bluuebunny/crossref_metadata_2025_split huggingface dataset:
Decentralized Nursing Education: Does It Work?
Authors: Princeton Joy Clausen , McGrath Barbara Jo 
Published: April 2021

ABSTRACT
University-based nursing schools throughout the nation have attempted to decentralize nursing education from urban health science centers into rural areas. This article summarizes the outcomes of such a program. Data were collected from nurses working in rural North Carolina about their perceptions of the decentralized nursing education program in their region. The data have been used to gain continuing support and funding for the decentralized program.
Impact Evaluation of a Statewide Continuing Education Program
Authors: Connors Helen R 
Published: April 2021

ABSTRACT
A pre/posttreatment design was used to assess the impact of a statewide continuing education program on the case management knowledge and skills level of nurse participants. To accomplish this task, three instruments were developed and utilized: a demographic questionnaire, the pre- and postcognitive assessments for each learning module, and the Competency Behaviors of the Case Managers Inventory (CBCMI). Results indicated a significant difference (p < .0001) in knowledge and perceived performance for the 57 subjects who participated in this study. These findings suggested that continuing education does impact the professional performance and practice of nursing.
A Competency-Based Orientation Program for the Clinical Nurse Specialist
Authors: DiMauro Kathleen , Mack Leslie Bobb 
Published: April 2021

ABSTRACT
A factor affecting role development of the clinical nurse specialist (CNS) is the orientation process. Unless nursing service provides the structure for enhancing role development, frustration, nonacceptance, and even early termination of a qualified clinical nurse specialist may result. An orientation program provides the mechanism to guide the CNS through the introduction phase of the CNS role in the institution. Without such a program, the CNS may not acquire the fundamental understanding of the nursing departments service and educational philosophy.
Use of the Nursing Simulation Laboratory in Reentry Programs: An Innovative Setting for Updating Clinical Skills
Authors: Wood Robin Y 
Published: April 2021

ABSTRACT
Nurses who have been inactive for five or more years are deficient in technical skills and have high levels of anxiety regarding these deficiencies. Collegiate school of nursing laboratories are ideal settings to provide skill practice, reduce fear regarding new technology, and restore confidence of returnees. This article describes the laboratory component of a clinical update course that uses principles of adult education and self-pacing through independent learning stations to teach contemporary nursing skills. A description of instructional resources and equipment used to facilitate the practice is included.
A Pilot Program to Promote Professional Growth for Neuroscience Nurses
Authors: Weeks Michele J , Counsell Colleen M , Guin Peggy R 
Published: April 2021

ABSTRACT
A pilot program was developed as a strategy to increase professional growth on a neuroscience unit. The primary objective of the program was to allow staff nurses to participate in activities that interface with the neuroscience patient population. Nurses could choose an area of interest that related to their unit responsibilities. This experience provided the participants with the unique opportunity to participate in patient care from the perspective of another discipline. The staff were enthusiastic about the experience and shared it eagerly with their peers. Participants' evaluation of the program was overwhelmingly favorable. The data suggest that this program was an effective means of increasing professional growth and staff development.
Preparing Nurses for the Inevitable: The New Madrid Earthquake
Authors: VanArsdale Stephanie K , Hammons James O 
Published: April 2021

ABSTRACT
Although this article discusses earthquake preparedness for the New Madrid seismic zone, registered nurses in any location will be on the front line as patient caregivers and managers in the event of a damaging earthquake. Two self-instructional modules were developed to educate registered nurses about earthquake preparedness. Statistical analyses of pretest and posttest scores from nurses who completed the modules and from nurses who participated in a control group reveal that the modules are effective educational tools. This information will make them more effective as nurses during and after an earthquake and emphasizes the need for their involvement in disaster mitigation and planning.
How Do Older Nurses Perceive Their Clinical Competence and the Effects of Age?
Authors: Wheeler Linda A 
Published: April 2021

ABSTRACT
In 1996, the first of the baby boomer population bulge that includes registered nurses (RNs) will reach age 50. Considering the prevailing negative stereotypes about women, nurses, and older adults in general, it is necessary to understand the abilities and needs of older nurses. This qualitative study was the first stage of a needs assessment of professionally mature RNs. Eight female RNs, employed full-time in an acute care setting and over age 50, were interviewed to determine their perceptions, attitudes, and beliefs about their own professional competence and how they believed they were perceived by others. Results indicated that older RNs felt good about themselves and the profession, and valued traditional bedside nursing and professional behaviors. Of the eight recurring themes found, the need for continuing education generated the most discussion. Will the methods and resources of the past meet the educational needs of the older nurses? Further study is recommended to discover their needs and the needs of their employers.
Two-Way Interactive Video: Maximizing Distance Learning
Authors: Havice Pamela A , Knowles Michelle H 
Published: April 2021

ABSTRACT
The challenge of providing continuing education courses in a timely manner is becoming increasingly difficult because of the rising costs in travel and presentation materials. Two-way interactive video (TWIV) presents an opportunity for delivering programs in a user-friendly, affordable, and convenient way. This article covers the history of two-way interactive video (TWIV), the necessary equipment for a TWIV classroom, significant research findings and uses for TWIV. Also discussed are ways of using TWIV to enrich the practice and art of nursing.
Let Me Entertain. . .er. . .Teach You: Gaining Attention Through the Use of Slide Shows
Authors: Gigliotti Eileen 
Published: April 2021

ABSTRACT
The lecture method has been and continues to be the object of criticism. But, perhaps, it is not the lecture which should bear the brunt of the criticism, but rather the lecturer. All too often the audience is bored. This article examines several popular media currently used to enliven the lecture. Instructional design theory is used to discuss their limitations. The use of a self-assembled slide show, featuring novelty and humor, is advocated in order to assist the lecturer in gaining attention and, thereby, avoiding the boredom pitfall. Useful suggestions for developing a slide presentation are provided.
An Innovative Solution to Assessing Staff Learning Needs
Authors: Maloney Patricia , Kane Janie W 
Published: April 2021

ABSTRACT
Traditional needs assessments for continuing education reflect personal interests and perceptions of learning needs rather than actual knowledge deficits. With an influx of new staff in a rapidly expanding neonatal ICU, time constraints made it imperative to accurately assess the learning needs of the novice practitioner. A needs assessment tool, developed by the unit-based education committee, identified gaps in knowledge among NICU staff. The questionnaire consisted of direct questions covering aspects of clinical and professional issues in neonatal care. The respondents were asked to indicate their ability to answer the questions completely, partially, or not at all. The questions were categorized according to patient populations and professional issues, thereby providing curriculum for continuing education specific to identified learning needs.
Mandatory Inservice Offerings: Implementation of an All-Day Method
Authors: Bagnall Deborah L , Schemmel Mary E , Hansen Mary C 
Published: April 2021

ABSTRACT
This article describes the development and evaluation of an alternative approach to providing mandatory inservice offerings, whereby all yearly inservice requirements are presented during a 1-day program. Results of the evaluation of the allday method employed to meet goals of compliance with attendance, cost-effectiveness, and participant and management satisfaction are also presented. The all-day approach used to provide mandatory inservice offerings was found to be an effective method for providing quality, costeffective mandatory staff education.
MobyEd: A Mobile Educator Unit
Authors: Evanoski Carol Ann , Henderson Doris W 
Published: April 2021

ABSTRACT
A mobile educator unit is a cost-effective teaching tool that can be easily implemented in an acute hospital setting to assist in teaching patients, visitors, and personnel about health and wellness. The educator unit cannot replace the face-to-face interactions between professional and patient or visitor, but it can supplement and make information more readily available than a stationary display.
Perception of Learning Needs and Preferred Learning Methods About AIDS/HIV Among Registered Nurses Working in the Community in Texas
Authors: Demirbag Birsel Canan , Ridenour Nancy 
Published: April 2021

ABSTRACT
It is important for nurses and other healthcare workers to recognize that patients who present themselves for health care could already be infected with human immunodeficiency virus (HIV). Therefore, appropriate and sensible infection control precautions should be taken at all times. An assessment of nurses' knowledge of acquired immunodeficiency syndrome (AIDS)/HIV provides information to guide further continuing education efforts. This study describes the learning needs and preferred learning methods regarding AIDS/HIV among registered nurses working in a community in Texas. Respondents confirmed the need for important content areas regarding primary, secondary, and tertiary prevention such as universal precautions, protection from infectious diseases, and occupational hazards for healthcare providers. Several teaching methodologies were included. Self-paced instruction was the least preferred teaching-learning method; hands-on methodology was most preferred for the topics of clinical manifestations, long-term care, testing, and counseling.
Pilot Testing an Independent Study Series on Research
Authors: Reineck Carol A 
Published: April 2021

ABSTRACT
The Army Nurse Corps developed The Critical Reading of Research Publications (CRRP) program, an independent study series for small groups. The goal of the program is to improve patient care by providing a means for nurses to learn basic research principles in a self-paced format, while reading and discussing nursing research articles of clinical relevance. Continuing education (CE) approval of the program required pilot testing to evaluate its ease of use, effectiveness, and allocation of CE contact hours. The purpose of pilot testing was to improve both the participants' experience and the administrative management of the CE program. The constructive feedback received by potential consumers resulted in incremental improvement of an innovative educational program in nursing research.
The Time Has Come-A Study of Geriatric Continuing Education in Ohio Visiting Nurse Associations
Authors: Hekelman Francine P , Niles Sheila A , Snyder Clint W , Stricklin Mary Lou 
Published: April 2021

ABSTRACT
A majority of nurses working in the community lack formal educational preparation to care for older adults. This study examined the perceived learning needs of Visiting Nurse Association (VNA) executives and agency staff nurses in Ohio related to continuing education in gerontology. Twenty-six executives and 478 staff nurses were asked to complete a gerontologic education survey; 17 executives and 344 staff nurses returned surveys. Findings suggest that few Ohio VNAs have focused on continuing education in gerontology. Indications exist that executives and staff nurses are not always in agreement regarding the importance of content needed for updating gerontological knowledge and skills. Educational and organizational strategies are offered to provide minimal standards for gerontologic professional practice in home care.
Focus Group Interviews: Assessment of Continuing Education Needs for the Advanced Practice Nurse
Authors: Brooks Evelyn L , Fletcher Kathy , Wahlstedt Patricia A 
Published: April 2021

ABSTRACT
This article reports the use of focus group interviews to promote the development of continuing education programs that meet the needs of advanced practice nurses (APNs). The three major needs identified were: a) enhancement of clinical practice skills and knowledge in specialty areas, b) education about future changes in the APN role, and c) education in management strategies for the changing health care delivery system. A summary of the investigation and implications for continuing nursing education departments are also presented.
Creative Strategies for Updating Knowledge on Sexually Transmitted Diseases
Authors: Stephenson Nancy L N , Lee Belinda Temple 
Published: April 2021

ABSTRACT
Updating knowledge is important in maintaining effective nursing competency. The hectic pace of health care delivery in the 1990s does not always allow for attending day-long continuing education sessions. This article presents creative teaching-learning strategies that are self-paced, interesting, and less time intensive, designed to update nurses on sexually transmitted diseases.
Learning Needs Assessments: Definitions, Techniques, and Self-Perceived Abilities of the Hospital-Based Nurse Educator
Authors: Mailloux Judith Pomeroy 
Published: April 2021

ABSTRACT
The purpose of this article is to describe survey research on learning needs assessment, conducted to determine definitions, techniques, and confidence levels of the hospital-based educator. Confidence levels related to fulfillment of the needs assessment role and resources available to the nurse educator are described. In a survey of 223 hospitals, a 69% return rate showed that the hospital educator used "real need" (lack of understanding, skill, or ability) as their primary definition. Professional standards, records and reports, and technological and institutional changes were primary sources of program determination. The nurse educator was confident in traditional roles but less confident in developing competency-based evaluations and clinical simulations.
The Dilemmas of Experiential Teaching: Toward an Interpretive Approach
Authors: Andrew Mary 
Published: April 2021

ABSTRACT
Continuing education in nursing uses the experience of the learner as a basis for the examination of practice issues. The unique and personal nature of this experiential learning is, however, particularly problematic where assessment of the learner or the course is required. This article offers part of the findings from an evaluative, ethnomethodological study into the reflections of learners attending an experiential course in communication in palliative care. In the part of the study described here, the critical perceptions of three learners following one experiential exercise are compared with the stated aims of the facilitators and their subsequent actions. The analysis uses the conceptual framework of Schön's reflection-in-action. It is suggested that an interpretive approach toward teaching in the experiential domain may lead to a more relevant assessment of learning.
Integrating Ongoing Evaluation Process for International Pediatric Nursing Courses
Authors: Katz Shira , Hendel Tova 
Published: April 2021

ABSTRACT
Two international pediatric courses for nurses from developing countries were planned and implemented in Israel during the past 2 years. The courses consisted of 53 RNs from 29 countries. The purpose of this article is to describe the ongoing evaluation and follow-up process of these courses. Findings indicated that the majority of nurses expressed: a) high satisfaction with the course and felt it enhanced their professional capacity and practice, and benefited their colleagues and superiors; b) high motivation and enthusiasm to improve nursing practices in their home countries; c) changes in attitudes and beliefs relating to pediatric nursing.
The Use of Gaming Strategies in a Transcultural Setting
Authors: Gary Rebecca , Marrone Stephen , Boyles Catherine 
Published: April 2021

ABSTRACT
Saudi Arabia's vast economic resources have enabled the development of state-of-the-art hospitals. Nurses recruited from around the world staff these hospitals creating one of the most multicultural practice settings in the world. Ethnic, educational, and experiential diversity; language and communication barriers; and alternative ways of knowing and learning challenge nurse educators to be more creative and explore opportunities for greater participation and learning among various cultural groups. Gaming, as a teaching-learning strategy for multicultural participants, affords the necessary flexibility and nonthreatening atmosphere which facilitates positive interactions among different, and often competing, communication patterns and learning styles. This article explores how and why gaming is as an effective educational strategy in a transcultural setting.
CUTANEOUS RHIZOPUS INFECTION ASSOCIATED WITH ELASTOPLAST WOUND DRESSING
Authors: Torres-R Jaime R , Maki Neil J , Taddonio Rudolph F , Sanders Charles V 
Published: April 2021

ABSTRACT: A case of primary zygomycosis due to Rhizopus spp associated with Elastoplast bandage use in a young, healthy surgical patient is reported. Lesions resolved without complications after removal of the bandage from the wound and a short course of amphotericin B. Rhizopus spp was recovered from material obtained by scraping the lesions, and from unused Elastoplast bandage retrieved from the operating room.
Epidemiological, clinical, diagnostic and therapeutic aspects of the condition are discussed.
The Effect of Abductor Forces on Femoral Stem Stresses in Cemented Prosthetic Hip Replacement
Authors: Skinner Harry B , Cook Stephen D , Penix Arnold R 
Published: April 2021

ABSTRACT: Abductor insufficiency has been reported as a clinical factor contributing to femoral stem fracture. The objective of this study was to investigate the stresses in the femoral stem as it is affected by abductor insufficiency.
A two-dimensional plane stress finite element model of a femur with a cemented straight stem prosthesis, with the material properties of either Co-Cr-Mo alloy or Ti-6AI-4V alloy, was constructed. Each femur/prosthesis composite was then loaded, using a one-legged stance condition, accounting for both joint reaction and abduction forces. Stress profiles along the medial and lateral aspects of the femoral component were then calculated.
The finite element models were also loaded using conditions representing abductor insufficiency with walking aids and without walking aids (Trendelenburg's gait). The abduction force was reduced to zero, and the joint reaction force reduced to superimposed body weight at a vertical angle to simulate Trendelenburg's gait with the pelvis tilted. To simulate the conditions with walking aids, the pelvis was maintained level, the joint reaction force was maintained constant, and the abductor force was varied. Stress profiles were again determined along the medial and lateral aspects of the femoral component.
The prosthesis loaded under Trendelenburg conditions showed decreased femoral stem stresses, both medially and laterally, when compared to the normal physiological (one-legged stance) loading. The titanium alloy prosthesis demonstrated lower stem stresses in each loading condition when compared to the Co-Cr-Mo alloy prosthesis.
The results of the study indicate that during the one-legged stance a patient with abductor insufficiency (who shifts his weight over his prosthesis) actually places less stress on his femoral component than the patient with normal abduction strength, and probably is not a major consideration in femoral component failure.
The Mechanism of Sciatic Pain Relief by Chemonucleolysis
Authors: Spencer David L , Miller James A A 
Published: April 2021

ABSTRACT: Chemonucleolysis must relieve sciatic pain by some means other than the removal of the disc protrusion from the neural canal, because the protrusion characteristically persists despite the resolution of sciatic pain. This paper analyzes the mechanism of symptom production in sciatica and identifies how chemonucleolysis relieves these symptoms.
Pressure can be exerted on a nerve root by a disc protrusion without compression against the posterior wall of the neural canal. This pressure is the result of tension produced in the nerve root when it is deformed by the disc protrusion. A previously unrecognized principle of nerve root-disc protrusion mechanics is identified. For a given disc protrusion, narrowing the disc reduces the tension in the nerve root and therefore the pressure on the nerve root; conversely, widening the disc increases the tension and pressure on the nerve root. Disc narrowing is in itself a mechanism by which chemonucleolysis relieves sciatic pain.
The Influence of Nylon Cerclage on Diaphyseal Bone Strength: An Experimental Evaluation of Partridge Bands on Rabbits
Authors: Strömberg Lennart , Karlström Göran 
Published: April 2021

ABSTRACT: Partridge-designed nylon bands which are used for the cerclage of fractured osteoporotic bones. These bands were given etevations on their inner surfaces to raise the band from the bone surface and thus minimize the negative effects on the periosteal blood circulation.
It has previously been shown that the Partridge bands, when applied to a diaphyseal bone, cause a mechanical irritation to the periosteum resulting in an increased callus formation by comparison with the case when corresponding bands with no elevations are applied. It has been suggested that the increased amount of callus would result in increased strength. We have studied the effect of bands designed in accordance with Partridge, compared with corresponding bands having no elevations, in terms of torsion strength (maximum torque capacity), on intact rabbit femora. The results show an increased torsion strength in the femora to which Partridge bands had been applied for eight weeks, while the femora to which corresponding plain nylon bands had been applied had decreased in strength.
The experimental study performed supports Partridge's recommendation to use the bands as cerclage in the internal fixation of fractured osteoporotic bones, preferably in combination with further internal fixation materials.
Cubital Tunnel Syndrome: Anterior Transposition With Epicondylar Osteotomy
Authors: Mass Daniel P , Silverberg Bruce 
Published: April 2021

ABSTRACT: In this article we reviewed nine consecutive patients operated on for cubital tunnel syndrome. They underwent a modification of the Learmonth procedure in which a medial epicondyle osteotomy was performed. The dissection was completed within intermuscular tissue planes to allow the ulnar nerve to be transposed submuscularly. The medial epicondyle was then replaced and secured using two 4.0 mm AO cancellous screws.
This article describes an operative technique, which has not been definitively described previously. Eight of nine patients demonstrated both subjected and objective improvement postoperatively. Eight patients returned to work following surgery. We feel that medial epicondylar osteotomy and screw fixation has minimized operative bleeding, subsequent inflammation, and fibrosis. Immediate range of motion activities have been encouraged, and earlier complete rehabilitation demonstrated.