSTRACT
I performed a posterior fixation of the medial rectus in seven patients with convergence excess esotropia and successfully reduced their esotropia at near. Postoperative saccadic velocity testing did not reveal the expected decrease in saccadic velocity as the eye moved increasingly into the field of action of the operated muscle. Posterior fixation of a rectus muscle may enhance the effect of the standard recession operation by increasing the amount of slack created in the functional part of the muscle after recession. Also, it may make a large percentage of the muscle fibers ineffective.
Epibulbar Osseous Choristoma
Authors: Dreizen Neil G , Schachat Andrew P , Shields Jerry A , Augsburger James S 
Published: April 2021

ABSTRACT
A 14-year-old girl presented with a firm, movable, epibulbar mass of the right eye. The clinical appearance was characteristic of an epibulbar osseous choristoma. and the diagnosis was substantiated radiographically and confirmed histopathologically. The clinical features, management, and histopathology of epibulbar osseous choristomas are reviewed.
Accommodation in School Children With Music or Sports Activities
Authors: Mäntyjärvi Maija I 
Published: April 2021

ABSTRACT
The accommodation of 324 school children aged 10 to 16 years was studied before and after a 12-minute reading session. One hundred and twenty children (81 girls and 39 boys) were wind instrument players in school bands, 93 children (48 girls and 45 boys) trained in an individual sport, and 111 children (65 girls and 46 boys) having no such activities were studied as a control group. At the end of the reading session, decreased accommodation (7 diopters or less) was found in 19 (15.8%) of the musicians, in six (6.5%) of the athletes, and in six (5.4%) of the control group. The difference was significant between the musicians and the control group, but not significant between the athletes and the control group. The majority of the children with low accommodation were girls; there was only one boy with decreased accommodation in each of the three groups.
Goniotomy With Sodium Hyaluronate
Authors: Arnoult Jeffery B , Vila-Coro Antonio Aguirre , Mazow Malcolm L 
Published: April 2021

ABSTRACT
A modification of the classical goniotomy technique is described. After complete evacuation of the anterior and posterior chambers, sodium hyaluronate is placed in the anterior chamber and on the cornea. Putting hyaluronate in both locations prevents the formation of air bubbles under the goniotomy lens, provides the same index of refraction on both sides of the cornea, prevents accidental loss of the anterior chamber, and allows maximal depth of the anterior chamber. Diminished intraocular bleeding and lower risk of injury to the corneal endothelium, iris, and lens may be additional advantages of the procedure.
Two cases are presented in which five goniotomies were performed on four eyes using this technique. Both patients had one eye controlled with a single goniotomy. The fellow eye of each patient required multiple procedures. Glaucoma was controlled successfully with no medication in all four eyes. No significant complications occurred.
Ten Years Without Orbital Optic Nerve: Late Clinical Results After Removal of Retrobulbar Gliomas With Preservation of Blind Eyes
Authors: Wolter J Reimer 
Published: April 2021

ABSTRACT
Surgical removal of gliomas of the orbital optic nerve by the transconjunctival approach with preservation of the associated eyes was successful and has been reported in several cases. The central retinal arteries in the anterior optic nerves were proven histologically to have been excised along with the gliomas in all cases. Due to suspected variations of blood supply, however, the retinal blood vessels postoperatively remained bloodfilled in these blind eyes, and the eyes could be maintained. Follow-up of about 10 years in two cases with surviving blind eyes after surgical excision of large optic nerve gliomas revealed normal development of lids and orbit, good muscle function, and relatively good cosmetic appearance as well as satisfied patients.
Egocentric Localization Changes Following Unilateral Strabismus Surgery
Authors: Steinbach Martin J , Smith David R , Crawford John S 
Published: April 2021

ABSTRACT
We measured spatial localization (using an open-loop pointing task) monocularly in each eye of eight patients undergoing unilateral strabismus surgery. Most of these patients had some degree of binocular vision. We found that, in most cases, changes In spatial localization produced by surgery on the operated eye paralleled those found In the other eye, both in magnitude and duration. Unilateral surgery can have central effects on egocentric localization.
Development of Normal Ocular Alignment
Authors: Soudhi Naval , Archer Steven M , Helveston Eugene M 
Published: April 2021

ABSTRACT
Ocular alignment was examined in a large population of normal infants to determine the prevalence of various motillty findings at ages ranging from birth to 10 months. Exodeviations were frequently seen up to the age of 6 months. Esodeviations were occasionally seen in infants who did not go on to develop congenital esotropía, but not after 2 months of age. It is unclear whether precursors of pathologic strabismus, such as congenital esotropia, can be distinguished from these transient ocular deviations seen in normal Infants. However, any strabismus persisting after the ages listed above should be considered abnormal and receive ophtnalmologic evaluation.
Measurement of Vertical Deviations in Different Gaze Positions in Patients With a Superior Oblique Palsy
Authors: Catalano Robert A , Manley Donelson R , Calhoun Joseph H 
Published: April 2021

ABSTRACT
Objective measurements in eight consecutive patients with an isolated congenital superior oblique palsy using a head tilt technique, with gaze directed toward a fixed distance target, and a second technique with gaze directed at a movable near object in different fields of gaze each identified the same oblique position of maximal vertical deviation. We call the latter technique "fielddirected." In distinction to the controversy that exists as to which method correctly diagnoses an isolated superior oblique palsy, either technique can be used to direct the surgical correction of this palsy. Superimposing a head tilt on the field-directed technique affected measurements in 16 of the 20 instances where tested. Despite the necessity of avoiding an inadvertent head tilt the fielddirected technique is considerably easier to perform and more comfortable for the patient to endure in determining the position of maximal vertical deviation.
True Charity and Professional Life: A Patient Advocacy Program
Authors: Hiatt Roger L , Mosley Rhonda J 
Published: April 2021

ABSTRACT
The Patient Advocacy Program, built on an already existing, sympathetic hospital staff, has placed added emphasis on the physician-patient relationship which recently has been obscured by increasing technology, mechanization, and third party process. Furthermore, the Patient Advocacy Program stresses that the patient is the most important reason for the focus of the physician and staff. We have tried to exhibit not only true professionalism, but also true charity, by giving more than is expected and in return receiving an appreciative and satisfying response from patients, parents, and responsible parties.
Psychiatric Day Programs: A Descriptive Analysis
Authors: Edwards Martha Shatley 
Published: April 2021

ABSTRACT
Partial hospitalization programs evolved as a result of a variety of financial, social and therapeutic circumstances. At present, these programs can take one of several different forms. Of these, the most common ones are the three day programs - day hospital, day treatment, and day care. In theory, each of the three would serve a distinct population, have a clearly defined structure, and be administered in a predictable manner. This article contrasts theory with practice and makes an analysis of the actual and potential effectiveness of each. External factors that bear on effectiveness such as demographics and economics are presented. Recommendations for the present and future follow from projected long range shifts and trends.
Psychiatric Nursing for the 21st Century The PACED Model
Authors: McGihon Norma N 
Published: April 2021

Abstract
Health care reform has had a profound effect on the way psychiatric treatment occurs in this country. Decreasing length of stay, increasing acuity, and reducing staff levels are making traditional approaches to mental health care infeasible. Resources already in place may still be focusing on long-term treatment issues and do not facilitate rapid stabilization and discharge planning that includes continued care within an integrated system.
Research supports the feasibility of quality mental health care, which can be accomplished in shortened lengths of stay, as long as clinical managers plan inpatient programs focused on shortterm goals followed by appropriate aftercare. In addition to recommendations for clinical managers, this article provides a proposal for executives redesigning a mental health care delivery system, which includes the goals of rapid assessment and stabilization, as well as discharge planning and appropriate follow up within an integrated system.
COMPUTER Addiction: When Monitor Becomes Control Center
Authors: Christensen Margaret H , Orzack Maressa Hecht , Babington Lynn M , Patsdaughter Carol A 
Published: April 2021

ABSTRACT
Computer addiction is a newly recognized problem. While controversy exists about whether computer addiction should be considered a primary psychiatric disorder, clinicians are treating increasing numbers of clients experiencing problems caused by excessive computer use. Case studies are provided that include typical histories and symptoms. Behavioral cognitive therapy is discussed as a treatment approach. The stages of change theory is recommended as a strategy to help clients plan and implement change.