bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Art of Contracting With Speakers: An Overlooked Strategy
Authors: Cox Helen C , Burson Shelley Z 
Published: April 2021

ABSTRACT
In producing quality continuing education courses, contracting with and establishing rapport with speakers is as important as marketing the course itself. Presented in this article are four phases of working with speakers: initial phase, midpoint phase, course presentation phase, and post-course phase. Not only do these phases assist the continuing education program staff in developing a highly organized and well-planned program, but also they offer numerous benefits to speakers so that they can feel comfortable with all arrangements. Thus, the learning atmosphere is one in which the speaker can relax and fully enjoy the continuing education experience.
Financial Management for Nurse Managers-The Bottom Line for Renewal
Authors: Consolvo Carol Ann , Peters Maribeth 
Published: April 2021

ABSTRACT
Cost-effective health care has become the hospital motto for the 1990s. A great majority of costs can be controlled on individual nursing units, but many clinically expert nurse managers lack skills in financial management. Our goal was to teach such skills in a framework in which cost was balanced with quality. The three-day course emphasized leadership skills and management styles, change and renewal, solutions to problems of nurse turnover, and specific financial strategies. Evaluations of the course were positive and demonstrated one way in which valuable nurse managers can learn new skills to keep up with current needs.
Introductions: Necessary Formality or Poetic Prelude?
Authors: Galarowicz LeaRae 
Published: April 2021

ABSTRACT
Whether we are introducing a program, a speaker, or an issue, our purpose is to convey information, spark interest, and create an attitude, preferably a positive one. Many of us tackle the challenge of introductions lightly, exerting no more time and energy than minimally necessary. Is this lack of preparation detrimental to our purpose? This article suggests that introductions can significantly affect the success of a gathering. Specific ways to enrich an introduction are presented.
Concept Maps: Linking Nursing Theory to Clinical Nursing Practice
Authors: Daley Barbara J 
Published: April 2021

ABSTRACT
The purpose of this article is to offer a different methodology for teaching and learning in continuing nursing education and staff development This article describes a qualitative research study that analyzed how linkages are made between theoretical material and clinical nursing practice. Findings indicate that nursing students did not link the elements of nursing process together, that clinical preparation was not linked to theoretical material, that the meaning students made of the information was different than the instructors' and that concepts from the basic sciences were not incorporated into student meaning structures. Implications for the use of concept maps as an educational strategy in continuing nursing education are drawn.
Teaching Nursing Delegation: Analyzing Nurse Practice Acts
Authors: Johnson Suzanne Hall 
Published: April 2021

ABSTRACT
Teaching delegation to nurses, especially for those nurses who have mostly practiced in primary nursing, is challenging. Many staff development and continuing education instructors are teaching delegation principles to nurses today because good delegation skills are needed to effectively implement current skill-mix and patient-focused care changes. In these courses, nurses almost always want guidelines on what they can and cannot delegate to unlicensed assistive personnel and LPN/LVNs. The best foundation for teaching what can and cannot be delegated is the nursing practice act in the state, even though analyzing state practice acts can be cumbersome. Analyzing practice acts as the basis for teaching delegation principles is a critical requirement for today's staff development/continuing educator.
Nurse Administrators' Perceptions of the Impact of Continuing Nursing Education in Underserved Areas
Authors: Sherwood Gwen 
Published: April 2021

ABSTRACT
Qualitative inquiry can provide new dimensions to existing knowledge about how nurses use information from continuing education participation in practice. This study offers descriptions from the perspective of nurse administrators in an underserved area and a time of shrinking resources of nurses' application and use of knowledge gained from continuing education participation. Summarized within a model of change, learning was expressed in personal and professional dimensions including stimulus for innovation, educational and career mobility, networking, sharing knowledge, problem-solving, and improving patient care. Change indicators were the infrastructure linking the implementation in professional practice.
Using Metacognition to Promote Certification Success: The Testing Health Promotion Plan
Authors: Beitz Janice M 
Published: April 2021

ABSTRACT
Metacognition, the process of knowing one's personal learning behaviors, is a powerful force in the educational repertoire of nursing staff development faculty who seek to promote optimal learning outcomes for practicing nurses. Metacognition also supports major goals of educational evaluation which include improvements in learning, instruction, and performance. In this article, metacognition is scrutinized from the perspectives of learning theory and memory processing. Implications for promoting successful certification results are presented.
Domains off Learning: Interdependent Components of Achievable Learning Outcomes
Authors: Menix Kristi D 
Published: April 2021

ABSTRACT
"Domains of learning" refers to the three separate, yet interdependent components of learning outcomes achievable by human learners. These domains-cognitive, affective, and psychomotor-represent various categories and levels of learning complexity and are commonly referred to as educational taxonomies. The cognitive domain refers to knowledge attainment and mental/intellectual processes. The affective domain characterizes the emotional arena reflected by learners' beliefs, values and interests. The psychomotor domain reflects learning behavior achieved through neuromuscular motor activities. Educators use the domains to assist in determination of learning objectives essential to planning, implementing and evaluating teaching-learning processes and outcomes of human learners across the life span. Actual instances of domain use from programs, interviews and the literature complement the theoretical notions presented in this article.
Defining Home Health Care Nursing: Implications for Continuing Nursing Education
Authors: Daley Barbara J , Miller Maggie 
Published: April 2021

ABSTRACT
The purpose of this qualitative interpretivist study was to analyze and articulate the characteristics of nursing practice in the home health care context. Researchers sought to describe expert home health care nursing practice and how it developed. Twenty-one nurses, at various stages of practice development, were asked to write three clinical narratives describing their home health care practice. Data were analyzed to elicit themes and characteristics of nursing practice in the home health care context. Findings indicate that in the context of home health care, expert nursing practice develops along a continuum, until nurses can integrate physiological data with environmental and family data to provide seamless, intuitive, and highly complex nursing care. The results of this research can assist continuing education and staff development providers as they develop educational programs designed to facilitate professional development of new graduates and newly employed nurses in home health care.
The North Carolina AHEC Self-Paced RN Refresher Program: An Evaluation of the First Two Years
Authors: Alden Kathryn Rhodes , Carrozza Michael A 
Published: April 2021

ABSTRACT
The North Carolina Area Health Education Centers (AHEC) Self-Paced RN Refresher Program was designed to promote reentry into practice for inactive nurses. The program consists of a didactic self-study correspondence course and a clinical practicum whereby the refresher nurse works one-on-one with a nurse preceptor. At the end of the first two years, the program was evaluated to determine its effectiveness in terms of participant satisfaction and return to nursing practice and to describe the nurse refresher population demographically. Participants reported a high degree of satisfaction; 69% of nurses who completed the program returned to nursing practice. The typical refresher student is a female Caucasian in her forties, married, and graduated from a diploma nursing program.
Sexuality in Aging: Implications for Nursing Facility Staff
Authors: Steinke Elaine E 
Published: April 2021

ABSTRACT
Sexuality is an area that is frequently overlooked by staff who work with the elderly in nursing facilities. The nursing literature supports a need for education of nursing facility staff about sexual issues and concerns of facility residents. This article describes the effect of an educational intervention on one sample of facility staff and recommends strategies for the education and practice of staff members employed in nursing facilities.
Mundanatories No More
Authors: Markiewicz Terry , Wells Nancy L 
Published: April 2021

ABSTRACT
Mandated educational programs are often a source of dread for instructor and participant alike. The nurse educator, the Clinical Nurse Specialist for Intravenous (IV) Therapy and Nutritional Support, and the Clinical Program Manager for IV Therapy devised a self-paced program to validate the competence of Licensed Practical Nurses (LPNs) in caring for patients receiving IV therapy. The program consisted of learning stations which utilized a variety of formats to satisfy the objectives of the program. The LPN could see, hear about, read about, and ask questions related to IV therapy. Participants could take as much or as little time as was needed to review the stations. Documentation of competence was the completed quiz which became part of the LPN's personnel file. As an added incentive, the returned quiz was also used as an entry form to win door prizes. Compliance for the program was about 71%. Areas for improvement were identified. Feedback concerning the program from participants and planning team alike was very positive.
Surveying Public Health Nurses' Continuing Education Needs: Collaboration of Practice and Academia
Authors: Kelly Carole , Cowell Julia Muennich , Stevens Rachel 
Published: April 2021

ABSTRACT
In the last twenty years, entry level requirements for public health nursing have shifted to less and less educational preparation. Many agencies hire registered nurses with associate degree or diploma preparation who have no experience. The shift in entry level requirements has challenged public health nursing administrators and educators to examine continuing education needs to meet knowledge deficits among public health nurses. The study reported here presente findings from a national survey of 56 state and territorial health departments. The results clarify the continuing education needs and issues related to the educational gaps of public health nurses of the 1990s.
A Holistic Model for Moving Toward Excellence in Chaotic Times
Authors: Evans Judith A 
Published: April 2021

ABSTRACT
Background: Staff development experts in a tertiary-care hospital were searching for a holistic approach to facilitating improved outcomes.
Method: Staff development experts, clinical nurse specialists, and clinical managers developed a model that provides a framework for educators to integrate their energies with those of other leaders in order to create a holistic approach to the goal of achieving excellence.
Results: The model that is proposed links strategies for change with outcome evaluation.
Conclusions: The model provides a conceptual lens that helps nurse leaders focus on organizational assessment, strategies to improve the work environment, and the evaluation of outcomes. The model is useful for guiding practice as well as research.
Refresher Courses for the 21st Century
Authors: Porta Bridget A , Pearson Gayle A 
Published: April 2021

ABSTRACT
One hundred eighty-one (n=181) nurses who completed the Rutgers Nurse Refresher course between the years of 1991 and 1994 were surveyed to determine the outcome of the course in relation to successor return to nursing practice. Of the number of nurses who responded (n=111), 78 nurses (70.2%) returned to practice as RNs. Nurses who completed the course in 1991 and 1992 had higher employment rates as RNs than those nurses who completed the course in 1993 and 1994. Of the 78 nurses who found employment as RNs, 55 nurses (71%) found employment in other-than-hospital settings. An increase in employment in long-term care and other settings, such an physician offices and school nursing was found when the data were analyzed by setting and year of course completion. Findings of the survey are discussed in relationship to changes in health care delivery as well as recommendations for curriculum revision.
Comparing the Effectiveness of Two Methods of Delivering Continuing Education to School Nurses
Authors: Blaber Christine , Jordans Ruta , Weyl Estelle 
Published: April 2021

ABSTRACT
On-site continuing education opportunities for school nurses are limited due to school nurses' geographic dispersion, yet the need is great. This study was designed to create, deliver, and evaluate two methods of providing a continuing education course on comprehensive school health programming for middle school and high school nurses: a 4-day on-site workshop and a six-module home-study course. The home-study course was less expensive to deliver than the workshop, but participants were less likely to complete it. The 4-day workshop had a higher rate of completion and led to greater networking and a stronger sense of self-efficacy among participants.
Advancing Excellence in Community Health Nursing Through Evidence-Based National Standards of Practice
Authors: Belita Emily , Schofield Ruth , Currie Genevieve , Dietrich Leurer Marie , Dosani Aliyah , Cusack Cheryl , Danaher Audrey , Dilworth Katie , Etowa Josephine , Filion Francoise , Joseph Cheyenne , Lukewich Julia , MacDonald Jo-Ann , Reid-Haughian Cheryl 
Published: April 2021

Background:
Current standards of practice are necessary to ensure safe nursing practice in Canada and across the world. This article aimed to describe and present findings from the rigorous review process undertaken to update the 2011 Canadian Community Health Nursing Standards of Practice.

Method:
A revision process included a scoping review of the literature, focus groups, and a modified Delphi method.

Results:
Through the inclusive consultation process, 495 community health nurses enhanced the content of the standards with respect to cultural safety, cultural humility, Indigenous health and ways of knowing, health equity, and evidence-informed practice.

Conclusion:

This comprehensive revision process can guide other nursing specialty groups developing or revising specialized practice standards in Canada and across the world.

[
J Contin Educ Nurs
. 2021;52(4):168–175.]
Early, Design-Related Failure in Total Knee Arthroplasty A Case Report
Authors: Cook Stephen D , Barrack Robert L , Renz Eric A , Edmunds J Ollie , Haddad Ray J 
Published: April 2021

ABSTRACT: The analysis of retrieved implant devices can provide information unavailable through any other method. With the variety of implant designs rapidly increasing, retrieval and analysis of failed cases is an important means of evaluating existing designs, as well as suggesting modifications that might improve implant performance. This paper describes a case in which design considerations, rather than mechanical or material failure, appeared to be a major contributing factor.
Sixteen months after insertion of a Howmedica Kinematic Rotating Hinge knee, the patient complained of barometric pain in the knee. Roentgenograms at that time showed the metallic axle component to be protruding laterally. Upon retrieval the polyethylene bumper-lock component exhibited deep scalloping on its surface, which unlocked the axle and allowed it to slide out.
Long-Term Results of Valgus Tibial Osteotomy
Authors: Pachelli Anthony F , Kaufman Eugene E 
Published: April 2021

ABSTRACT: Valgus tibial osteotomy is a well-recognized procedure for medial compartment arthritis of the knee. The femorotibial angle must be adequately realigned; most unsatisfactory outcomes result from undercorrection. This study of 27 patients (38 knees) with a valgus tibial osteotomy for unicompartmental arthritis of the knee emphasizes the importance of correct alignment. Alignment outside the acceptable range did accelerate deterioration in these patients, followed for an average of 53 months.
in 25 of the 38 knees (66%) results were good to excellent. An alignment of 6° or more of valgus produced an excellent to good result in 21 of 23 knees (91%). Alignment of less than 6° of valgus yielded excellent to good results in 4 of 15 knees (27%).
Although at the end of one year, 31 of the 38 knees were rated as excellent to good, these knees progressively deteriorated. The knees in 6° or more of valgus seldom deteriorated while those in less than 6° of valgus deteriorated more frequently. A valgus tibial osteotomy is an excellent procedure provided the tisiofemoral angle is realigned to 6° or more of valgus.
SUPPRESSIVE ANTIBIOTIC THERAPY IN CHRONIC PROSTHETIC JOINT INFECTIONS
Authors: Tsukayama Dean T , Wicklund Barbara , Gustilo Ramon B 
Published: April 2021

ABSTRACT
Thirteen patients with chronic total joint infections (eight knees, five hips) were treated with suppressive antibiotic therapy and retention of the prosthesis following surgical debridement and 4 to 6 weeks of intravenous antibiotic therapy. These patients faced poor functional outcome after prosthesis removal. After a mean follow up of 37.6 months (range: 24 to 55), only three patients have retained their prostheses. Ten patients required prosthesis removal for recurrent infection a mean of 21.6 months (range: 6 to 48) after starting suppressive therapy. In addition, 38% of patients experienced adverse effects which led to changes in the antibiotic regimen. Suppressive antibiotic therapy in the treatment of chronic prosthesis infections has limited clinical efficacy and is associated with a substantial risk of adverse effects.
RIGID INTERNAL FIXATION FOR SHOULDER ARTHRODESIS
Authors: Stark David M , Bennett James B , Tullos Hugh S 
Published: April 2021

ABSTRACT
Fifteen patients underwent a shoulder arthrodesis utilizing standard dynamic compression plate fixation, but with limited postoperative immobilization with only an abduction pillow. In each ease, the position of the extremity relative to the scapula and trunk was recorded immediately postoperatively, at regular intervals until fusion, and at follow-up evaluations. Thirteen of 15 shoulders fused without change of intraoperative position after an average postoperative period of 4 months. One patient lost position in the early postoperative period secondary to inadequate fixation, but subsequently fused. Another who demonstrated a persistent nonunion at IVi years was subsequently explored and underwent a bone graft Four patients complained of residual symptomatic hardware, with two requiring surgical removal of the plate and screws. AU but one patient were satisfied with the clinical result at follow up. Only two patients were within 5° of the preoperatively determined position of 30° abduction, 30° forward flexion, and 30° internal rotation. However, almost all were able to function satisfactorily. The authors concluded that shoulder arthrodesis utilizing rigid internal fixation without postoperative cast or brace immobilization maximizes patient comfort without compromising the success of arthrodesis. However, control of arm position remains inexact and additional modifications are needed to ensure fusion position and to minimize disability.
STRESS FRACTURES OF THE ANTERIOR TIBIAL DIAPHYSIS
Authors: Beals Rodney K , Cook Robert D 
Published: April 2021

ABSTRACT
Stress fracture of the anterior tibial diaphysis is rare and occnrs mostly in leaping athletes. Thirty-six of these fractures in 35 patients have been reported in the literature. These are combined with 15 similar fractures in onr experience to provide combined data on 51 anterior tibial stress fractures. Comparison of the varions treatments utilized disclosed that there is a high risk of complete fracture if affected patients are allowed full activity, and that treatment by rest alone allowed only 40% to return to full activity even after symptomatic improvement. The treatment recommended for these patients is excision of the fissure, transverse drilling at the fissure site, and cancellous bone grafting of the defect. In those patients who suffer a complete fracture, open reduction and internal fixation is superior to closed treatment.
ANTERIOR INTERBODY FUSION FOR SPONDYLOLISTHESIS
Authors: Kim Nam Hyun , Kim Dong Jun 
Published: April 2021

ABSTRACT
We evaluated the clinical and radiologic results and the immobilizing effect of the Knight-Kim brace for bony union in 75 consecutive cases of spondylolisthesis treated by anterior interbody fusion. The fifth lumbar vertebra was the most common site involved (55%). The patients were followed for a minimum of 2 ½ years (range; 2 ½ to 14; average: 4.5). All cases were approached retroperitoneally, and autogenous bone graft was obtained from the iliac crest. The donor site was reconstructed by polymethylmethacrylate bone cement. Among the 75 cases of grade I, II, and III slippage according to Meyerding's grading system, 58 cases (77%) showed complete bony union after 1 year follow up. Excellent and good clinical results were obtained in 65 cases (87%) at 1 year postoperatively. The state of bony union did not always correlate with the clinical symptoms. We conclude that the simple KnightKim back brace was valuable for postoperative immobilization.
A CLINICAL STUDY OF STRESS FRACTURES IN SPORTS ACTIVITIES
Authors: Ha Kwon Ick , Hahn Sung Ho , Chung Minyoung , Yang Bo Kyu , Yi Seung Rim 
Published: April 2021

ABSTRACT
One hundred thirty-one patients with 169 stress fractures were treated between January 1984 and January 1990. The highest incidence was in teenage girls (25.5%), and the predominant sites were tibia (31.5%) and femur (12.5%). The mean interval between the start of hard training and the onset of symptoms was 2.7 months and the mean amount of increased activities was 93.7%. Volleyball (24.3%) and running (17.3%) had the majority of incidents, and 95 (72.5%) patients were professional athletes. Radionuclide bone scans were needed in 61 (46.6%) patients and 16 (12.2%) showed multiple lesions. Asymptomatic stress fractures were found in 12 (9.2%) patients, and only five showed recurrence at the other sites. Eleven (6.5%) cases were treated operati vely, and involved the tarsal navicular (2.9%) and femur (2.4%).