bluuebunny/crossref_metadata_2025_split huggingface dataset:
Enchantement, désarroi et apprentissage
Authors: O’Leary Charles J. , Alleaume Baptiste 
Published: April 2021

Inspiré par l’expérience d’un large groupe non structuré, centré sur la personne, au cours duquel j’ai été moi-même bouleversé et ai été cause de bouleversement pour d’autres, j’établis des parallèles entre l’expérience de groupe et celle des personnes dans leurs relations intimes. Dans les deux situations, l’enchantement et le sentiment d’appartenance peuvent conduire à la frustration et à l’aliénation. La rencontre avec l’autre produit confusion et déception, lesquelles peuvent interférer avec le désir de comprendre et d’être compris. Sous la forme d’un journal écrit à la troisième personne, je décris mon dialogue interne au cœur d’un groupe de rencontre, qui montre une complexité similaire à celle que l’on trouve dans l’amitié, les familles et les couples. Au cours d’une interaction humaine intense, notre stabilité intérieure peut être secouée par l’incompréhension et le rejet apparent. Avec le regard que m’apporte mon travail de thérapeute de couple et de famille, je constate qu’apprendre passe aussi par des moments de désarroi : conflits apparemment insolubles, manque de compétence à la relation. L’expérience de nos difficultés en groupe fait écho à nos difficultés familiales. Aborder le groupe comme les relations intimes en tant qu’apprenti plutôt qu’en tant que détenteur de la vérité peut transformer le désarroi en une forme plus profonde d’enchantement.
Benefits and Costs of Continuing Nursing Education: An Analytical Survey
Authors: Turner Phyllis 
Published: April 2021

ABSTRACT
Federal and statutory requirements demand and professional associations, health care agencies, and individual nurses expect benefits from nurses' participation in continuing nursing education (CNE). These benefits include: competence; improved quality of care; personal benefits, such as self-satisfaction; and social benefits, such as shorter hospital stays for patients. However, it is not clear from the literature whether CNE provides what is expected. Also, the costs of CNE are not clear.
In this research, 244 registered nurses rated the benefits and identified the costs of CNE via a mailed survey. Personal benefits, accruing to the individual nurse, were rated highest and economic benefits were rated lowest. All cost data were positively skewed (many low costs). Opportunity cost (time lost from work) was higher than either direct (tuition) or indirect (travel, books/supplies, child care, and meals) cost. Employers were found to pay more of the cost of CNE than the individual nurse. No significant relationships were identified between the costs and the benefits of CNE.
A Tiger By the Tail: Tackling Barriers to Differentiated Practice
Authors: Brchan Marge Scudder , Hegge Margaret J , Stenvig Thomas E 
Published: April 2021

ABSTRACT
Nurses in South Dakota are moving forward with new models for nursing practice. Consensus-building efforts led to the development of a conference focused on differentiated nursing practice. The Nominal Group Process was an effective tool for the identification of strategies to implement new models of nursing practice. The concept of differentiated practice has significant implications for continuing nursing educators as they work with existing nurses to create a new pattern for nursing.
Distance Education: Joining Forces to Meet the Challenge
Authors: Maltby Hendrika , Drew Linda , Andrusyszyn Mary Anne 
Published: April 2021

ABSTRACT
This paper describes a unique initiative between Manitoba Health and Brandon University to meet the current challenge of distance education for community health nurses employed by Manitoba Health. In November 1988, a strategy paper was approved, allowing Manitoba Health to contract with Brandon University to facilitate access to university courses. Incentives to encourage Manitoba Health employees to take advantage of these courses included reimbursement for work time and travel and hotel costs to attend associated laboratory sessions provided at off-campus sites (distance education). These incentives provided employees with evidence of tangible support for continuing education. This pioneering venture between two complex organizations demonstrated commitment to further education as well as the ability to initiate a collaborative enterprise.
A Summer Institute on Computer Applications for Nursing Management: Background, Curriculum, and Evaluation
Authors: Abraham Ivo , Evers Georges , Hasman Arie , Tanghe Huibert , Silkens Reinhilde , Hein Fransje 
Published: April 2021

ABSTRACT
Nursing managers are faced with a growing number of computer applications for nursing management, yet they may lack the educational preparation to assist them in using these technologies for problem-solving and decision-making. This article describes a Summer Institute on informatics applications for nursing management taught by an international and multidisciplinary team of faculty members, and offered at the University of Limburg (Maastricht, The Netherlands). A discussion of professional, scientific, and educational issues serves as the foundation for curriculum content and instructional format. Evaluation data from both offerings are reviewed and underscore the professional relevance and didactic quality of the Summer Institute. The Summer Institute is presented as a possible model of continuing education in computer applications for nursing management transferable to Western European and North American countries.
An Emergency Pursuit Game: A Method for Teaching Emergency Decision-Making Skills
Authors: Schmitz Brenda D , MacLean Susan L , Shidler Helen M 
Published: April 2021

ABSTRACT
Continuing education programs are used to enhance nurses' emergency decision-making knowledge and skills. Often, these programs are viewed as necessary but boring. An Emergency Pursuit game was developed to provide a novel, challenging, motivating, and cost-effective teaching/learning method. The game is played by teams of nurses who compete for points by answering questions concerning emergency drugs, cardiac arrhythmias, emergency policies and procedures, and non-arrest medical emergencies. Many benefits are realized from a continuing educational program using the Emergency Pursuit game. Of greatest importance is the improved proficiency and performance by nurses during clinical emergency situations.
Mentorship: Maslow and Me
Authors: Valadez Ana M , Lund Christine A 
Published: April 2021

ABSTRACT
The Department of Veterans Affairs Nursing Service developed a leadership training program that utilizes a preceptor for a trainee. The relationship these two establish determines the level of development the trainee can achieve. The working relationship between preceptor and trainee in this setting surpassed the task-oriented aspects of the preceptorship program and can better be described as that achieved through mentorship. The cadre of competencies are comparable to Maslow's (1970) hierarchy of needs and are viewed as interacting and cyclical. The goal of the training program is to develop a leader that is capable of self-actualization in an advanced leadership role. The authors' personal experiences are used to demonstrate how the principles of mentorship are applied in the training setting.
Those Who Have Will, Those Who Haven't Won't: Caring for HIV-Positive Patients
Authors: Dols Cynthia Lee , Bradley-Magnuson LynnDee 
Published: April 2021

ABSTRACT
Nurses' willingness to care for HIV-positive patients continues to be an issue since the inception of the HIV pandemic. This descriptive correlational study found that while nurses' fear of contagion has decreased their willingness to care has not increased in the same proportion. Furthermore, while formal education demonstrated no impact on the willingness of nurses to care for HIV-positive patients, provisions of hands-on care was significantly correlated with willingness to care for HIV-positive patients.
The 12 ½ Minute Learning Session: Some Examples and Analysis of Impact
Authors: de la Cruz Lourdes A D , Bickerton Margaret 
Published: April 2021

ABSTRACT
Staff nurses experience time demands that frequently prevent them from attending inservice offerings. The 12 ½ minute learning session is an innovative approach designed to meet the learning needs of the psychiatric nursing staff in spite of time constraints. The guiding principles for these sessions are: 1) "We learn what we care about," 2) preparation for sessions conveys commitment, and 3) accountability for learning is the individual's responsibility but opportunities for learning are shared. Identified outcomes of these groups are the "earthquake effect" or the shifting of one's footing; opportunity for effective debunking or uncovering of habitual patterns; and "bushfire effect" or contagiousness of enthusiasm.
Creative Teaching Strategies
Authors: Irvin Susan M 
Published: April 2021

ABSTRACT
Today's nursing students feel pressured to complete research-based professional papers. Reasons that these assignments cause feelings of anxiety may be due to learners' poor writing/thinking skills, low literacy levels, lack of attention when traditional strategies are used, or expectations of entertaining teaching methods. Creative teaching strategies, using a story-telling and personification approach, may assist nurse educators to improve students' attention, retention and comprehension of primary concepts in their nursing courses.
Research Utilization and the Continuing/Staff Development Educator
Authors: Mottola Carol A 
Published: April 2021

ABSTRACT
Current health care imperatives and the continuous explosion of information and technology present new challenges for continuing/staff development educators as the nursing profession reinvents itself during the current crisis in health care. This turbulent health care environment necessitates utilization of current research findings to maintain the continued efficient and effective functioning of nursing staff. Familiarity with recent research utilization projects and models and barriers perceived to impede research utilization can assist the continuing/staff development educator to bridge the gap between knowledge generation and knowledge utilization.
Preceptorships in High-Risk Perinatal Nursing for Rural Nurses: A Pilot Project
Authors: L'Esperance Carol , DiGregorio Rena , Wallerstedt Cheryl 
Published: April 2021

ABSTRACT
A need existed in New Mexico to enhance the skills of nurses in rural areas in the management of high-risk perinatal patients. However, barriers prohibited initiating such a program, including: a) program development and approval; b) legal and insurance issues; c) determining financial responsibility; and d) application and selection process. Resolving these problems came in the form of a collaborative effort among three departments at the University of New Mexico. A preceptor program of clinical and classroom experiences was developed for nurses outside of the Albuquerque metropolitan area. Evaluations of the program at six months revealed that program participants had implemented changes in their nursing practice. Revisions of the program and plans for the future are discussed.
Patient Stories: A Way to Enhance Continuing Education
Authors: Stamler Lynnette Leeseberg , Thomas Barbara 
Published: April 2021

ABSTRACT
Using breast health and illness, this article reviews relevant research literature and compares it for congruency with patient stories. Inconsistencies and issues found are related to desired outcomes and decision-making. Patients may view cancer treatment as an unbroken continuum from pre-diagnosis to completion of treatment. While moving through the continuum, they interact with nursing professionals in several roles and locations. Strategic suggestions acknowledge the need to incorporate health professionals, patients and families in the continuing education activity. Nurses working in continuing education have the opportunity to improve care along the treatment continuum and reduce the distance between research and practice. Implications for nursing practice and continuing education are identified. Suggestions for enhancing continuing education related to this continuum are made.
THE RESULTS OF TREATMENT OF NONUNIONS WITH ELECTRICAL STIMULATION
Authors: Khasigian Harry A 
Published: April 2021

ABSTRACT: Bioelectric effects on bone have recently stimulated much interest and research. This paper reviews the current literature regarding the electrical stimulation of bone, and introduces an independent prospective study from Rancho Los Amigos Hospital reviewing our results with its use on nonunions.
We have basically followed Brighton's technique for electrical stimulation. This consists of percutaneous Teflon coated Steinmann pin electrodes inserted directly into the area of nonunion. An external power pack delivers 20 ma continuously for three months. We have differed from Brighton in that four of eight patients were immobilized by a Hoffman external fixation device. The Hoffman device was left in place six months.
Eight patients have undergone treatment. Four patients (3 tibias and 1 femur) had Hoffman stabilization and have successfully completed treatment. They had all failed previous multiple surgical treatments. One other patient healed with only dummy electrode implantation. The other three cases were unable to complete the entire three months of stimulation due to complications, and remained as nonunions.
The results of our study have been encouraging. Electrical stimulation of bone may soon be added to the armamentarium of the practicing orthopedic surgeon.
PERCUTANEOUS COMPUTED TOMOGRAPHY STABILIZATION OF MODERATE TO SEVERE SLIPPED CAPITAL FEMORAL EPIPHYSIS
Authors: Ebraheim Nabil A , Rusin Joseph J , An Howard S , Coombs Robert J , Jackson W Thomas , Munk Richard L 
Published: April 2021

ABSTRACT
A percutaneous computed tomography (CT) guided pinning of experimentally reproduced slipped capital femoral epiphysis in five cadavers and one patient - who had bilateral pinning for moderate and severe grade chronic slip - was conducted. Prior investigations of cadavers revealed that this procedure can be performed in selected cases. The details of the technique are illustrated in this article.
CROSSED PINS VS PARALLEL PINS IN THE TREATMENT OF FEMORAL NECK FRACTURES
Authors: Gebuhr Peter , Hovgaard Claus , Petersen Jes Reinholdt 
Published: April 2021

ABSTRACT
Twenty femoral neck fractures treated with three crossed modified Knowles pins (Gouffon pins) were compared to 20 fractures treated with three parallel pins. All patients had survived for more than 2 years after operation. The groups were comparable concerning Garden stage, reduction, and age, No significant difference concerning the failure rate was found.
SHOULDER ARTHROPLASTY IN COMPLEX ACUTE AND CHRONIC PROXIMAL HUMERAL FRACTURES
Authors: Frich Lars Henrik , Søjbjerg Jens Ole , Sneppen Otto 
Published: April 2021

ABSTRACT
From 1983 to 1988, 42 shoulder arthroplasties were performed on comminuted acute or chronic proximal humeral fractures. Patients were categorized according to the postfracture operative delay; there were 15 fourpart fractures, with median post-fracture delay of 13 days (range: 7 to 21), and 27 chronic fractures, including 11 four-part fractures, 9 three-part fractures, and 7 two-part fractures, with median post-fracture delay of 14 months (range: 4 to 72). Follow up was approximately 2 years in both groups (range: 1 to 5). AH patients were evaluated according to a modified Neer score-system and classified into four groups. Pain relief was satisfactory in the acute group, but was unpredictable in the chronic group. The results in the acute group were significantly superior (P<.05). In the acute group, 3 (20%) patients had an excellent result and 6 patients (40%) had a good result, compared to a good result obtained by 6 patients (22%) in the chronic group. Two patients (13%) in the acute group and 11 patients (40%) in the chronic group had a poor result. There were no statistical differences between two-part, three-part, or four-part fractures in the chronic group. Five cases of persistent instability were seen in shoulders formerly treated with osteosynthesis (one acute and four chronic cases). Two of these cases developed an infection. Good results can be expected after prosthetic replacement in acute proximal humeral fractures. Failed primary treatment reduces the possibility of a good result with revision arthroplasty.
TREATMENT OF COMPLEX LIMB DEFORMITIES IN CHILDREN WITH THE ILIZAROV TECHNIQUE
Authors: Atar Dan , Lehman Wallace B , Grant Alfred D , Strongwater Allan , Frankel Victor , Golyakhovsky Vladimir 
Published: April 2021

ABSTRACT
Twenty-nine children underwent 36 Ilizarov procedures for a variety of limb deformities. We present the results in 11 patients, six with leg length discrepancies and five with achondroplasia, who underwent lengthening procedures using the Ilizarov method. Lengthening was accomplished in 15 of the 16 procedures (93%). Average increase in femur length was 10 cm (32%), in tibial length 7.5 cm (30%), in humerus length Il cm (40%), Eleven complications occurred. The most common were pin tract infections (4), joint contractures (2), transient nerve injury (4), premature consolidation (5), and three fractures of the regenerated bone. The complication rate was as high as in other methods, but with the Ilizarov apparatus longer segments of bone were lengthened and more complex deformities were treated. The number of complications were lessened as experience was gained.
QUADRICEPS DISLOCATION MEDIAL APPROACH FOR INTRAARTICULAR AND MEDIAL STRUCTURES OF THE KNEE
Authors: Kim Jung-Man 
Published: April 2021

ABSTRACT
To minimize possible complications such as patellar subluxation, quadriceps atrophy and skin tightness and slough which interfere with successful rehabilitation following knee surgery, the author employed a quadriceps dislocation medial approach for total knee arthroplasty and ligament (medial and both cruciates) surgery. The results of this approach (99 knees) were compared with a medial capsular incision approach (Ul knees), a lateral capsular incision approach (114 knees), and Hughston's medial hockey stick incision approach (122 knees). The skin slough, patellar subluxation, and sense of tightness during rehabilitation occurred least with the quadriceps dislocation medial approach (P<.05). The quadriceps dislocation medial approach was also the most convenient approach of the four.
THE CULTURAL CONTEXT OF POLIO BIOGRAPHIES
Authors: Scheer Jessica , Luborsky Mark L 
Published: April 2021

ABSTRACT
Cultural contexts influence the ways individuals interpret and experience functional losses associated with post-polio sequelae. Using in-depth multiple interview case studies from two National Institute on Aging projects, the concept of "biographies" is presented to place the individuals' polio-related experiences within the context of their lives. Two major cultural contexts shape the construction of polio biographies: normative life course expectations and developmental tasks; and traditions associated with polio recovery and rehabilitation. The authors identify key dimensions of personal concern among polio survivors that can be used as entrance points for effective clinical intervention and to promote treatment compliance.
ARTHROSCOPIC TREATMENT OF DEGENERATIVE JOINT DISEASE OF THE KNEE
Authors: Gross David E , Brenner Stephen L , Esformes Ira , Gross Michael L 
Published: April 2021

ABSTRACT
The role of arthroscopy in the management of degenerative conditions of the knee continues to evolve. This study was undertaken to: (1) assess the efficacy of arthroscopic treatment, (2) identify significant prognostic factors, and (3) further define the indications for treatment. A retrospective review of charts and operative videotapes along with followup evaluation was obtained for 43 knees in 40 patients. Average age was 54 years. Average follow up was 24 months; 72.1% of patients had good results at follow up, 16.3% had fair results, and 11.6% were treatment failures. Preoperative clinical status, severity of degenerative changes, and number of pathologic entities encountered at the time of surgery correlated with the results of treatment. We believe that arthroscopic debridement is an effective means of treatment for mild to moderate degenerative joint disease after failure of conservative measures. By using this treatment option, more extensive surgical procedures may be delayed or avoided.
LYME DISEASE: AN ORTHOPEDIC PERSPECTIVE
Authors: Lawrence Steven J 
Published: April 2021

ABSTRACT
The incidence of Lyme disease is increasing. This spirochetal infection may frequently manifest itself with joint involvement without characteristic dermatologie signs or history of tick bite. Serologic testing remains unreliable. Oral or parenteral antibiotics remain the mainstay of treatment. Chronic arthritis develops in approximately 10% of patients with Stage ?? disease. Lyme arthritis must be considered in the differential diagnosis of patients with mono- or oligoarticular joint involvement, especially in children and young adults with possible tick exposure. Further advances in antimicrobial therapy and serologic testing are anticipated.
PHOTOELASTIC ANALYSIS OF STRESS DISTRIBUTION ON THE TIBIOFEMORAL JOINT AFTER MENISCECTOMY
Authors: Ihn Joo-Chul , Ahn Myun-Whan , Kim Dae-Mang 
Published: April 2021

ABSTRACT
Three-dimensional photoelasticity models of the knee joints were made of epoxy to observe the change in the status of stresses according to the size of defect in the meniscus. Three kinds of meniscus models were made of rubber. Through axial application of a vertical compressive load of 8 kg, equivalent to the joint reaction of 3000 N in the human knee joint, the patterns of the isochromatic fringes were observed and stresses around the knee joint were analyzed according to the size of the defect in the medial meniscus. Stress was increased in magnitude according to the size of the defect of the meniscus, and was focalized after meniscectomy. In the partial meniscectomy model, the maximum stress concentration point of the removed side migrated to the margin of the same side of the joint. But, in the total meniscectomy model, stresses were markedly increased in magnitude on both sides of joints, and maximum stress concentration points were more centralized. This centralization effect would contribute to the degenerative process of the knee joint after meniscectomy.
TREATMENT OF ISOLATED ULNAR SHAFT FRACTURES WITH FUNCTIONAL BRACING
Authors: Oberlander Michael A , Seidman Glen D , Whitelaw George P 
Published: April 2021

ABSTRACT
A prospective study was initiated using functional bracing to treat isolated ulnar shaft fractures. Forty-seven consecutive patients with 48 fractures were treated from July 1987 to January 1989. Twenty-eight patients with 29 fractures were available for follow up. Three of these fractures were subsequently excluded, as they had open reduction and internal fixation, leaving a group of 26 fractures. The mean time to union was 45 days (6.4 weeks). Fractures of the middle third of the ulnar diaphysis had the highest mean time to union, as did those with an oblique fracture pattern of 26% to 50% initial displacement. For union time, there was no significant difference for fracture location (P>.05 via t-test) or for fracture pattern (P>.05 via analysis of variance).