bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diagnosis, Treatment, and Lifestyle Changes of Interstitial Cystitis
Authors: Henderson Lesley J. 
Published: August 2006

ABSTRACTInterstitial cystitis (IC) is a chronic inflammation of all the layers of the bladder wall. As it is difficult to diagnose and it affects mostly women, many physicians misdiagnose it as a psychological problem. Almost half a million individuals in the United States suffer from this cureless disorder. This article will review the anatomy, physiology, etiology, diagnosis, treatments, and current research foci of IC, along with the effects of the disease on lifestyle and personal issues from the patient's perspective. AORN J 71 (March 2000) 525–538.
Structural Data Elements—Standardized Terms and Definitions
Authors: Beyea Suzanne C. 
Published: August 2006

ABSTRACTPerioperative nurses must have an organized approach to collect, organize, classify, and capture clinical nursing data to communicate nursing practice. Standardized nursing language provides a systematic method of collecting basic elements of perioperative nursing care. This article examines how structural elements were developed and validated for this standardized language. AORN J 71 (March 2000) 541–549.
Surgical Treatment of Nonmelanoma Skin Cancer
Authors: Anthony Margaret L. 
Published: August 2006

ABSTRACTNonmelanoma skin cancer is the most common human malignancy. An estimated 2.75 million patients worldwide are diagnosed with skin cancer each year, with more than one million in the United States alone. Treatment for skin cancer includes methods such as cryosurgery, curettage and electrodessication, local excision, and Mohs micrographic surgery. Regardless of the method used, the goal is to provide the patient with the safest, most cost‐effective and curative treatment. AORN J 71 (March 2000) 552–564.
Reducing Blood Exposures During Orthopedic Surgical Procedures
Authors: Folin Ann , Nyberg Björn , Nordström Gun 
Published: August 2006

ABSTRACTSurgical team members constantly are exposed to blood during procedures. Inadvertent injuries (eg, needle sticks, cuts) and contaminations expose team members and patients to the risk of transmission of bloodborne pathogens. Injuries and contaminations can be decreased significantly for scrub people and first assistants, however, by introducing new working methods (ie, no‐touch instrument passing technique, instrument neutral zone). AORN J 71 (March 2000) 573–582.
Moisturizing Alcohol Hand Gels for Surgical Hand Preparation
Authors: Jones Rhonda D. , Jampani Hanuman , Mulberry Gayle , Rizer Ronald L. 
Published: August 2006

ABSTRACTWith the use of novel formulary technology, unique moisturizing hand gels have been developed that offer significant advantages in perioperative and other health care settings. These advantages include the time‐saving capabilities of a waterless formulation, the persistence and effectiveness of a surgical scrub, and the moisturization and protective properties of a lotion. Extensive laboratory and clinical studies, involving in vivo antimicrobial activity against resident and transient flora, skin moisturization on normal and dry skin, and compatibility with latex gloves, have supported these advantages. Nondrying alcohol hand gels can be used for antiseptic hand washing, hand scrubs between procedures (ie, reentry scrubs), brushless surgical scrubs, moisturizers, and glove‐donning aids. AORN J 71 (March 2000) 584–599.
A Historical Review of the AORN Journal
Authors: Riese Sharon 
Published: August 2006

ABSTRACTThe purpose of this project was to critically review 35 years of AORN Journal content from 1963 to 1998 to determine if the original mission and goal of the Journal were being met. Content analysis revealed a diverse mixture of feature articles and regular columns that typically targeted perioperative nurses. Feature articles addressed multiple perioperative specialty areas, along with other areas of interest to perioperative nurses. Regular columns provided a means of keeping AORN members informed of educational offerings, policy changes, AORN business, and clinical practice issues. AORN J 71 (March 2000) 6060–619.
Preferences in Surgical Waiting Area Amenities
Authors: Carmichael Julie M. , Agre Patricia 
Published: August 2006

ABSTRACTThe purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and surveyed. The findings indicate that family members have preferences for specific amenities. Items of highest importance include the service of a surgical nurse coordinator and a private room for consulting with physicians. Items of average importance include beepers and educational materials about the procedure. Items of least importance include a food cart and soft music. AORN J 75 (June 2002) 1077‐1083.
Managing Change During an Information Systems Transition
Authors: Barr Barbara J. 
Published: August 2006

ABSTRACTThis article examines the social forces underlying computer technology diffusion into nursing. It also explores the benefits of computerized perioperative patient documentation and suggests methods that can used to persuade nurses to embrace and master computer technology as a tool of their trade. Options are examined that offer nurses opportunities to overcome their reluctance to accept responsibility for accurate computer documentation and appreciate the added value offered by information technology. Implementing an adequate computer technical skills training program affects nurses' acceptance of computerized documentation, but having the best training program available does not replace the need to ensure that organizational and individual practitioners are receptive to change. AORN J 75 (June 2002) 1085‐1092.
Reprocessing Single‐use Devices—the Equipment Connection
Authors: Dunn Debra 
Published: August 2006

ABSTRACTThis is the second in a series of three articles about reprocessing medical devices labeled as “single use” by the manufacturer. The goal of reprocessing single‐use devices (SUDs) is to save money and decrease environmental pollution. Reprocessing can be performed on SUDs that have been used on other patients or opened but not used. In this article, the procedures for reprocessing (eg, cleaning, inspecting, sterilizing, tracking, testing, validating) and establishing a reuse program are discussed. The first article of the series, published in the May 2002 issue of the Journal, discussed the ethical component of reusing SUDs. The third article, to be published in the July 2002 issue, will discuss the roles of the involved regulatory agencies and organizations guiding the process. AORN J 75 (June 2002) 1143‐1158.
Bernese Periacetabular Osteotomy for Hip Dysplasia in Young Adults
Authors: Gillett Craig A. 
Published: August 2006

ABSTRACTHip dysplasia is one of the most common disorders of the hip, presenting in the first three years of life. Literature has shown that an association exists between developmental dysplasia of the hip and the development of secondary hip osteoarthritis in early adulthood. Treatment options are directed toward relieving symptoms and delaying or preventing the onset of arthritis in the affected hip. Total hip arthroplasty is a surgical option, but has been associated with a high rate of failure in younger, physically active patients. This article discusses the Bernese periacetabular osteotomy procedure as a treatment modality, which restores coverage of the femoral head with the acetabulum. Changing the anatomy allows the surgeon to increase the surface area of the femoral head that bears the patient's weight. Increasing the weight‐bearing surface may prevent further damage to the hip's cartilage and delay the onset of osteoarthritis. AORN J 75 (April 2002) 737‐751.
Laparoscopic Radical Prostatectomy
Authors: Bickert Denise , Frickel Deborah 
Published: August 2006

ABSTRACTProstate cancer is the second leading cause of cancer deaths among men, after lung cancer. Traditionally, the traumatic open radical prostatectomy procedure was the only treatment option available. Although nerve‐sparing techniques have evolved, the development of laparoscopic radical prostatectomy (LRP) has been one of the most significant changes in surgical treatment of the disease. Like many minimally invasive abdominal procedures, LRP reduces trauma, resulting in less postoperative pain, reduced length of hospital stay, and more rapid return to normal activity when compared to open radical prostatectomy. This article describes the preoperative, Intraoperative, and postoperative care of a patient undergoing LRP. It is anticipated that LRP will be the future standard for treatment of prostate cancer that requires radical surgery. AORN J75 (April 2002) 762‐782.
Responding to a Fire at a Pediatric Hospital
Authors: Hogan Catherine 
Published: August 2006

ABSTRACTDisaster preparedness in health care organizations facilitates a formalized response to major incidents or disasters. This article reviews a man‐made disaster, a fire at a large pediatric hospital. How the fire started, patient evacuation, redirecting services, timing of events, key players, geographic factors, communications, and recovery and restoration of care are discussed. Lessons learned and information on disaster preparedness also are presented. AORN J 75 (April 2002) 793‐800
Instructional Bias—Awareness and Reduction in Perioperative Education
Authors: Byrne Michelle M. 
Published: August 2006

ABSTRACTThrough the use of instructional materials, perioperative educators provide education to staff members, physicians, patients, and family members. Although accrediting bodies and scholars have addressed the importance of diversity in patient assessment and nursing care, there has been little discussion regarding how instructional materials incorporate cultural, age, and gender diversity. This article defines bias and explores six forms of instructional bias. Suggestions are offered on ways to reduce or eliminate bias in instructional materials. AORN J 75 (April 2002) 808‐816.
Ethics in Perioperative Practice—Principles and Applications
Authors: Schroeter Kathryn 
Published: August 2006

ABSTRACTThough often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this first of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the first statement, which emphasizes respect for people. AORN J 75 (April 2002) 818‐824.
Revision Total Hip Arthroplasty
Authors: Drake Cynthia , Ace Marcia , Maale Gerhard E. 
Published: August 2006

ABSTRACTEndoscopic visualization and pneumatically‐powered ballistic chisels that can be used to remove cement and cementless prostheses are recent developmental improvements for revision total hip arthroplasty (THA). Use of these new tools facilitates the revision procedure, reduces tissue trauma, and may reduce surgical time. Understanding the anatomy of the hip joint, pathophysiology that leads to the need for joint replacement, and the implant selection process can assist perioperative nurses in caring for and teaching patients who require revision THA and their family members. This article describes implant choices based on the type of bone deformity present and the use of the ballistic chiseling system during revision THA. Potential postoperative complications also are described. AORN J 76 (Sept 2002) 414–427.
Designing and Implementing a Patient Safety Program for the OR
Authors: Bower Janet O. 
Published: August 2006

ABSTRACTSurgery has a high potential for adverse outcomes. An error involving a retained retractor caused perioperative nurses at the University of Washington Medical Center, Seattle, to take another look at their department's patient safety practices and risk management procedures. Using another department's successful program as a model, the nurses considered the frameworks of risk management, quality improvement, and OR culture to develop a new patient safety quality improvement program for the OR. This article details the process of designing and implementing the program, which has energized staff members, enhanced teamwork, and resulted in improved patient outcomes. AORN J 76 (Sept 2002) 452–456.
Obstructive Sleep Apnea Syndrome in Ambulatory Surgical Patients
Authors: Mull Yvonne , Bedder Marshall 
Published: August 2006

ABSTRACTObstructive sleep apnea in the ambulatory surgery setting has become a more significant concern in recent years because its identification and recognition are a critical part of preoperative patients' risk assessment. The types of surgeries that can be performed on an outpatient basis have increased and include many specialty procedures that previously were performed on an inpatient basis only. Ambulatory surgery has proven to be a cost‐effective alternative for patients and physicians; however, patients in this setting often have complex surgical histories. Perioperative nurses must provide a more integrated approach to patient assessment to recognize, identify, plan, and implement a course of safe care for patients with obstructive sleep apnea. Reviewing patients' histories can help nurses identify symptoms of obstructive sleep apnea, allowing them to alert the surgical team of special requirements. Ambulatory patients with identified obstructive steep apnea will require a planned course of care. Ambulatory care facilities should have a policy in place to ensure that safe care will be provided to patients for the entire perioperative course. AORN J 76 (Sept 2002) 458–464.
Monitoring Bladder Temperatures in the OR
Authors: Fallis Wendy M. 
Published: August 2006

ABSTRACTTemperature monitoring via the urinary bladder has become common in the OR, often replacing monitoring at the rectal site. A systematic, integrated review and synthesis of the literature was undertaken to assess the validity of using the urinary bladder as a site for temperature measurement in the OR. During steady thermal states, bladder temperature performed well, providing temperatures similar to those of core sites. In contrast, poor performance was demonstrated during rapid thermal changes, such as during the rapid cooling and rewarming phases of cardiopulmonary bypass. At such times, a significant lag in response rate at the bladder site was noted by multiple investigators. This delayed responsiveness during thermally dynamic states, however, may provide information regarding the adequacy of rewarming during bypass at sites intermediate between the core and periphery. Limited research indicates that urinary bladder temperature may be influenced by urine flow rate, and additional research is required in this area. The cost effectiveness of this method of temperature measurement requires investigation as well. AORN J 76 (Sept 2002) 467–489.
Ethics in Perioperative Practice—Duty to Foster an Ethical Environment
Authors: Seifert Patricia C. 
Published: August 2006

ABSTRACTThough often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this sixth of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the sixth statement, which emphasizes the nurse's duty to promote a working environment that enhances quality patient care and fosters the values and behaviors that form the foundation of ethical practice. AORN J 76 (Sept 2002) 490–497.
Political Involvement in Nursing—Education and Empowerment
Authors: Des Jardin Karen E. 
Published: August 2006

ABSTRACTPolitical apathy in the nursing profession can be attributed to numerous factors, including a lack of knowledge of the political process and public policy formation, feelings of powerlessness, and a perceived ethical conflict between professional values and political involvement. Nursing as a profession has arrived at a prestigious point in development where the word “nurse” now is synonymous with the words “patient advocate,” thus giving the specialty an important image to fulfill. The public, however, will not recognize nurses as patient advocates until they begin to champion public health and social issues at the institutional, community, and national levels. Numerous changes in health care delivery methods, together with politicians' increased involvement in health care development, have left nurses in a precarious position even though nurses are the largest group of health care workers in the United States. In this article, the first of a two‐part series, the lack of knowledge of the political process and feelings of powerlessness in the nursing profession will be examined, along with their effects on political involvement among nurses. AORN J 74 (Oct 2001) 468–477.
Patient Satisfaction in Ambulatory Surgery
Authors: Yellen Elaine , Davis Gail C. 
Published: August 2006

ABSTRACTThe purpose of this study was to explore the relationships between patient satisfaction and selected variables that were identified as important in ambulatory surgery. The study addressed whether the selected variables are associated with the satisfaction of patients admitted to the hospital for ambulatory surgery. A descriptive correlational study was conducted in two hospital settings with 130 ambulatory surgical patients. Nurses (n = 16) in the ambulatory surgery departments completed a nurse demographic data form. The patient sample differed between settings in age, diagnosis, and use of computers. The nurse sample differed in the number of nurses with computers in their homes and their satisfaction with nursing. Results showed that patients' higher ratings of postoperative pain correlated with higher patient satisfaction. Patients with high postoperative pain rated satisfaction with pain management lower. A point biserial correlation (rpb = .22) indicated a significant correlation between patient satisfaction and nurses' use of computers to collect and record patient information (P = .01). The patient sample in the setting where computers were used showed a higher mean patient satisfaction. AORN J 74 (Oct 2001) 483–498.
HIPAA Compliance in the OR
Authors: Allender Michelle 
Published: August 2006

ABSTRACTMany current information management practices in the OR will have to change to comply with the Health Insurance Portability and Accountability Act and meet Joint Commission on Accreditation of Healthcare Organizations standards for managing health care information. Demands for accurate, timely, confidential, and secure data make an integrated automated system for information management imperative. Delivering health care in today's OR environment results in enormous amounts of data. Caregivers must transform this data into useable information, while protecting patient privacy, confidentiality, and the security of health care information. AORN J 75 (Jan 2002) 121–125.
Peripheral Nerve Blocks for Postoperative Analgesia
Authors: Murauski Jacqueline D. , Gonzalez Kathleen R. 
Published: August 2006

ABSTRACTPeripheral nerve blocks are used as part of a preemptive and multimodal analgesic technique to provide safe and effective postoperative pain management with minimal side effects. They are used for a variety of surgical procedures in both inpatient and outpatient settings. Peripheral nerve blocks have resulted in shorter recovery times, decreased anesthesia‐related complications, and better postoperative pain management. Peripheral nerve blocks, as part of a multimodal analgesic regimen, have decreased recovery times by lessening side effects (eg, nausea, vomiting, drowsiness). Nerve blocks have allowed procedures previously performed only in hospitals to be performed on an outpatient basis by providing extended surgical area analgesia. The use of peripheral nerve blocks, however, requires skilled and knowledgeable clinicians. This article discusses the mechanism of action and the role of peripheral nerve blocks in multimodal analgesia, as well as perioperative nursing implications and management for upper and lower extremity peripheral nerve blocks. AORN J 75 (Jan 2002) 136–147.
The Ideal State for Perioperative Nursing
Authors: Beyea Suzanne C. 
Published: August 2006

ABSTRACTFor a typical surgical procedure, a minimum of three individuals document me care provided during the intraoperative phase. This makes it difficult to develop perioperative records with pertinent data elements without creating redundancy, errors, and inconsistencies. This article discusses strategies to develop surgical records that share information effectively through the use of structured vocabulary and a thoughtful approach to professional nursing practice. It begins to explore developing standards for paper or electronic documentation through collaboration with other stakeholders, including anesthesia care providers, surgeons, clinical directors, and informaticians. AORN J 73 (May 2001) 897–901.
Perioperative Care of the Patient with Zenker's Diverticulum
Authors: Madick Susan 
Published: August 2006

ABSTRACTThere are a variety of surgical approaches to treat the symptomatic patient with a Zenker's diverticulum. Approaches to treat Zenker's diverticula include external excision (ie, diverticuletomy) with or without myotomy; diverticulopexy, an endoscopic approach; or cricopharyngeal myotomy alone. This article discusses esophageal diverticula, treatment modalities, and the perioperative care of patients with Zenker's diverticula. AORN J 73 (May 2001) 904–913.
Effects of Warming Therapy on Pressure Ulcers—a Randomized Trial
Authors: Scott Eileen M. , Leaper David J. , Clark Michael , Kelly Peter J. 
Published: August 2006

ABSTRACTPostoperative pressure ulcers are a common and expensive problem. Intraoperative hypothermia also is a common problem and may have a connection with impaired tissue viability. Researchers in this study hypothesized that intraoperative control of hypothermia may reduce the incidence of postoperative pressure ulcers. A randomized clinical trial (n = 338) was used to test the effects of using forced air warming therapy versus standard care. Results indicated an absolute risk reduction in pressure ulcers of 4.8% (ie, 10.4% to 5.6%) with a relative risk reduction of 46% in patients who received warming therapy. Although not reaching statistical significance, the clinical significance of almost halving the pressure ulcer rate is important. A correlation between body temperature and postoperative pressure ulcers was established.AORN J73 (May 2001) 921–938.
Implementing a Perioperative Nursing Fellowship Program
Authors: Graling Paula R. , Rusynko Barbara 
Published: August 2006

ABSTRACTThe population of nurses in the United States is aging. After suffering high OR nurse vacancy rates for several years, leaders at the Inova Health System implemented a nurse fellowship program. This six‐month didactic and precepted learning program is aimed at experienced RNs who do not have OR experience but would like to work in the OR. Two years after implementation, the OR nurse vacancy rate in the health system has decreased from 27% to 15.5%. AORN J 73 (May 2001) 939–945.