bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ethics in Perioperative Practice—Promoting Health, Welfare, and Safety
Authors: King Cecil A. 
Published: August 2006

ABSTRACTThough often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and should 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 eighth of a nine‐part series that is designed to help perioperative nurses relate the ANA code to their own area of practice, the author looks at the eighth statement, which emphasizes nurses' responsibility to promote the health, welfare, and safety of all people. AORN J 76 (Nov 2002) 866–870.
A Healthy Retirement
Authors: Goldberg Earl 
Published: August 2006

ABSTRACTAs members of the nursing profession age, they must begin planning for their retirement years. Social gerontological theory advocates a high level of activity during senior years. Additionally, individuals must continue lifelong activities as they age and remain engaged socially and professionally. High activity of a continuous nature has been correlated with positive life satisfaction in older adults. AORN J 76 (Nov 2002) 873–874.
The Changing Face of Hand Protection
Authors: Graves Peter B. , Twomey Caraolyn L. 
Published: August 2006

ABSTRACTPerioperative nurses are empowered to act as patient advocates. As such, it is their responsibility to critically evaluate all products used in the surgical environment, including gloves. A basic understanding of the history of surgical gloves, health issues associated with their use, glove materials, and the essential properties of hand scrubs can help perioperative nurses choose appropriate products. This article explores these issues so that nurses and other health care workers can develop a framework for making informed decisions based on clinical reasoning. AORN J 76 (Aug 2002) 248‐258.
Reducing the Hazards of Exposure to Cornstarch Glove Powder
Authors: Cuming Richard G. 
Published: August 2006

ABSTRACTLatex allergy has received considerable attention during the past decade. The occurrence of latex allergy in health care workers is higher than in the general population. Latex gloves are the most frequent form of exposure that health care workers have to natural rubber latex; therefore, the relationship between gloves and latex allergies has been well studied. Scientific evidence supports the link between glove powder and the occurrence of latex allergies, as well as the development of postoperative complications in surgical patients. This article describes how a multihospital system, which is the seventh largest not‐for‐profit health care corporation in the nation and includes 35 ORs, successfully eliminated powdered gloves from the environment. AORN J 76 (Aug 2002) 288‐295.
Do‐Not‐Resuscitate Orders in the OR—Suspend or Enforce?
Authors: Goldberg Susan 
Published: August 2006

ABSTRACTRetaining self‐determination about medical care is a basic patient right. Advance directives (eg, living wills, powers of attorney, health care proxies) are becoming more common in today's health care settings, including the OR. Perioperative personnel should be aware of and respect these documents and the patient's wishes—without compromising their own morals or ethics. AORN J 76 (Aug 2002) 296‐299.
Performing Modified Ultrafiltration on Pediatric Patients
Authors: Quattro Lauren , Bowser Marla , Schwendt Adriana 
Published: August 2006

ABSTRACTPediatric patients undergoing cardiopulmonary bypass (CPB) surgery often retain excessive fluid postoperatively, which results in negative outcomes. Modified ultrafiltration (MUF) is an innovative procedure performed at Johns Hopkins Hospital, Baltimore, that is initiated immediately after CPB to reduce this fluid. This article provides a basic understanding of the MUF technique, how it is performed at Johns Hopkins Hospital, and its positive effects. AORN J 76 (Aug 2002) 300‐305.
Ethics in Perioperative Practice—Duty to Self
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 fifth 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 fifth statement, which emphasizes commitment to one's self.AORN J76 (Aug 2002) 306‐313.
Health Effects Associated With Medical Glove Use
Authors: Dillard Sharon F. , Hefflin Brockton , Kaczmarek Ronald G. , Petsonk Edward L. , Gross Thomas P. 
Published: August 2006

ABSTRACTAdverse reactions to medical gloves represent an important public health issue. Accordingly, there is increasing interest in understanding the information reported to the US Food and Drug Administration (FDA) describing health effects associated with the use of medical gloves. This article provides a retrospective analysis and summary of health effects associated with medical glove use reported to the FDA. The FDA's medical device adverse event databases were searched via computer using keywords to identify reports of reactions associated with any type of medical glove. Demographic and clinical information abstracted from these reports was used to perform frequency and trend analyses. The reported medical glove‐related events, including the noted trends in reporting, suggest the need for further study and continued monitoring of such reports. AORN J 76 (July 2002) 88‐96.
Reprocessing Single‐use Devices—Regulatory Roles
Authors: Dunn Debra 
Published: August 2006

ABSTRACTThis is the third 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. This article discusses the roles of the involved regulatory agencies and organizations guiding the process. The first article in the series, published in the May 2002 issue of the AORN Journal, discusses the ethical component of reusing SUDs. The second article, published in the June 2002 issue of the Journal, discusses the procedures for reprocessing (eg, cleaning, inspecting, sterilizing, tracking, testing, validating) and establishing a reuse program. AORN J 76 (July 2002) 100‐127.
The Maze III Surgical Procedure
Authors: Green Beverly 
Published: August 2006

ABSTRACTThe maze III procedure is a surgical treatment for atrial fibrillation (A fib), a rhythm problem in which the heart's upper chambers (ie, atria) beat rapidly and irregularly, sometimes beating more than 400 times per minute. Approximately 10% of Americans older than 60 years of age suffer from A fib. The maze procedure was designed to create a maze on the atria with multiple incisions that allow sinus rhythm to be conducted to the atrioventricular node without creating a reentry circuit. Currently, if is not a widely used procedure, but its popularity continues to increase. The maze III procedure generally is reserved as a treatment of last resort for a patient with A‐fib that is unresponsive to medication therapy, electrical cardioversion, surgical ablation, or pacemaker implantation. The maze III procedure, performed as open‐heart surgery, has a high success rate for sustaining normal heart rhythms, usually without the need for a pacemaker; however, all other medical and nonsurgical treatment options are exhausted before the maze III procedure is performed. AORN J 76 (July 2002) 134‐146.
Ethics in Perioperative Practice‐Commitment to the Patient
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 fourth 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 second statement, which emphasizes commitment to the patient. AORN J 76 (July 2002) 153‐160.
A Collaborative Program for Cardiovascular Patient Follow‐up
Authors: Deaton Christi , Kurtz Sherron , Weintraub William S. 
Published: August 2006

ABSTRACTTransitions from one health care system to another are common, but they can affect coordination of care and measurement of patient outcomes. In this project, a community hospital and a tertiary center collaborated to obtain follow‐up information on patients 30 days after they underwent cardiac catheterization and revascularization. Results show that patients experienced similar physical and emotional concerns regardless of diagnosis or procedure. Although the intent was to gather information, nurses also provided education and arranged services for patients. This project has implications for the development of collaborative interventions to improve care for patients after undergoing coronary procedures. AORN J 74 (July 2001) 22‐31.
A Practical Approach to Achieving Bloodless Surgery
Authors: Ozawa Sherri , Shander Aryeh , Ochani Teekam D. 
Published: August 2006

ABSTRACTThe term bloodless surgery refers to the practice of performing surgical procedures without the use of allogenic blood and avoiding the use of stored blood, including autologous blood, entirely. This article reviews the scientific and clinical literature regarding bloodless surgery and describes the application of a full‐service, bloodless program within a community hospital.AORN J74 (July 2001) 34‐47.
Dental Surgery in Pediatric Patients with Spina Bifida and Latex Allergy
Authors: Hudson Mary E. 
Published: August 2006

ABSTRACTDental rehabilitation is a common outpatient pediatric surgical procedure. It requires the dentist to restore or extract the teeth of children with severe tooth decay or poor dental hygiene. Medical, physical, or emotional problems can make safe treatment in an outpatient setting impossible. These children require sedation or anesthesia for the dentist to gain access to their oral cavities. This article discusses caring for pediatric patients with spina bifida and latex allergy undergoing dental rehabilitation. Perioperative nurses must act as patient advocates in providing a latex‐safe environment and also ensure quality care. AORN J 74 (July 2001) 57‐72.
Neonatal Cleft Lip and Cleft Palate Repair
Authors: Sandberg Debra J. , Magee William P. , Denk Michael J. 
Published: August 2006

ABSTRACTFacial clefting is one of the most common birth defects and having a child born with this defect can be a devastating experience for parents and family members. Until recently, repair of cleft lip and palate deformities was deferred until the infant had reached 10 weeks of age, 10 pounds in weight, and a hemoglobin level of 10 gm per 100 mL. This criteria eliminated neonates 28 days of age or younger from the possibility of early repair. Waiting until these criteria were achieved often caused problems with parentinfant bonding and infant growth and development. Advances in neonatology and pediatric anesthesia now have made it possible to perform cleft surgery during the neonatal period. This article discusses the anatomy and embryology of cleft deformities and how cleft repair surgery now can be performed on the neonate. AORN J 75 (March 2002) 490–499.
Medialization Thyroplasty for Unilateral Vocal Cord Paralysis
Authors: Herman Cherry 
Published: August 2006

ABSTRACTUnilateral vocal cord paralysis causes disturbances with vocal function and swallowing, to include aspiration. Thyroplasty type I has become one of the preferred surgical treatments for unilateral vocal cord paralysis. It is tolerated better by the patient, improves predictability of surgical results, and provides good voice results when compared to more traditional procedures, such as teflon injection. Use of a premade thyroplasty implant has made it possible to accomplish permanent medial displacement of a paralyzed vocal cord, avoiding the complications of other surgical options. AORN J 75 (March 2002) 512–522.
Morality in Perioperative Nurses
Authors: Killen Aileen R. 
Published: August 2006

ABSTRACTThis study examined nurses' moral motivation, character, and action using a Model of Morality for Perioperative Nurses. Influences on moral actions and selected outcomes for surgical patients and perioperative nurses were examined. Results indicate that motivation and character are related directly to the moral actions of perioperative nurses (R =.13 to .31, P <.001). Fourteen percent of the variance in action was explained by motivation, character, self‐perceived level of practice, and ethics education. Results suggest that current models do not describe the moral behavior of perioperative nurses adequately. Future research should examine constructs that explain the moral actions of nurses in the perioperative setting. AORN J 15 (March 2001) 532–549.
Reprocessing Single‐use Medical Devices
Authors: Cohoon Barbara D. 
Published: August 2006

ABSTRACTHealth care providers today often can choose between reprocessed single‐use devices (SUDs) or SUDs from original equipment manufacturers. The concern about whether reprocessing is safe and should continue was reflected in the US Food and Drug Administration's draft regulations regarding reprocessing and reuse of SUDs; the Government Accounting Office study on SUDs; legislation introduced at both the federal and state levels; and Congressional hearings by the US House of Representatives and the US Senate. This article offers a review of these activities. AORN J 75 (March 2002) 557–567.
Understanding Incarcerated Populations
Authors: Cooke Cheryl L. 
Published: August 2006

ABSTRACTApproximately 1.3 to 1.8 million people are incarcerated in the United States at any given time. When providing emergency or elective surgical intervention, perioperative nurses may encounter incarcerated individuals, including many who require treatment for traumatic injury. Nurses, therefore, need to educate themselves about this patient population and understand the specific clinical and educational needs of this group. This article explores key concepts involved in caring for incarcerated individuals, including their characteristics and assumptions others make about them. The article concludes with a discussion of educational and policy implications.AORN J75 (March 2002) 568–580.
Clinical Nurse Specialist Practice—Spheres of Influence
Authors: Zuzelo Patti Rager 
Published: August 2006

ABSTRACTMany nurses are uncertain of the differences in the educational backgrounds and practice domains of clinical nurse specialists (CNSs) and nurse practitioners (NPs). This uncertainty may make it difficult for perioperative nurses to select the advanced practice role that is most congruent with their career goals and interests. The National Association of Clinical Nurse Specialists developed the Statement on Clinical Nurse Specialist Practice and Education, which provides an organizing framework for the CNS practice role. This article offers distinctions between the educational experiences of CNSs and NPs and suggestions for perioperative CNS practice. AORN J 77 (Feb 2003) 361‐372.
Changing Acute Pain Management Outcomes in Surgical Patients
Authors: Sherwood Gwen D. , McNeill Jeanette A. , Starck Patricia L. , Disnard Geri 
Published: August 2006

ABSTRACTPatient outcome studies indicate that patients accept pain as part of hospitalization. The majority of hospitalized patients who report experiencing pain are recovering from surgical intervention. To achieve successful outcomes, a comprehensive multidisciplinary effort must begin preoperatively and continue through discharge. The perioperative period is an essential link in effective pain management, and perioperative nurses are key in helping direct the care of surgical patients before, during, and after surgical procedures. Pain relief and the patient's satisfaction with care frequently are used to measure pain management outcomes. This article examines the results of a secondary analysis of a subset of surgical patients drawn from a larger data set that was collected during two studies in urban and rural hospitals. It focuses on two outcomes, namely characteristics of pain and patient satisfaction with pain management after surgery. These outcomes were measured using the American Pain Society patient outcome questionnaire and the pain management index. Correlational, descriptive, and regression analyses indicate that postoperative management of patients' pain in these studies was less than optimal. From this new understanding, strategies for effective pain management of surgical patients are recommended. AORN J 77 (Feb 2003) 374–395.
Effects of Music on Patient Anxiety
Authors: Mok Esther , Wong Kwai‐Yiu 
Published: August 2006

ABSTRACTUndergoing surgery with local anesthesia is stressful because patients often are aware of their surroundings. This study investigated music as a method of reducing patients' anxiety during minor surgery with local anesthesia. For this study, researchers assessed the effectiveness of music as a relaxation modality by measuring patients' vital signs and self‐reported anxiety before and after surgery. Study results indicate that patients who listened to their choice of music during surgery experienced significantly lower anxiety levels, heart rates, and blood pressure than patients who did not listen to music. AORN J 77 (Feb 2003) 396‐410.
Using Intraoperative Radiation Therapy—A Case Study
Authors: Domanovic Mary Ann , Ouzidane Malika , Ellis Rod J. , Kinsella Timothy J. , Beddar A. Sam 
Published: August 2006

ABSTRACTThe Introduction of a mobile linear accelerator in the OR has made intraoperative radiation therapy (IORT) more plausible. An IORT treatment can deliver a single high dose of radiation to a tumor or tumor bed after surgical resection or surgical exposure of high risk areas. This article details a case study in which IORT was used on a patient with sigmoid carcinoma and the procedure outcomes. AORN J 77 (Feb 2003) 412‐417.
Transumbilical Breast Augmentation
Authors: Dixton Patricia T. , Dowden Richard , Connor Paula , Klein Claudia 
Published: August 2006

ABSTRACTSurgical augmentation has been performed since 1899, with varying results. Recent developments in endoscopic instrumentation have enabled surgeons to perform many types of procedures through small incisions located at a distance from the surgical site. The transumbilical breast augmentation (TUBA) has advantages over other methods, including a quicker recovery, less pain, and lower chances of complications. This article familiarizes perioperative personnel with TUBA and how to care for the patients who undergo this procedure. AORN J (Oct 2000) 615–625.
Chronic Regional Pain Syndrome, Type 1: Part II
Authors: Dunn Debra G. 
Published: August 2006

ABSTRACTChronic regional pain syndrome, type 1 (CRPS1) is a complex neurologic disease characterized by chronic, severe, burning pain; hyperesthesia; soft tissue swelling; dystrophy; hyperhidrosis; vasomotor and sudomotor instability; joint stiffness; and patchy osteoporosis. Five to six million people in the United States alone suffer from CRPS1. To date, CRPS1 is poorly understood and often is not recognized clinically. This syndrome requires early detection, pain control, and treatment in tandem with physical therapy to the affected area. Part I (published in September) discussed background information on CRPS1 and sympathetic nerve blocks. Part II focuses on the remaining treatment modalities (eg, sympathectomy, physical therapy, stimulators, trigger point injections, acupuncture, tourniquet effects, placebo effects, amputation). AORN J 12 (Oct 2000) 643–653.
Collaboratively Developing an Orientation Program for OR Nurses
Authors: Penprase Barbara 
Published: August 2006

ABSTRACTMany articles have addressed perioperative education's role in recruiting and retaining perioperative nurses, yet they continue to decline in number. The challenging, and sometimes stressful, perioperative environment often inhibits recruitment and retention of perioperative nurses. A unique, collaborative effort between a school of nursing and a hospital resulted in the development of a nursing orientation program that focuses its attention on reducing reality shock and preparing nurses for the perioperative environment. The orientation program incorporates AORN's standards and recommended practices. AORN J 72 (Oct 2000) 663–670.
Information Provided to Surgical Patients Versus Information Needed
Authors: Mordiffi Siti Zubaidah , Tan Seo Peng , Wong Mei Kin 
Published: August 2006

ABSTRACTThe importance of providing preoperative information to patients has been reiterated in many research studies; however, the delivery is based on health care providers' view of what information should be included. An analysis of studies on the type of preoperative information given to patients confirms the lack of patient focus when delivering such information. In this study, a multifaceted approach was used to determine patients' and health care providers' perceptions about preoperative information. Importance was placed on information about the details of anesthesia by all three cohorts (ie, patients, nurses, physicians). A gap in information provided about the details of anesthesia and the OR environment was found. Further analysis seems to attribute the inadequate information received by patients to health care providers' misunderstanding regarding the information patients want. AORN J 77 (March 2003) 546–561.
Preoperative Teaching Received and Valued in a Day Surgery Setting
Authors: Bernier M.J. , Sanares D.C. , Owen S.V. , Newhouse P.L. 
Published: August 2006

ABSTRACTThis study examined the congruence between the preoperative teaching received and valued by patients undergoing same day surgery. A convenience sample of 116 patients was interviewed using the 26‐item preoperative teaching interview guide, which explores five dimensions of preoperative information, including situational/procedural information, sensation/discomfort information, patient role information, psychosocial support, and skills training. The correlation between preoperative teaching received and valued was r = 0.34, P ≤ .01. Significant relationships were observed between income level and preference for situational/procedural information and between gender and preference for psychosocial support information. The findings are being used to frame a program of research in perioperative nursing and to restructure preoperative teaching in one facility. AORN J 77 (March 2003) 563–582.
Intraoperative Magnetic Resonance Imaging Safety Considerations
Authors: Russell Lori 
Published: August 2006

ABSTRACTPatient safety considerations are a priority for perioperative nurses. In the intraoperative magnetic resonance imaging (MRI) chamber, additional safety precautions for both patients and staff members must be taken. This article provides a brief overview of the intraoperative MRI environment and details safety considerations for surgical staff members and patients. AORN J 77 (March 2003) 590–592.