bluuebunny/crossref_metadata_2025_split huggingface dataset:
From RN to BSN: Seeing Familiar Situations in Different Ways
Authors: Callin Mona 
Published: April 2021

ABSTRACT
Registered nurses enrolled in post-RN programs are a special group of students with unique learning needs. One important outcome of a successful post-RN program is the ability of its graduates to see familiar situations in different ways and to demonstrate these changes in new and different approaches to patient care. This shift in the way nurses see themselves and their worlds can be described and explained by Mezirow's Theory of Perspective Transformation. This article discusses perspective transformation related to post-RN students in nursing programs; describes teaching-learning models that assists perspective transformation to take place; identifies conditions that promote perspective transformation; and suggests some strategies to facilitate the process.
Taming the "No-Show" Tiger: Decreasing the Rate of Absenteeism at Educational Programs
Authors: Michal Diane M , Omer Laura P , O'Very Dorothy I , Leblanc Lynne , Chaffee Mary W , Delizo Caroline V 
Published: April 2021

ABSTRACT
A multidisciplinary staff development department developed a continuous quality improvement project to study the consistently high absentee rate for scheduled training and its relationship to the class registration process. Data were collected using a 9-question survey of students who failed to attend scheduled training. Findings show that changes to the class registration process resulted in a decrease in the number of absentees under the control of the staff development department from an average of 43% to 6% by the end of the year-long review period. The overall absentee rate stabilized at 20% and has been established as the benchmark for this setting.
Reflective Learning: Work Groups as Learning Groups
Authors: Carkhuff Marjorie H 
Published: April 2021

ABSTRACT
Staff development educators are challenged to develop additional learning strategies to meet the demands of the professional nurse in the changing healthcare environment today. Methodology for workplace learning is being developed to meet the critical thinking skills necessary for the professional nurse of the future. This article identifies the use of reflective learning in the workplace and reports outcomes from the implementation of the reflection-on-action technique. The implications for staff development educators are reviewed for the concept of work groups as learning groups.
Psychometric Evaluation of the Program Evaluation Instrument
Authors: Schneider Joanne Kraenzle , Connelly Lynne M , Martin Arneatha 
Published: April 2021

ABSTRACT
Most continuing education program evaluations are developed informally with little attention paid to psychometric properties. Rigorous evaluation of continuing education programs should measure quality and allow valid comparisons across programs. The Program Evaluation Instrument (PEI), which evaluates continuing education programs, was tested in this study to further evaluate its psychometric properties. The 19-item instrument consists of four theoretical subscales: program objectives, learner objectives, teacher behavior, and program satisfaction. Participants (N=566) completed the instrument after a variety of hospital continuing education programs. Principal components factor analysis with Varimax rotation revealed two interpretable factors, Preparation and Presentation, and Usefulness. Coefficient alphas for the two factors were .94 and .70 respectively. The findings suggest item revision and further psychometric evaluation.
Changes in Leadership Styles as a Function of a Four-Day Leadership Training Institute for Nurse Managers: A Perspective on Continuing Education Program Evaluation
Authors: Wolf Margret S 
Published: April 2021

ABSTRACT
This study measured changes in knowledge acquisition and application of the Hersey and Blanchard model of leadership styles and leadership style adaptability among 144 registered nurses who participated in a four-day management institute. A pre- and post-institute administration of the LEAD-Self instrument was conducted. Although the findings demonstrated a significant change in the participants' leadership styles, the data revealed that outcomes were not as positive as had been assumed based on participants' selfreports. The discussion of findings reveals the complexity and the necessity of measuring learning outcomes for continuing education program improvement.
Community-Based Educational Programs for Cancer Nursing
Authors: Grant Marcia M , Anderson Paula R , Ritchey Kathie Jo , Gold Sara 
Published: April 2021

ABSTRACT
A United Way grant allowed the Department of Nursing Research and Education to make available its expertise in cancer nursing and establish itself as a resource for oncology. Community educational needs were assessed by a questionnaire sent to outside agencies prior to designing an oncology educational program. In a 9-month period, 57 classes at 21 different facilities representing 417 hours of instruction were provided. Nurses attending the classes totaled 1,175. Results showed an increase in scores from pre-test to post-test, indicating that participants demonstrated increased knowledge as a result of class participation. This funding provided the catalyst to prepare a large number of community hospital nurses in the complex care of oncology patients.
Nurses and Public Law 102-119: A Family-Centered Continuing Education Program
Authors: Winstead-Fry Patricia , Bishop Kathleen Kirk 
Published: April 2021

ABSTRACT
The passage of Part H of the Education of the Handicapped Act, Public Law 99-457, and the reauthorization of the law in 1991, as Public Law 102-119, mandates a family-centered approach to the provision of services to infants and young children with handicaps. Nurses are named as providers in this federal legislation. The authors conducted a survey to assess the learning needs of nurses who may wish to serve as providers under the law. The survey results were used to develop a family-centered continuing education curriculum that pairs parents and nurse faculty as partners in delivering the curriculum.
The Enhancement of Writing Skills Among Post-RN Students
Authors: Thorpe Karran , Kulig Judith C 
Published: April 2021

ABSTRACT
Nurses need to communicate in oral and written formats, but the emphasis on concise charting and multiple-choice examinations hinders the development of scholarly writing skills. A questionnaire completed by 97 students identified the areas within writing and formatting that needed strengthening. Three strategies, useful to continuing education programs for nurses, were incorporated in a post-RN program to enhance the students' writing abilities: a writing skills workshop, an in-class writing exercise and a draft paper assignment. Student evaluations have supported these strategies as well as guidance by faculty in assisting students to improve their writing.
Influence of Professional vs. Personal Role on Pain Assessment and Use of Opioids
Authors: McCaffery Margo , Ferrell Betty Rolling 
Published: April 2021

ABSTRACT
Previous surveys have revealed that patient characteristics such as behavior may influence nurses' decisions about pain assessment and analgesic use. This survey suggested that the role assumed by the nurse, professional versus personal, also influences these decisions. The findings further suggested that continuing education aimed at improving pain management needs to include not only knowledge about pain assessment and safety in the use of opioid analgesics, but also teaching methods that increase empathy.
Application of Nursing Interventions Classification (NIC) in a Cardiovascular Critical Care Unit
Authors: Robbins Barbara T 
Published: April 2021

ABSTRACT
The nursing profession is moving toward developing a standardized language. Benefits of such a language are outlined. Nursing Interventions Classification (NIC) (Iowa Intervention Project, 1992), a standardized language for nursing interventions, has been recently developed by the Iowa Intervention Project. This article describes how NIC was incorporated into a nursing care plan in a tertiary acute care facility. Teaching strategies, which include aspects of adult learning theory and motivational theory, are discussed, utilization of creativity and variability in the planning and implementation of a unit based inservice program were the most beneficial strategies used.
Thinking About Thinking
Authors: Ulsenheimer Jeanine H , Bailey Donna W , McCullough Elleton M , Thornton Susan E , Warden Elizabeth W 
Published: April 2021

ABSTRACT
Background: The nursing leadership at a 900-bed tertiary-care facility in the southeast believed an opportunity existed to improve the critical thinking abilities of the professional nursing staff.
Method: A team, consisting of a diversified group of nurse educators and managers, had the opportunity to gain understanding of the critical thinking process of the nursing staff as well as to develop a plan designed to improve critical thinking skills.
Results: Outputs of the team included development of a critical thinking model and process as well as an action plan that specifically outlined how it would implement the model within the organization using a preceptor-based educational process.
Conclusion: Nursing leadership within this facility believes that nurturing critical thinking in the staff will have a positive impact on care delivery outcomes. Creating shared visions through the assumptions that the staff and organization hold is important to improving care provided. Assisting staff with using a critical thinking process in order to construct, tear down, and then reconstruct clinical incidents as encouraged by this model is one key to problem-solving.
Collaborative Research Among Clinical Nurse Specialists and Staff Nurses
Authors: Govoni Amy L , Pierce Linda L 
Published: April 2021

ABSTRACT
Background: Conducting research in clinical settings can be problematic for many nurses in practice due to lack of experience and support.
Method: Research collaboration between clinical nurse specialists and staff nurses in clinical settings can promote development of their research process skills.
Results: Strategies identified can be applied by clinical nurse specialists involved in continuing education and staff development in clinical practice through further research development.
Conclusion: Collaboration among clinical nurse specialists and staff nurses provides a unique and strong link that transcends degrees and roles to make substantial contributions to professional nursing practice.
Identification, Intervention and Education: Essential Curriculum Components for Chemical Dependency in Nurses
Authors: Pullen Lisa M , Green Laura A 
Published: April 2021

ABSTRACT
Background: A documented need exists for continuing education in the area of chemical dependency as it relates not only to patient care, but also to nurses who are susceptible to addiction. This is significant due to the fact that nurses are at risk for chemical dependency and many nurse peers are unable to recognize the signs of chemical dependency and therefore unable to actively intervene.
Conclusion: According to the literature, which includes current research, nurses lack knowledge regarding specific risk factors, symptoms of chemical dependency in peers, and steps for intervention. In addition, the literature revealed that nursing curricula allot little time to chemical dependency issues. The results of a small-scale learning needs assessment support this literature finding. Continuing education courses can effectively educate nurses to be able to identify their own susceptibility and those of chemically dependent peers, intervene appropriately, and begin the healing process for the impaired nurse. This article outlines a curriculum and additional resources to address the learning needs of nurses related to chemical dependency.
Substance Abuse Education for Clinical Nurses: A Controlled Study
Authors: Graham Antonnette V , Christy Kathleen , Emmitt-Myers Stephanie , Zyzanski Stephen 
Published: April 2021

ABSTRACT
Background: A study was conducted to evaluate a substance abuse component of a workshop for nurses being promoted to the position of Advanced Clinical Nurse.
Methods: We compared whether the 88 nurses who received the educational intervention increased their knowledge and enhanced their feelings of competence regarding the care of chemically dependent patients more than a control group of nurses who received the promotion workshop without the substance abuse component.
Results: The nurses in the intervention group had greater increases in knowledge and competence.
Conclusions: This study points out the importance of providing hospital nurses with continuing education on substance abuse to compensate for their educational deficiencies, to provide the information they need and desire, and to help them meet the ANA's practice standards.
Cortical Evoked Potentials in Spinal Surgery
Authors: Faust Donald , Happel Leo T 
Published: April 2021

ABSTRACT: Few complications of surgery are as devastating as paraplegia in a patient who has been operated on for correction of a spinal abnormality. Early warning of potential damage to the spinal cord is highly desirable. This is possible with cortical evoked potentials. It measures electroencephalographic activity after peripheral nerve stimulation, and may be used during surgery without interrupting the procedure.
In this report, 42 patients were studied by means of cortical evoked potentials. Findings in 35 patients were unremarkable. Six showed changes that made the test valuable; four of these six patients had changes that were ominous. In three of the four, the changes were appreciated and corrections were made to avoid paralysis. In one, changes were not appreciated and the patient became paralyzed. In one case, improvement in conduction was evident when the deformity of the spine was corrected. In another case, the latency was momentarily prolonged when a feeder artery to the cord was ligated.
Although this technique requires special training and equipment, its value justifies the trouble and expense. Certainly its common use in spinal surgery is inevitable.
EFFECT OF TREATMENT AND NONCOMPLIANCE ON POST-POLIO SEQUELAE
Authors: Peach Paul E , Olejnik Stephen 
Published: April 2021

ABSTRACT
In this study of 77 patients with post-polio sequelae (PPS), symptoms and manual test scores on initial evaluation were compared with those at subsequent follow-up evaluations. Patients were divided into three groups based on the degree to which they had complied with clinically recommended interventions: compilers, partial compilers, and noncompliers. At the end of the follow-up period (2.2 ± 1.2 years), the mean muscle function scores of the entire study group had declined - 1.5%, which represented a decline of -0.7% annually. On follow-up evaluations, the compiler group had realized an improvement or resolution of post-polio symptoms, and also an improvement in muscle function of +0.6% annually. The partial compiler group had realized either no improvement, or improvement in post-polio symptoms, but showed a further decline in muscle function of -3.0%, or an annual decline of -13%. The noncomplier group showed either no change, or a worsening of post-polio symptoms, and also showed a further decline in muscle function of -4.1%, which represented an annual decline of -2.0%.
SUBTROCHANTERIC FRACTURES FOLLOWING OSTEOSYNTHESIS OF FEMORAL NECK FRACTURES WITH THE VLC-FEMORAL SYSTEM
Authors: Blyme Peter J H , Kristensen Gert , Jensen Claus Hjorth , Tørholm Carsten 
Published: April 2021

ABSTRACT
Twenty-two patients with femoral neck fracture were treated with the VLC (Variable Length Cannulated)-femoral screw system. In four patients, the osteosynthesis had complications with ipsilateral subtrochanteric femoral fractures in relation to the screw holes in the lateral cortex. The problem seemed to be excessive stress on the lateral cortex during insertion of the screws. The method has been abandoned in our department.
OXYGEN SATURATION DURING REAMING AND INTRAMEDULLARY NAILING OF THE FEMUR
Authors: Blitzer Charles M , Hamilton Lawrence 
Published: April 2021

ABSTRACT
Oxygen saturation was monitored during the reaming and intramedullary nailing of 15 femoral fractures (three impending) to assess the relationship between intramedullary reaming and nailing and the production of hypoxemia. There were no statistically significant drops in oxygen saturation during this procedure in either the fractured or intact (impending fractures) femora.
CHANGING PATTERNS OF PROPHYLAXIS FOR DEEP VENOUS THROMBOSIS FOLLOWING ELECTIVE HIP REPLACEMENT
Authors: Grossman Robert S 
Published: April 2021

ABSTRACT
The author audited the charts of elective hip replacements at a community hospital over an 18 month period. Initially, aspirin was the most commonly ordered prophylactic agent (31%). Only 15% of patients received an ideal or probably effective prophylactic regimen. After feedback was received by the orthopedists, another audit was performed. Warfarin was the most commonly used agent and 54% of patients received an ideal or probably effective regimen in the follow-up period (P<.0001 compared to initial survey). Although there is still room for further improvement, orthopedists in this community are using more effective regimens to prevent thromboembolism following elective hip surgery.
PEDIATRIC FEMUR FRACTURES: AN OVERVIEW OF TREATMENT
Authors: Levy Jon , Ward W Timothy 
Published: April 2021

ABSTRACT
Femur fractures in the pediatric population are common injuries which may be either isolated or associated with polytrauma. The orthopedist is faced with treatment options ranging from skin traction to more aggressive methods, including internal or external fixation. We review the pros and cons of current treatment options. A simple treatment algorithm based on age of the patient, other associated injuries, and open vs closed injury is presented.
INTERLOCKING INTRAMEDULLARY FIXATION OF HAND FRACTURES
Authors: Dabezies E Jean , Faust Donald C 
Published: April 2021

Abstract
Reduction and stabilization can be especially difficult in treating comminuted hand fractures with bone loss or nonunion. Two cases are presented to illustrate a method of intramedullary fixation using an AO mini fragment reconstruction plate, which allows interlocking fixation proximally and distali). Any defect can be Filled with corticocancellous bone graft. When necessary, this graft can be fixed to the metal plate that acts as a strut.
The fixation obtained is stable against rotational, angular, and compressive forces, making it a useful adjunct to the hand surgeon's armamentarium.
STABILITY IN RELATION TO HUMERAL HEAD RETROVERSION AFTER SURGICAL TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATIONS
Authors: Kronberg Margareta , Broström Lars-Åke , Posch Elisabeth 
Published: April 2021

ABSTRACT
This study reports the influence of the retroversion angle on the postoperative stability in 50 patients operated on for recurrent shoulder dislocations. Fifty-two shoulders were reviewed by radiographic and clinical examinations. Particular attention was focused on humeral head retroversion, shoulder stability, and range of motion in relation to surgical technique. The retroversion angle was significantly reduced in 30 of 47 shoulders, for which satisfiactory radiographs could be achieved. Mean humeral head retroversion was 24° for both dominant and nondominant shoulders. Forty-eight of 52 reexamined shoulders became stable. Four had remaining instability following a Putti-Platt procedure, with a mean retroversion angle of 18°. A reduced humeral head retroversion is therefore proposed as an important factor in creating instability, and may be one explanation for failed stability after soft tissue repair. Irrespective of the type of surgical procedure (Bristow or Putti-Platt), there was a significant decrease in range of shoulder rotation in the operated shoulder compared to the contralateral stable shoulder and to reference values for normal controls. However, decreased rotation was not found to impair shoulder function, and 48 of the 50 reexamined patients generally improved after surgery.
REFLEX SYMPATHETIC DYSTROPHY IN CHILDREN: AN ORTHOPEDIC PERSPECTIVE
Authors: Stanton Robert P , Malcolm James R , Wesdock Kimberly A , Singsen Bernhard H 
Published: April 2021

ABSTRACT
To design diagnostic criteria for reflex sympathetic dystrophy (RSD) and to initiate a prospective treatment protocol, we reviewed our experience with 49 episodes of RSD in 36 children. There were 24 females and 12 males; mean age at diagnosis was 13.4 years (range: 8 to 19); mean time from pain onset to correct diagnosis was 9.2 months (range: 1 to 53). Lower extremity involvement predominated. Pain was "severe" in 61%, and skin color changes, swelling, hyperesthesia, abnormal skin temperatures, muscle weakness, and decreased range of motion were all present in at least 75% of cases. Osteopenia was observed in 15 of 38 radiographs; of 24 bone scans, 7 were normal, 11 showed increased uptake, and 6 demonstrated decreased uptake. Of the 23 children who had psychological evaluations, 83% revealed some type of significant emotional dysfunction. Analgesic and antiinflammatory medications were not helpful, nor were local injections or regional blockades effective. An inpatient diagnostic and rehabilitation program for treating chronic pain, including orthopedics, rheumatology, psychology, and twice-daily physical therapy was most likely to lead to resumption of age-appropriate activities. Despite extensive physiological testing, physician, parent, and/or patient reluctance to accept absence of a primary organic disease was common. We present diagnostic criteria for pediatric RSD.
COMPLICATIONS IN ARTHROSCOPIC SURGERY OF THE KNEE AND SHOULDER
Authors: Small Neal C 
Published: April 2021

ABSTRACT
Arthroscopy is a valuable technique used by the majority of orthopedic surgeons in practice. Complications in arthroscopy have been compiled on a formal basis since 1983. Several studies on complications are reviewed and summarized. A recent prospective study on complications is reviewed in detail. The most frequent type of complication encountered in arthroscopic surgery is hemarthrosis. The procedure with the highest complication rate is the lateral retinacular release. Technical considerations are discussed which would be useful in lessening the incidence of complications in arthroscopy.
CURRENT CONCEPTS IN ANKLE ARTHROSCOPY
Authors: Baker Champ L , Graham John M 
Published: April 2021

ABSTRACT
Ankle arthroscopy has rapidly become an important diagnostic and therapeutic procedure. Currently, indications for operative arthroscopy include transchondral talar dome fractures, acute articular fractures with hemarthrosis, posttraumatic synovitis, loose bodies, inflammatory synovitis, degenerative joint disease, and soft tissue impingement. Diagnostic arthroscopy is indicated for the patient with a chronically painful, symptomatic ankle when nonoperative treatment has failed and other measures have failed to produce a diagnosis. Three standard portals are used for routine ankle arthroscopy and allow a systematic examination of the joint. Mechanical distraction may be required to visualize the entire joint, the tight ankle, the ankle with posterior lésions, or to allow operative instruments to be introduced. The use of lasers in arthroscopy has yet to be clearly defined. The small size of the laser is an advantage in the ankle, but cost remains a disadvantage. Advances in technique and equipment will continue to expand the indications for this procedure.