bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Orientation Program for New Graduate Nurses: The Basis of Staff Development and Retention
Authors: Cooney Ann Taylor 
Published: April 2021

ABSTRACT
The nursing shortage and an increased demand for obstetric nurses led a Central Texas hospital to hire new graduates for the Level Three obstetric unit. This change in hiring policy necessitated a reevaluation of the orientation program resulting in a new approach in staff development. A three-phase program was developed beginning with orientation and socialization of the new staff member, continuing with the development of advanced skills, and leading to assignments of complex cases after completing appropriate educational programs. The program has fostered autonomy in the experienced staff nurse and increased job satisfaction as measured by advancement in the career ladder and retention rate. The program is regularly monitored by chart and peer review audits, as well as by the orientees' six-week and six-month evaluations.
A 10-Year Follow-Up Study: Nurse Refresher Program
Authors: Ferris Laurice , Brown Linda B 
Published: April 2021

ABSTRACT
A university-based school of nursing has provided a refresher course for inactive nurses since 1980. In 1985, the nursing shortage and declining enrollments in generic nursing schools emphasized the need to return inactive nurses to work. This article describes the 10-year follow-up evaluation of the course with attention to the long-term effectiveness in returning inactive registered nurses to the work force. This study also describes the employment profile of course graduates and the continuing education acquired by respondents since completing the course. Of the 71 respondents, 91% successfully reentered the work force and remained employed in nursing. Nearly half of these individuals were employed in acute care settings. Further, the employment profile of the working graduates showed that 74% had obtained an initial nursing position and remained in it until the time of the follow-up evaluation. Implications of the study and changes planned for the course are also described.
Retention of Continuing Education Participants
Authors: Gillies Dee Ann , Pettengill Marian 
Published: April 2021

ABSTRACT
The Midwest Alliance in Nursing (MAIN) used a multidirectional approach to recruit long-term care nurses to a three-year, federally funded continuing education (CE) program in geriatric nursing. Program staff used a project logo, frequent mailings, bimonthly telephone calls, a series of diverse educational offerings, and scattered social meetings to strengthen participants' identification with the project's purpose and activities. Nevertheless, several nurse dyads failed to complete the program, citing excessive workload and lack of agency support as principal reasons for withdrawal. Program staff concluded that, without strong and continuing support from their employer, even highly motivated nurses will not maintain commitment to an extended-time CE program.
Juggling Performance Checklist
Authors: Mooney Nancy E 
Published: April 2021

ABSTRACT
Teaching psychomotor skills to nurses presents challenges to nurse preceptors. The Juggling Performance Checklist, used by The Presbyterian Hospital in New York City, presents a humorous way of teaching nurses how to teach psychomotor skills. Humor can have both a physical and psychological benefit. Please note the directions on the performance checklist-washing your hands is optional; having fun is not!
How to Outsmart "Murphy"
Authors: Romer Charlene M 
Published: April 2021

ABSTRACT
Critical thinking and creativity are two of the many skills that nursing educators try to develop in their students. Assessing a problem, planning possible solutions, and then creatively using the resources available to implement the solution take practice. As nurse educators, we must not become "rusty" in these highly valued skills. The article is this author's humorous account of using these skills.
Continuing Education for Advanced Oncology Nurses
Authors: Lathrop Nancy , Otte Diane M 
Published: April 2021

ABSTRACT
Continuing education (CE) opportunities for oncology nurses practicing at an advanced level are difficult to access. This article describes an ongoing educational effort to meet the needs of this target group in a midwestern state. Details of conference planning, implementation, and evaluation are included. A description of the screening process and program content is emphasized. This approach is applicable to a variety of specialty practice areas.
"Essential Americans": A Poster Session for Essential Education
Authors: Sedory Michelle A , Campeau Cheryl A 
Published: April 2021

ABSTRACT
The Joint Commission on Accreditation of Healthcare Organizations requires that all member hospitals provide information to the nursing staff on safety practices at least every other a year. Hospital policy requires that this information be provided once yearly. The Staff Education Department at a large teaching hospital used posters to disseminate this required information, known as "Essential Education." The posters, which matched topic areas with famous Americans, presented the necessary content in a clear, concise manner. The nursing staff found the posters to be less time-consuming and more interesting than previous essential education programs. A cost analysis demonstrated a significant savings for the hospital.
Revisiting CPR Knowledge and Skills Among Registered Nurses
Authors: Lewis Frances H , Kee Carolyn C , Minick M Ptlene 
Published: April 2021

ABSTRACT
The purpose of this investigation was to explore facets involved in the retention of the cognitive knowledge and psychomotor skills of cardiopulmonary resuscitation (CPR) by 73 RNs from three general hospitals. Data analysis indicated that cognitive knowledge was adequately retained but that skills were not. Product-moment correlation coefficients showed that the number of CPR courses taken, certification as a CPR instructor, the number of years certified, and time since last certification were significantly related to skill scores. Findings prompt questions of appropriateness of the usual certification procedures for hospital-based RNs.
How Nurses React to and Cope With the Uncertainty of Unfamiliar Technology: Validation for Continuing Education
Authors: Wichowski Harriet Conley , Kubsch Sylvia 
Published: April 2021

ABSTRACT
Technological developments in healthcare continue, and nurses working in acute health care settings are assailed with new techniques. The focus of this qualitative study is methods nurses employ to stay current with new technological procedures. This article features nurses' verbatim responses regarding their use of technology and the facilitative role of continuing education.
Erroneous Beliefs About Research Held by Staff Nurses
Authors: Morrison Eileen F 
Published: April 2021

ABSTRACT
Background: Experiences in working with nurses conducting research in clinical settings have uncovered a number of beliefs that may create unnecessary obstacles and limit research efforts. This article discusses these beliefs and provides examples.
Method: Although this article was not conceptualized as a research study, the information was gleaned through working with nurses on a day-to-day basis as a researcher.
Results: Eleven beliefs were identified and discussed.
Conclusion: These beliefs have implications for nurses who are attempting to conduct clinical research. The intent of the article is to educate nurses regarding the philosophy of science and research methods in this context.
Reconstruction of Acetabular Deficiency Utilizing Iliac Bone Graft
Authors: Eaton Richard , Capello William N 
Published: April 2021

ABSTRACT; Acetabular reconstructions were performed on 12 hips possessing deficient acetabuli. Eleven required total hip arthroplasties for relief of pain; seven of which were surface replacements. The one remaining h ip had erosion of the posterior wall, secondary to spastic paraparesis, and the posterior wall was reconstructed. The etiologies of the deficient acetabuli included five secondary to fracture/dislocation, four with acetabular dysplasias, and three related to failed acetabular components from conventional total hip arthroplasties. There were six posterior Hp deficiencies, five superior rim deficiencies, and one central deficiency. The iliac crest provided the graft material utilized in 11 of 12 cases; in one case the femoral head was used for reconstruction. All peripheral defects, however, were handled similarly regardless of the source of graft material, in that all grafts were secured with at least two cortical cancellous screws lagged for compression. Central defects utilized single cortex grafts keyed into the defect upon a bed of cancellous graft and rimmed with methyl methacrylate. All patients were followed at routine intervals; the shortest followup was 14 months, and the longest 32 months. All grafts showed radiographic evidence of union by one year. Three-phase bone scans were routinely done in patients undergoing surface replacement by one year. The scan appearance of the femoral head was identical to other uncomplicated surface replacements. The grafted area showed increased uptake.
The purpose of this report is twofold: to present iliac crest as a graft material from which deficient acetabuli can be reconstructed when autogenous femoral head is not available, and to offer a fixation technique potentially less demanding and yet no less secure than those previously suggested. The results of this study indicate that, in selected situations, iliac crest graft acetabuloplasty can be successfully employed so that the total hip arthroplasties may be performed reducing fear of premature acetabular loosening related to insufficient bony coverage of the acetabular component.
Total Knee Arthroplasty in Chronic Hemophilic Arthropathy
Authors: Magone Jerry B , Dennis Douglas A , Weis Lawrence D 
Published: April 2021

ABSTRACT: Nine total knee arthroplasties were performed in seven patients with either Hemophilia A (factor VIII deficiency) or Hemophilia B (factor IX deficiency) and followed for an average of 52 months. A total condylar prosthesis was used in eight virgin knees and a stemmed variable axis prosthesis was used in one revision case. All knees demonstrated the severe joint destruction and cartilage erosion characteristic of chronic hemophilic arthropathy. The average age at operation was 32 years.
All patients were evaluated using the knee disability assessment of The Hospital for Special Surgery. All knees were postoperatively rated as either excellent or good. Pain, function, and range of motion were markedly improved. Postoperative radiographic alignment averaged 4° of valgus with half of the virgin knees demonstrating 1 mm or less of non-progressive tibial radiolucency without clinical loosening. The only complication was hemarthrosis from 37 to 59 months postoperatively. This was thought to be secondary to trauma to residual synovium.
Total knee arthroplasty in the hemophiliac is a viable alternative to conventional methods of treatment for chronic arthropathy and expectations for pain relief and functional gain can be high.
Elastic Intramedullary Nailing in Shaft Fractures of the Femur and Tibia
Authors: Mollica Quintino , Gangitano Roberto , Longo Gianfranco 
Published: April 2021

ABSTRACT: The excellent results obtained in the stabilization of lateral and subtrochanteric fractures of the neck of the femur by the use of Ender nails have encouraged us to extend this method, with some technical modifications, to shaft fractures of the femur, it is proposed to be an alternative in the surgical treatment of such fractures.
We propose to use this alternative when local conditions counterindicate, or the risk factor in other surgical techniques is too high. This method is simple, easily executed and assures a rapid and functional recovery.
Ender Intramedullary nailing achieves a dynamic stabilization controlled by the elasticity of the nails, muscle tone and weight bearing. The stabilization allows slight interfragmentary movements and produces the formation of periosteal bone callus.
Zone Approach to Knee Arthroscopy
Authors: Rich Christopher , Drez David , DeLee Jesse 
Published: April 2021

ABSTRACT: The zone approach to knee arthroscopy divides the knee into ten anatomic zones. This article presents the zone classifications and describes the combination of portals for the arthroscope, the probe, and the operating instruments. The particular leg position which is thought to allow the best visualization of each zone is also described. Alternate portals are necessary in certain situations, as in knees with tight ligamentous structures. This list of standard and alternate portals is not meant to be all-inclusive, but we do urge that all ten zones are examined during arthroscopy.
The objectives of this article are to describe a method of arthroscopic examination that is both systematic and comprehensive, and to develop an arthroscopic nomenclature that allows easy localization and reporting of pathology in the knee joint.
MONTEGGIA LESIONS IN CHILDREN AND ADULTS: AN ANALYSIS OF ETIOLOGY AND LONG-TERM RESULTS OF TREATMENT
Authors: Ovesen Ole , Brok Karl Erik , Arreskøv Jorgen , Bellstrøm Torben 
Published: April 2021

ABSTRACT
The mechanism of trauma and late results of treatment were analyzed in 1 7 pediatrie and 16 aduit Monteggia lesions. Pediatrie Monteggia lesions were almost entirely tbund to be the result of low energy trauma leading to a closed, noncommi nut ed fracture in an otherwise noninjured child. In the adult cases, however, these lesions were most often found to be the result of high energy trauma leading to open and comminuted fractures. Furthermore, 62% of the adults had other, and often more serious, injuries. Results at follow up (average 7 years) were excellent in the pediatrie cases, whereas all adults had sequelae, especially regarding range of motion.
The results of this study clearly suggest that a Monteggia lesion represents a more severe injury in the adult.
ARTHROSCOPIC TREATMENT OF POSTTRAUMATIC CHONDROMALACIA PATELLAE
Authors: Zorman D , Prezerowitz L , Pasteels J L , Burny F 
Published: April 2021

ABSTRACT
An arthroscopic procedure of excision of damaged cartilage and drilling the subchondral bone plate for treatment of chondromalacia patellae is described. Satisfactory results and absence of major complications are reported in a preliminary, short-term series of 24 cases of symptomatic posttraumatic chondromalacia patellae, with a mean follow up of 12 months.
COMPONENT MOTION IN BIPOLAR HIP ARTHROPLASTY: AN EVALUATION OF REAMED AND NON-REAMED ACETABULA
Authors: Burton Paul , Prieskorn David , Smith Richard , Page Billy Joe , Swienckowski John 
Published: April 2021

ABSTRACT
Sixty-four patients with 67 bipolar arthroplasties of the Mp were reviewed for a mean follow up of 3.1 years. The study group consisted of 46 hemiarthroplasties secondary to primary osteoarthritis of the hip and 21 hemiarthroplasties secondary to displaced subcapitai hip fractures. Reaming of the acetabulum was performed in 47 of the hips studied. The Harris hip scores were not significantly affected by acetabular reaming. Total motion decreased when hips were loaded in the standing position. Reaming of the acetabulum resulted in a decrease in percent outer component motion and an increase in percent inner component motion. The nonreamed acetábala had the largest percent inner motion decrease when taken from the supine to the standing position* The reamed acetabula had significantly higher average percentage of inner component motion in both standing and supine positions. There was no patient with postoperative acetabular protrusion.
THE USE OF MRI IN THE DIAGNOSIS OF OCCULT HIP FRACTURES IN THE ELDERLY: A PRELIMINARY REVIEW
Authors: Guanche Carlos A , Kozin Scott H , Levy Andrew S , Brody Leonard A 
Published: April 2021

ABSTRACT
Establishing the diagnosis of a non-displaced hip fracture in an elderly patient can be a prolonged and costly procedure, involving hospital admission, several days of bed rest, and a bone scan 3 to 5 days later. The authors evaluated 10 hips in 10 patients with a questionable diagnosis of non-displaced hip fracture. Magnetic resonance imaging (MRI) soon after admission revealed four patients with acute hip fractures who were subsequently treated. The other six patients, whose scans were negative for either femoral neck or intertrochanteric fractures, were mobilized. The authors show that, through the use of an immediate MRI study of a questionable hip fracture, the prolonged recumbency and inherent costs associated with awaiting a positive bone scan can be avoided.
PIN TRACT INFECTIONS: SILVER VS UNCOATED PINS
Authors: Collinge Cory A , Goll Günter , Seligson David , Easley K Jack 
Published: April 2021

ABSTRACT
To test the hypothesis that coating external fixation pins with a silver-containing compound (Spi-Argent, Spire Corp, Bedford, Mass) will reduce bacterial colonization and/ or pin tract infection, 36 silver-coated and 12 conventional stainless steel pins were placed in the iliac crest of six sheep and inoculated with Staphylococcus aureus. After 2 ½ weeks the pin sites were examined for motion and inflammation, and the pin tips were quantitatively cultured and examined with scanning electron microscopy (SEM). We found that 84% of the uncoated pins were infected, while 62% of the silver-coated pins were infected. Silver-coated pins were less frequently infected than uncoated pins (confidence interval [CI] >85%). Also, silver-coated pins were loose less frequently than uncoated pins. Pin motion was closely correlated with infection: 28 of 32 infected pins (88%) had motion, while only 9 of 16 uninfected pins (56%) had motion (CI >80%). SEM study of the pin tips showed a decreased level of glycocalyx-protected colonization on the surface of the silver-coated pins. Clinically, these results suggest that silver-coated pins will result in less infection and motion at the pin site, the most significant problems in external fixation.
REMOVAL OF BROKEN SYNDESMOTIC SCREWS: A TECHNICAL TIP
Authors: Henley M Bradford , Law Melvin D , Henry Stephen L 
Published: April 2021

ABSTRACT
A simple method of extracting broken distal tibial-fibular syndesmotic or cross-locking screws for intramedullary nails is illustrated. After extraction of the head portion of the broken screw, a blunt impactor is introduced through the vacant screw hole and abutted to the remaining portion of the screw tip. The screw can usually be impacted through the far cortex. A small incision should be made over the protruding portion, and the screw extracted with pliers.
BONE MINERAL CONTENT OF THE SPINE AND PROXIMAL FEMUR IN FEMALE PATIENTS WITH HIP FRACTURE
Authors: Soghikian G W , Boden S A , Labropoulos P A 
Published: April 2021

ABSTRACT
Measurement of bone density in the spine and hip by quantitative computed tomography (QCT) and dual photon absorptiometry (DPA) was performed in 36 women with hip fracture. Hip density by DPA was determined at three anatomic subregions of the hip. Comparison to normals revealed an average decrease in hip bone density by 15% below controls. Spine density measurements were not significantly different from that of controls. Correlations of hip and spine densities varied by hip subregion. This study demonstrated that bone density measurement methods and measurement at one axial site may not accurately reflect bone density at appendicular subregions.
A NEW RADIOGRAPHIC EVALUATION OF PRIMARY OSTEOARTHRITIS
Authors: Bissacotti Joao Flávio , Ritter Merrill A , Faris Philip M , Keating E Michael , Gate Hal E 
Published: April 2021

ABSTRACT
Two thousand five hip radiographs, both AP and lateral, were evaluated for osteoarthritis. We excluded all cases of traumatic osteoarthritis, rheumatoid arthritis, avascular necrosis, and congenital deformities. This left 1578 hips in 1309 patients, which were sub-divided into three categories: medial osteoarthritis (405 hips, 20% of which were bilateral, 68% women, 32% men); superior lateral osteoarthritis (934 hips, 19% of which were bilateral, 49% men, 51% women); and global osteoarthritis (239 hips, 23% bilateral, 53% men, 47% women). These categories may have significance in operative technique and survival of acetabular cups after total hip arthroplasty.
POSTOPERATIVE AUTOTRANSFUSION AFTER TOTAL KNEE ARTHROPLASTY
Authors: Berman Arnold T , Levenberg Richard J , Tropiano Marianne T , Parks Brent , Bosacco Stephen J 
Published: April 2021

ABSTRACT
To evaluate the quality of shed blood postoperatively after total knee arthroplasty (TKA), the safety of autotransfusion, and to minimize homologous transfusion, the Autovac system was used for reinfusion of whole blood following cemented TKA. The system was used in SO consecutive patients who were reinfused an average of 420 cc of whole blood. Twenty-five patients had a calcium binding resin anticoagulant within the collection canister. A second group of 25 patients had 40 cc of acid citrate dextrose anticoagulate (ACD-A) in the collection canister as an anticoagulant. Fifteen hematologic parameters were measured during five time periods. Each study group was compared to a control group of 25 TKAs with a standard drain. The clinical safety of auto-transfusion with ACD-A was proven. Blood collected in the calcium binding resin had a statistically significant higher hemoglobin (P<.05), plasma-free hemoglobin (P<.05), fibrin split products (P<.05), and a different white blood cell differential.
TIBIAL DIAPHYSEAL NONUNIONS AFTER EXTERNAL FIXATION TREATED WITH NONREAMED SOLID CORE NAILS
Authors: Riemer Barry L , Sagiv Shaul , Butterfield Spencer L , Burke Charles J 
Published: April 2021

ABSTRACT
Twenty-nine patients with tibial diaphyseal fractures had external fixators applied to treat their initial fractures and underwent nonreamed solid core nailing for nonunion (>22 weeks). Fifteen Alta, 11 Lottes, and 3 Rush nails were used. The original fracture grades were: 1 closed, 1 grade I, 7 grade II, 3 grade IIIA, and 17 grade IIIB. The duration of nonunion was 51 weeks (average: 22 to 173). The average duration of external fixation was 19 weeks (range: 9 to 47). The average interval from fixator removal to nail was 32 weeks (range: 0 to 156). Twenty-eight patients were seen at >12 months' follow up (average: 35; range: 10 to 58) and completion of treatment. Twenty-seven patients' fractures united at an average of 14 weeks (range: 6 to 40). One patient required a reamed exchange nailing at 39 weeks and united 58 weeks post-exchange nailing. One patient had a persistent asymptomatic nonunion. One patient developed a stress fracture 49 months post nail requiring an exchange nailing. Eleven fractures had a prenail deformity of 10° or more; 9 were corrected. Eight patients had pre-nail wound and five had pre-nail pin tract infections. Except for two cases, all of these infections were treated successfully with surgical debridement and/or antibiotics prior to nail insertion. Two patients had their nail inserted through active infections that could not be controlled with an unstable fracture. One patient healed uneventfully in 6 weeks. One required two subsequent debridements. There were no other infections. The authors conclude that nonreamed solid core nailing is an acceptable treatment for tibial diaphyseal nonunions following external fixation.