bluuebunny/crossref_metadata_2025_split huggingface dataset:
Graphonomics, automaticity and handwriting assessment
Authors: Tucha Oliver , Tucha Lara , Lange Klaus W. 
Published: September 2010

AbstractA recent review of handwriting research in Literacy concluded that current curricula of handwriting education focus too much on writing style and neatness and neglect the aspect of handwriting automaticity. This conclusion is supported by evidence in the field of graphonomic research, where a range of experiments have been used to investigate this issue from a movement perspective. The present article offers a brief introduction to a graphonomic approach to handwriting analysis and the findings of graphonomic research about handwriting automaticity. These findings indicate that attentional control to any characteristic of the writing process (e.g. direction, lexical status, movement, style) results in an impairment of handwriting automaticity. These findings support and add a new dimension to previous conclusions.
“It's all coming together”: an encounter between implied reader and actual reader in the Australian rainforest
Authors: Williams Sandra J. 
Published: September 2010

AbstractIn this paper I discuss how taking a particular literary theory— the implied reader—serves to offer a focus for the teacher's initial reading of a text and provides a formative assessment tool. Iser's Implied Reader theory is discussed, after which a picture book, Where the Forest Meets the Sea by Jeannie Baker, is analysed from this perspective. An account of a series of reading events with Year 4 children then follows. An analysis of these readings highlights where the pupils were able to take up the invitation offered by the text and where there were difficulties. Finally, implications for teachers' subject knowledge are discussed.
Current status of discharge planning activities and systems: National survey of discharge planning in Japan
Authors: NAGATA Satoko , TABATA Marie , OOSHIMA Hiroko , MURASHIMA Sachiyo , SUMI Naomi , HARUNA Megumi 
Published: September 2010

AbstractAim:  We investigated the current situation of discharge planning in Japan and the variables related to the implementation of discharge planning.Methods:  A questionnaire was mailed to 3268 general hospitals in 2001; 1359 hospitals were used as the subjects of analysis.Results:  The majority of the hospitals experienced problems in terms of patients’ discharge (1313 or 96.6%). More than 90% of the hospitals described discharge planning activities. The most common professions involving discharge planning were ward nursing staff and physicians, and only 29.4% hospitals reported that a discharge planning department was established in their hospitals. More hospitals with these departments implemented almost all activities of discharge planning compared with hospitals without such departments. Implementation of discharge planning was also related to hospital size, affiliated institutions, implementation of home visits by medical staff, and nurse/patient ratios.Conclusion:  This survey showed a high implementation rate of discharge planning activities but that departments for discharge planning have not been widely adopted. It is recommended that such departments should be established or that staff should be allocated to carry out discharge planning in order to assure the continuity of quality care for patients as they move among care settings.
Screening of domestic violence against women in the perinatal setting: A systematic review
Authors: KATAOKA Yaeko , YAJU Yukari , ETO Hiromi , MATSUMOTO Naoko , HORIUCHI Shigeko 
Published: September 2010

AbstractAim:  To review published studies focusing on the screening of domestic violence (DV) against women, in particular, the instruments, the screening methods and the interventions used to help abused women after screening. Based on the results of the review, the suitability of introducing routine screening for DV in the perinatal setting in Japan would be assessed.Methods:  National Guideline Clearinghouse database, HSTAT, PubMed, CINAHL, the Cochrane Library and the Ichushi‐Web were all used to searched from when records were first held until February 2003 for eligible primary studies and systematic reviews for this literature review. Each selected article was independently read and appraised by two reviewers who finally selected 12 primary studies and three systematic reviews that fulfilled the criteria for inclusion.Results:  Three studies evaluated screening instruments for DV (i.e. Abuse Assessment Screen, Partner Violence Screen and Violence Against Women Screen) and of these, the Violence Against Women Screen was the most valid, reliable and suitable for use in the clinical setting in Japan. The three studies that examined the screening method had differing results, but the one conducted in Japan showed a significantly higher rate of identification in the self‐administered questionnaire group compared with the interview group. The six studies that tested the effectiveness of interventions for abused women showed that counseling sessions after screening and the advocacy program for postsheltered women were effective in reducing DV.Conclusion:  Routine screening of all pregnant women in Japan for DV should be introduced, considering the high burden of suffering that women expose to DV experience, and the existence of both acceptable screening instruments and effective interventions.
Actual circumstances of treatment and nursing care for cancer patients in disaster situations: A survey of nurses who experienced the Great Hanshin‐Awaji Earthquake
Authors: ARAO Harue , NUMATA Yasuko , KAWASAKI Yuko , MAKINO Sachiko , KOBAYASHI Tamami , SAKASHITA Reiko , UCHINUNO Atsuko 
Published: September 2010

AbstractAim:  The purpose of the study was to identify the actual circumstances of treatment and nursing care for cancer patients during a time of disaster.Methods:  The study subjects were 17 nurses working in eight institutions who engaged in nursing activities for cancer patients in the wake of the 1995 Hanshin‐Awaji Earthquake at hospitals located in and around the stricken areas. The data were collected through focus group interviews and were analyzed by inductive and qualitative methods to categorize needs. The results were compared with the data categorized by Knowledgeocean, a text‐mining tool for analyzing unstructured text in order to examine data validity.Results:  The actual circumstances of the treatment and nursing care of cancer patients in disaster situations were divided into three major categories and 10 subcategories. The major categories were: “difficulty in keeping track of patients” undergoing outpatient treatment, “adjustment in treatment” in an effort to continue various therapies for cancer treatment, and “care for patients and their families before and after the last moment” in the case of terminally ill patients.Conclusions:  The results suggest that the following issues should be addressed in the future: the need for an information management system for the resumption of interrupted treatment and the transportation of patients, the need for enhancing the self‐care ability of cancer patients in ordinary situations so that they can be more self‐sufficient in disaster situations, and the need for the creation of a suitable location for dying patients and their families and the development of grief care strategies in disaster situations.
Sexual Function After Breast Cancer
Authors: Panjari Mary , Bell Robin J. , Davis Susan R. 
Published: September 2010

ABSTRACT

Introduction
Breast cancer (BC) remains the most common non-skin cancer in women and an increasing number are living as BC survivors.

Aim
The aim of this article is to evaluate the impact of the first diagnosis of invasive BC and its treatment, menopausal symptoms, and body image on sexual function.

Methods
The BUPA Foundation Health and Wellbeing after Breast Cancer Study is a prospective cohort study of 1,684 women recruited within 12 months of their first diagnosis with invasive BC. Each participant completed an enrollment questionnaire (EQ) and first follow-up questionnaire (FQ1) 12 months post-EQ.

Main Outcome Measure
Sexual function was evaluated by the Menopause-Specific Quality of Life Questionnaire embedded within the FQ1.

Results
Of the 1,011 women in the analyses, 70% experienced sexual function problems and 77% reported vasomotor symptoms. Women experiencing sexual function problems were postmenopausal (P = 0.02), experienced vasomotor symptoms (P &lt; 0.01), and used aromatase inhibitors (P = 0.03). Women with vasomotor symptoms were twice as likely to experience sexual function problems (odds ratio [OR] 1.93, 95% confidence interval [CI] 141, 2.63; P &lt; 0.001). This association was more extreme for women on aromatase inhibitors (OR 3.49, 95% CI 1.72, 7.09; P = 0.001) but did not persist in women not using endocrine therapies (OR 1.41, 95% CI 0.84, 2.36; P = 0.19). Women on aromatase inhibitors were more likely to report sexual function problems (OR 1.50, 95% CI 1.0, 2.2, P = 0.04) and women with body image issues were 2.5 times more likely to report sexual function problems (OR 2.5 95% CI 1.6, 3.7, P &lt; 0.001). Women using tamoxifen were not more likely to experience sexual function problems (OR 1.1, 95% CI 0.8, 1.5, P = 0.6); however, women with body image issues were twice as likely to experience sexual function problems (OR 2.1, 95% CI 1.5, 3.0, P &lt; 0.001).

Conclusion
Seventy percent of partnered BC survivors less than 70 experienced sexual function problems. Sexual problems are related to the use of aromatase inhibitors which can exacerbate menopausal symptoms.
Selective parathyroid auto‐transplantation during thyroidectomy
Authors: Choi Chi‐Yee , Chow Tam‐Lin 
Published: September 2010

Aim:  Permanent hypoparathyroidism is a debilitating morbidity following thyroidectomy and parathyroid auto‐transplantation has been shown to be effective in preventing permanent hypoparathyroidism. Controversy exists regarding the benefit of routine versus selective auto‐transplantation. We evaluate the outcome of selective parathyroid auto‐transplantation in our hospital.Methods:  A retrospective study was conducted to assess the incidence of postoperative hypocalcaemia. Indication for parathyroid auto‐transplant was doubtful viability of parathyroid gland during thyroidectomy. From 1 July 2000 to 30 June 2005, all patients who underwent total, subtotal and completion thyroidectomy were included. Other outcome measures including recurrent laryngeal nerve injury and operative time were also analyzed.Results:  A total of 170 bilateral or completion thyroidectomies were performed within this period. Total, subtotal, and completion total thyroidectomies were performed in 103 (60.6%), 62 (36.5%), and five (2.9%) patients, respectively. Median age was 45 years (range 19–82). One hundred and twenty‐four patients (73%) had benign thyroid disease, and 46 patients (27%) had thyroid carcinoma. Parathyroid auto‐transplant was performed in 35 patients (20.6%). Mean operation time was 204 min (range 95–510 min). There was no difference in the operation time between the patients with parathyroid auto‐transplant and those without auto‐transplant (217 vs 200 min, P = 0.229). Transient hypocalcaemia occurred in 31 patients (18.2%) whereas two patients had permanent hypocalcaemia (1.2%). Permanent recurrent laryngeal nerve injury occurred in one patient (0.6%).Conclusions:  The adoption of selective parathyroid auto‐transplant during thyroidectomy achieves an extremely low incidence of permanent hypoparathyroidism without excessive transient hypoparathyroidism.
Parents’ Concerns About Issues Related to Their Children's Genetic Conditions
Authors: Gallo Agatha M. , Hadley Emily K. , Angst Denise B. , Knafl Kathleen A. , Smith Carrol A. M. 
Published: September 2010

PURPOSE.  The purpose of this analysis was to examine parents’ (N = 142) concerns about issues (i.e., privacy of information, insurance, healthcare costs, employment, school) related to their children's genetic conditions.DESIGN AND METHODS.  Using a series of matrices, thematic analysis was conducted focusing on parents’ concerns. RESULTS.  Parents were less concerned with privacy and more concerned with insurance, healthcare costs, employment, and school issues. PRACTICE IMPLICATIONS.  Nurses and other healthcare professionals need to give parents the opportunity to discuss their concerns and to assist parents with strategies and resources to meet the needs of their children and families.
Sex Partner Type and Condom Use in African American Adolescent Mothers: A Literature Review
Authors: Nelson LaRon E. , Morrison‐Beedy Dianne 
Published: September 2010

PROBLEM:  Teen mothers may need mental health counseling that goes beyond addressing the parenting stressors of motherhood to include those related to sexual risk decision‐making. Sexual risk behaviors of adolescent girls are influenced by partner type. Coparent, “baby's daddy” partner types may exert unique psychosocial influences on their sexual risk decisions and, thus, their risk for human immunodeficiency virus infection. METHODS:  A review of literature was conducted to identify, critique, and summarize the research on partner‐type influences on the sexual risk decision‐making of African American adolescent mothers. Extensive searches of PubMed, CINAHL, MEDLINE, PsycINFO, and CRISP were conducted. Data displays were constructed to compare constructs across studies. Both the strengths and limitations of these studies are highlighted. FINDINGS:  Most studies on partner types and sexual behavior are quantitative, and few target adolescent mothers. Only four studies were identified that focused on sexual partner influences on condom use in African American adolescent mothers, with only one examining the coparent as a partner type. No published studies were identified that examined adolescent mothers’ reasons for making partner‐specific sexual risk decisions or choices made in regard to having sex with their “babies’ daddies.” CONCLUSION:  The state of the science is inadequate regarding partner‐type influences on the sexual risk decisions of African American adolescent mothers. Further research is vital for mental healthcare providers so that the depth and complexity of partner‐related influences on sexual risk decisions can be appropriately addressed during risk assessments and counseling.
Diagnosis of Trauma and Abuse‐Related Dissociative Symptom Disorders in Children and Adolescents
Authors: Weber Scott 
Published: September 2010

TOPIC:  Dissociated cognition is defined as thinking and feeling that have not become successfully integrated into the usual sense of self; this results in discontinuities in conscious awareness and disruptions in the ongoing “link‐making” in the development of identity. PURPOSE:  Illness identification methods for the specific components of the disorder that most often affect children and adolescents (amnesia and depersonalization) will be described. SOURCES USED:  Current research and practice scholarly articles on diagnosis and assessment of children and adolescents for dissociation and dissociative symptom disorders were accessed and critically reviewed. CONCLUSIONS:  Nurses identify early symptoms of dissociation in children and adolescents; those who practice in psychiatric settings, emergency departments, and community health should be especially cognizant of the clinical features of dissociation in pediatric patients.
Attention to Spirituality and Religion: Delphi Survey of a Nursing Intervention
Authors: Driebergen Riana , Tiesinga Lucas J. , Bouwer J. 
Published: September 2010

PURPOSETo explore the concept of spiritual support by nurses and its translation into nursing practice; to determine if patient spirituality is a nursing concern, what is an adequate label for the nursing intervention, what is an adequate definition of the intervention, and which activities belong to the intervention.METHODSThirty‐eight panel members participated in a three‐round Delphi survey. Most were nursing professionals, others represented related disciplines such as pastoral work and medicine. Starting point of the research was the Dutch translation of the NIC “spiritual support.” Criteria for consensus quantitative and qualitative data analyses were formulated. In all three rounds there was 100% response. In spite of sensitiveness for some aspects of bias, validity and reliability were optimized.FINDINGSPatient spirituality was considered a nursing concern. Consensus was reached on the label “attention for spirituality and/or religion” and on the following definition: “to pay attention to what is important to the patient/client concerning spirituality and/or religion and to agree with the patient/client upon the desired support in this area.” Consensus was also reached on 13 activities, for example, to question the patient/client about thoughts and feelings on spiritual and/or religious matters, and to make use of active listening.DISCUSSIONThe findings of the research correspond with the literature. However, for most of the nursing activities of the developed intervention, it is not clear if and how nurses practice them and work together with other disciplines. Further research is recommended.CONCLUSIONSThe character of the intervention “attention to spirituality and/or religion” developed in this research is generic. Adapting the intervention to patients with specific demands for care or specific views of life is recommended. The intervention can be developed into an instrument to measure the quality of nursing care in spiritual and religious matters. For nursing practice, the intervention can be seen as a specification of nursing tasks in the field of spirituality and religion. This intervention also facilitates allocation of tasks between nursing professionals and pastoral workers.
A Concept Analysis Center for the NLINKS Project
Authors: Craft‐Rosenberg Martha 
Published: September 2010

BACKGROUNDThe Internet is an economical global communication strategy that can be used to sustain and promote development and refinement of nursing languages, including global participation and input. Global participation is required to represent the cultural relevance and cultural specificity of diverse populations. An Internet site can link nurses and consultants from global settings and eventually provide support for the development and submission of diagnoses, interventions, and outcomes to language developers.MAIN CONTENT POINTSThe Concept Analysis Center for the NLINKS Project will be an Internet site to promote the development and refinement of nursing language. It will reflect a worldview of nursing language, including nursing diagnoses, nursing outcomes, and nursing interventions. Literature resources will be provided for nurses worldwide, as well as methods for submission of concept analysis products to the developers of nursing languages. The development of the Concept Analysis Center will be conducted in three phases. Phase 1 will be the development of a prototype site for all participating languages to (a) hire and train staff to expand a prototype site developed for the existing NLINKS site; (b) add protocols, training, resources, consultants, and linkages for all participating standardized languages; (c) train language coordinators and research assistants; (d) develop and pilot test the Concept Analysis Center in English and in two other languages; (e) advertise through state, national, international leaders; and (f) seek feedback from users for needed modifications through questions placed on the Web site. Phase 2 will include expansion of advertising by leaders in standardized language and advertising through Web sites, listserves, and nursing organizations for all participating countries. Up to four languages in addition to English will be added if justified by pilot study and availability of translators. Standardized language development and refinement will continue. Phase 3 evaluation will be based on several criteria: a comparison of the number and quality of concept analysis submissions to developers of standardized language before and following Internet site development; the number of NLINKS Concept Analysis site users; and user satisfaction with concept analysis content and with staff responsiveness and helpfulness. These data will be collected using an online questionnaire.CONCLUSIONSAs this project evolves, a global network of experts in nursing language will be established and provide the support to continue the work of defining nursing using standardized language.
An Internet‐Based Survey of Icelandic Nurses on Their Use of and Attitudes Toward NANDA, NIC, and NOC
Authors: Bjornsdottir Gyda , Thorhallsdottir Ingibjorg 
Published: September 2010

PURPOSETo gain understanding of how Icelandic nurses can be supported during a mandated change to the use of NANDA and NIC in clinical documentation practices.METHODSAll members of the Icelandic Nurses Association of working age were invited to participate in an Internet‐based survey. Each nurse was assigned a unique password mailed to his/her home along with information on how to access the survey Web site. Each nurse could submit answers only once. On submission, data were automatically coded and saved in a database under encrypted numerical identifiers.FINDINGSA total of 463 nurses (18% response rate) participated by submitting answers. The sample was representative of the population in terms of demographic characteristics. Information resources most valued when planning nursing care included text‐based progress notes (77%), nursing care plans (52%), doctor's orders (49%), verbal information (48%), and documented nursing diagnoses (37%). Of the participants, 58% said NANDA was used in their workplace; 28% said no standardized nursing documentation was used; 19% reported using NIC always or sometimes when documenting nursing interventions; and 20% never used NIC. NOC use was reported only by researchers.Of the sample, 86% reported that it is important or necessary for nurses to standardize documentation practices; 30% found NANDA useful in education; 56% found it useful for clinical work; 17% for research; and 7% found it not useful at all. Nine percent believed that NANDA diagnoses were not descriptive enough of patients' problems, and 23% found their wording problematic. No statistically significant differences were found between reported use of or attitudes toward NANDA and NIC when comparing nurses who use electronic patient record systems that support NANDA and NIC documentation and those who use paper documentation only.DISCUSSIONThe sample may have been somewhat biased toward computer use and classification system use for standardized and computerized documentation. However, results indicate that although Icelandic nurses give free‐text progress notes and verbal information a higher priority than nursing diagnoses as an information resource for care planning, they have a positive attitude toward NANDA. NANDA and NIC are still used inconsistently in clinical practice, and 28% of participants claimed not to use any form of standardized documentation.CONCLUSIONSIn an effort to standardize clinical documentation among nurses, Icelandic health authorities must follow their documentation mandates with educational and technologic support to facilitate the use of NANDA, NIC, and (after its translation) NOC in nursing documentation practices. Electronic patient record system developers must find ways to further facilitate standardized nursing documentation because currently there seems to be no difference between users and nonusers in terms of how they use NANDA and NIC in their documentation practices.