bluuebunny/crossref_metadata_2025_split huggingface dataset:
Decreasing Preoperative Delays—A Rapid Process Improvement Project
Authors: Celik Judith 
Published: August 2006

ABSTRACTPatient delays in the preoperative area are frustrating to patients, staff members, and physicians. These delays result in indirect costs that waste resources and decrease revenue. The purpose of this project was to determine whether implementation of rapid process improvement methodology would decrease preoperative patient delays. A delay was defined as any time a patient is not ready 30 minutes before his or her scheduled surgery time. A 7% reduction in delays occurred as a result of the project. Although the change was not statistically significant, it was clinically significant. AORN J 77 (April 2003) 737–741.
An RN First Assistant's Guide to Private Practice
Authors: Hughes Sheila 
Published: August 2006

ABSTRACTIn 1984, AORN developed its first official statement on RN first assistant (RNFA) practice. This article is a guide for RNFAs seeking self‐employment. The dynamics of change, with reference to the role of the RNFA, in perioperative nursing and entrepreneurship will be discussed. Nurses' responsibilities in this expanded role, methods of becoming a change agent, and methods of obtaining privileges to practice as a self‐employed RNFA (ie, functioning under the supervision of a surgeon) in health care organizations will be identified. Current trends and issues influencing RNFA practice, including certification, reimbursement, practice setting, education, competition, and changes in health care, also will be discussed. AORN J 77 (April 2003) 748–761.
A Historical Review of Barrier Materials
Authors: Belkin Nathan L. 
Published: August 2006

ABSTRACTWhen surgical gowns first were used, their primary purpose was to protect patients from members of the surgical team. In 1952, it was revealed that although the muslin the garments were made from may have been an effective barrier when dry, it lost barrier capability after it became wet. This disclosure triggered research to develop more satisfactory materials for this unique application. In the interim, the emergence of HIV was accompanied by the need to protect surgical team members from patients, and barrier effectiveness attained even greater importance. During the past 50 years, several attempts have been made to develop a universally acceptable and meaningful test method to demonstrate a material's barrier capability under conditions that simulate usual conditions of use. None has been successful. Today, with the trend toward minimally invasive surgery and pressure to reduce costs, perioperative nurses are confronted with selecting a product that is appropriate for the task and degree of exposure anticipated. AORN J 76 (Oct 2002) 648–653.
Practical Advice for Perioperative Travel Nurses
Authors: Brumley Cindy L. 
Published: August 2006

ABSTRACTTravel nursing presents unique opportunities that permanent employees may never experience. Today's nursing shortage allows travel nurses to fill temporary staff positions while experiencing the sights, culture, and cuisine of a location of their choosing. This creates a beneficial situation for travel nurses, hospitals, travel companies, and, ultimately, pationis. Knowledgeable, flexible nurses and traveler‐friendly hospitals can extend contracts if mutually agreeable, thus prolonging the benefits. Before beginning the adventure, however, travelers must have realistic expectations. Many disappointed travelers may have been more successful had they done better research. AORN J 76 (Oct 2002) 658–663.
Increased Efficiency through OR Redesign and Process Simplification
Authors: Mangum Sandras S. , Cutler Katherine 
Published: August 2006

ABSTRACTShort turnover times and efficient use of time and personnel are hallmarks of an efficiently run OR. When delays occur, time can be lost and the workday prolonged considerably. This article describes changes made in neurosurgical services at Utah Valley Regional Medical Center, Provo. These changes involved redesign of the neurosurgical suite and simplification of processes, which led to a 33% to 55% decrease in turnover times and an increase in team efficiency and the number of nurses proficient in the specialty. AORN J 76 (Dec 2002) 1041–1046.
Ethics in Perioperative Practice—Values, Integrity, and Social Policy
Authors: King Cecil A. , Broom Catherine 
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 final article 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 ninth provision, which emphasizes the responsibility of professional nursing associations to maintain the value and integrity of the profession. AORN J 76 (Dec 2002) 1047–1053.
An Administrator Returns to Practice as a Perioperative Nurse
Authors: Waibel Ruth 
Published: August 2006

ABSTRACTAfter many years in an administrative job, the author returned to work as a perioperative nurse. Her fears, as well as the excitement of learning new techniques and technologies, are chronicled in this article. Her experiences and “lessons learned” can be used as a guide for orienting new employees with previous OR experience. In the wake of the national shortage of perioperative nurses, hospitals may need to look to nurses who have previous but no current OR experience to fill vacancies. AORN J 76 (Nov 2002) 862–865.
Diabetes Mellitus and its Chronic Complications
Authors: Bailes Barbara K. 
Published: August 2006

ABSTRACTDiabetes mellitus is a major cause of morbidity and mortality, and it is a major risk factor for early onset of coronary heart disease. Complications of diabetes are retinopathy, nephropathy, and peripheral neuropathy. Currently, treatment involves diet modification, weight reduction, exercise, oral medications, and insulin. In recent years, important advances have been made into the pathogenesis of diabetes that affect the cardiovascular, renal, and nervous systems; vision; and the lower extremities, especially the feet. The progression of diabetic retinopathy and nephropathy can be slowed or prevented with tight glucose and blood pressure control. Neuropathy remains a major problem causing significant impairment. Ongoing clinical trials and testing of various medications to determine their effectiveness in treating the complications of diabetes have met with some success, but there still is much to learn about this disease. AORN 76 (Aug 2002) 266‐282.
What is in a Name—Sedation or Anesthesia
Authors: Catalano Kathleen 
Published: August 2006

ABSTRACTThe Joint Commission on Accreditation of Healthcare Organizations' sedation standards detail the differences between sedation and anestnesia. These standards, however, note that it is important that those applying sedation be trained to rescue patients who may slip from moderate sedation into deep sedation or from deep sedation into anesthesia. AORN J 75 (March 2002) 550–553.
Endometriosis—A Missed Malady
Authors: Taylor Marti M. 
Published: August 2006

ABSTRACTEndometriosis is a disease that affects approximately 5.5 million girls and women in their reproductive years in the United States and Canada. During the menstrual cycle, the endometrial lining of the uterus thickens in preparation to receive a fertilized egg. If fertilization does not occur, this lining sloughs off during menstruation. Endometrial tissue can migrate out of the fallopian tubes and grow outside of the uterus as endometrial implants. This can result in severe pain. Endometriosis is very difficult to detect because most women become accustomed to painful menstrual cycles at an early age. The disease often will go undiagnosed because even with extensive endometriosis it is possible to have minimal symptoms or none at all. Physicians have few diagnostic tools to detect the scars and growths of endometriosis. The only way to confirm the diagnosis and stage of endometriosis is by laparoscopy. Treatment options include hormone therapy and surgery. In the past, the most successful treatment was open laparotomy with excision of the endometrial implants. This article discusses the use of the ultrasonic scalpel to resect endometrial implants. through the laparoscope. The patient's perioperative course also is discussed. AORN J 77 (Feb 2003) 298‐313.
Sentinel Lymph Node Dissection As a Means of Managing Breast Cancer
Authors: Wienholz Sandra , Dean Susan F. 
Published: August 2006

ABSTRACTSentinel lymph node dissection is a minimally invasive procedure designed to identify and remove specific lymph nodes suspected of containing metastatic cancer cells. First, a surgeon maps sentinel lymph nodes by tagging them with a radioisotope. He or she then uses a hand‐held gamma probe intraoperatively to identity lymph nodes likely to contain metastases of primary lesions (eg, cancers of the breast, prostate, and parathyroid; melanomas). Sentinel lymph node dissection is precise and considerably less traumatic for the patient than the traditional surgical treatment of complete lymph node dissection. This article discusses the use of sentinel lymph node dissection as a diagnostic tool and treatment for breast cancer. AORN J 72 (Oct 2000) 633–638.
Brain Tumor Resections Guided by Magnetic Resonance Imaging
Authors: Kanan Angela , Gasson Beth 
Published: August 2006

ABSTRACTA major goal of surgical treatment of intracranial tumors is to achieve complete resection of the lesion while also preserving normal brain tissue and function. Conventional stereotactic systems used today to localize intracranial lesions are based on previously acquired imaging data sets. These data sets cannot provide surgeons with information about dynamic changes that occur during surgery. The recent development of intraoperative magnetic resonance imaging allows surgical resection to be performed through the eyes of the surgeon with concurrent magnetic resonance images. This advancement has revolutionized the way neurosurgical procedures are being performed. AORN J 77 (March 2003) 583–589.
Reducing Percutaneous Injuries in the OR by Educational Methods
Authors: Holodnick Cherie L. , Barkauskas Violet H. 
Published: August 2006

ABSTRACTExposure to bloodborne pathogens (eg, HIV, hepatitis B, hepatitis C) through percutaneous injuries is an occupational risk for health care workers, especially those in the OR. The incidence of disease continues to rise, although occupational exposures often go unreported. Percutaneous injury prevention methods have included use of safety devices, practice changes, and educational programs. An educational intervention to increase awareness of risk, provide suggestions for injury reduction, and encourage reporting of exposures was performed at a university teaching hospital. Preliminary qualitative results show increased exposure reporting, increased use of personal protective equipment, and increased awareness of disease exposure risk among OR personnel. AORN J72 (Sept 2000) 461–476
Perioperative Nursing and Animal‐Assisted Therapy
Authors: Miller Julie , Ingram Lisa 
Published: August 2006

ABSTRACTInteracting with animals has been shown to reduce blood pressure and cholesterol, decrease anxiety, and improve a person's sense of well being. Animal‐assisted therapy (AAT) can be incorporated into the care of perioperative patients. Some of the goals that can be met by using trained and certified therapy animals are reducing stress preoperatively, motivating patients to have a positive attitude, promoting postoperative activity, and reducing the need for pain medication. Infection control, immunosuppressed patients, and research are issues regarding AAT in the hospital setting that must be covered by policy and procedure. Suggestions for setting up an AAT program are discussed. AORN J (Sept 2000) 477–483
Teaching Affective Competencies to Surgical Technologists
Authors: Patty Chris M. 
Published: August 2006

ABSTRACTLearning in the affective domain encompasses behaviors and beliefs concerned with values, morals, and caring, and surgical technologists have not been well trained in affective competencies. This article describes the development of a curricular model based on Martha Rogers' Science of Unitary Human Beings and on humanistic learning theory. AORN J 70 (Nov 1999) 776‐781.
Tennessee RN First Assistant Survey Data—What Types of Perioperative Education are Needed?
Authors: Heckman Rod , Barnhill Jan 
Published: August 2006

ABSTRACTMany nursing programs removed perioperative education from their curriculum as early as the late 1960s, and perioperative nursing is now experiencing the consequences. Fewer perioperatively educated graduates are available, the workforce of experienced perioperative nurses is aging, and multiple career opportunities are luring perioperative nurses from the OR and nursing in general. Surveys were conducted in Tennessee to determine the knowledge about perioperative nursing roles and responsibilities. These survey results demonstrate the need for nurses, nursing programs, and hospitals to collaborate in developing guidelines, programs, and evaluation processes based on national perioperative standards. AORN J 70 (Nov 1999) 791‐802.
Accreditation of Ambulatory Surgery Centers
Authors: Brown Suzanne 
Published: August 2006

ABSTRACTAmbulatory surgery centers are flourishing in the United States. Accreditation of these unique facilities by the Accreditation Association for Ambulatory Health Care reflects a commitment to quality, patient‐centered care and to excellence in this specialty area. The accreditation process is complex and lengthy; the benefits, however, outweigh the disadvantages. By successfully completing the accreditation process, a facility demonstrates to the public, its patients, and other health care professionals that it provides exemplary ambulatory surgical care. Successfully accredited facilities also have competitive advantages over nonaccredited surgical centers. AORN J 70 (Nov 1999) 814‐821.
Women's Victimization History and Surgical Intervention
Authors: Hastings Debra Pilling , Kantor Glenda Kaufman 
Published: August 2006

ABSTRACTResearch suggests that women who are abused use health care services at higher rates than those who are not abused. Few studies have examined the association between women's history of victimization and surgical intervention. A secondary analysis of quantitative data obtained originally from primary care practice records of 110 women was conducted. The relationship between women's history of victimization and the likelihood that these women had undergone surgery was examined statistically. Findings reveal that women who had experienced childhood abuse, abuse as an adult by an intimate partner, or both underwent a significantly higher number of surgeries and more major surgeries than women with no history of abuse. Screening for victimization history is recommended in perioperative settings to facilitate appropriate intervention. AORN J 77 (Jan 2003) 163‐180.
Robotic Cardiac Surgery
Authors: Reger Tammy Beth , Janhke Mary Ellen 
Published: August 2006

ABSTRACTThe health care climate is evolving due to influences of new technology, and robotic surgery has become a part of many surgical procedures and specialties. Incorporation of robotic procedures in cardiac surgery has several recognized benefits for patient outcomes, including a smaller incision, decrease in pain, and shorter hospital stay. Increased use of robotics will influence how nurses educate and care for their patients and the types of health care options that will be offered to patients in the future. AORN J 77 (Jan 2003) 182‐186.
Optimize Patient Health by Treating Literacy and Language Barriers
Authors: Dreger Vicki , Trembeck Thomas 
Published: August 2006

ABSTRACTMore than 90 million Americans have limited literacy skills. Almost two million US residents cannot speak English, and millions more speak it poorly. The stigma of illiteracy or the inability to speak a country's predominant language keep patients from disclosing their limitations. Recognizing these facts is an important first step in improving health education for this vulnerable population. By adapting teaching techniques to patients' special needs, nurses can ensure that patients understand their health problems and plan of care. Statistics dramatically demonstrate the high cost of neglecting these needs. Patients who do not understand their plan of care do not comply with instructions and, therefore, suffer unnecessary complications. Health care providers who can communicate with their patients through multilingual, low literacy patient education materials and with the use of qualified interpreters markedly improve the quality of care for their patients and the resulting outcomes. AORN J 75 (Feb 2002) 280–293.
Caring for a Limited‐English Proficient Patient
Authors: Wood Betsy Anne 
Published: August 2006

ABSTRACTEach day in the United States, health care workers try to communicate with patients who are deaf, hard of hearing, or limited‐English proficient (LEP). According to government regulations, these patients are guaranteed access to language accommodations. The legal implications of these regulations will be discussed along with ways to facilitate communication with patients who are deaf, hard of hearing, or LEP and the requirements for those who act as interpreters for such patients. AORN J (Feb 2002) 305–308.
Treating Glaucoma with Drainage Devices and Pericardial Grafts
Authors: Ho‐Shing Donna 
Published: August 2006

ABSTRACTGlaucoma is caused by a sustained elevation of intraocular pressure due to the decreased drainage of aqueous humor from the anterior chamber of the eye. There are many types of glaucoma, which, if left untreated, may have devastating results for the patient. Glaucoma can remain uncontrolled after medical and surgical interventions. Glaucoma drainage device implants with pericardial graft placements often are helpful in relieving the effects of glaucoma and increasing the patient's quality of life. AORN J 71 (June 2000) 1237–1251.
Mentoring—What It Is and How to Make It Work
Authors: Fawcett Debra L. 
Published: August 2006

ABSTRACTMentors are people who help those less experienced in their field learn about the field and advance their careers. Mentors not only help mentees learn, they also learn from the mentor‐mentee relationship. To be effective, mentors should possess patience, enthusiasm, knowledge, a sense of humor, and respect. They also should advocate for mentees and get to know them, thus allowing mentees to succeed and the mentor‐learner relationship to grow. AORN J 75 (May 2002) 950‐954.
Reprocessing Single‐Use Devices—The Ethical Dilemma
Authors: Dunn Debra 
Published: August 2006

ABSTRACTThis is the first 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. The practice of reprocessing is complex and technical, and it raises concerns about patient safety, ethics, the environment, and costs. Opponents of reprocessing argue that the risks outweigh the benefits and that research has not proven it to be safe. Supporters believe the devices are labeled for single use so that manufacturers can maintain their profit margin and avoid liability. The purpose of part one of this article is to inform nurses about the ethical issues, patient safety issues (eg, infection control, patient injury), and previously performed research studies regarding reprocessing and reusing products that are intended for single use. The second and third articles in this series will discuss procedures for reprocessing, roles of the regulatory agencies involved, and advantages and disadvantages of using third‐party reprocessors. AORN J 75 (May 2002) 989‐999.
Sentinel Lymph Node Biopsy for Breast Cancer
Authors: Kellar Stephanie J. 
Published: August 2006

ABSTRACTIn a health care system in which decreasing costs, increasing quality, and minimizing morbidity are emphasized, new, less invasive surgical techniques are gaining popularity. Sentinel lymph node biopsy is one such procedure used to treat many types of breast cancer. By performing a biopsy of this node, which receives lymphatic drainage from the tumor, the surgeon can predict the status of all nodes in the axillary region and accurately diagnose stages of cancer, thus eliminating axillary dissection for 55% to 70% of patients. Successful outcomes result from a concerted effort among the nuclear medicine physician, radiologist, surgeon, and surgical team members. AORN J 74 (Aug 2001) 197–201.
Student Interest in Perioperative Nursing Practice as a Career
Authors: Happell Brenda 
Published: August 2006

ABSTRACTPerioperative nursing is in crisis because of the difficulty recruiting sufficient numbers of graduate nurses and the threat of nonnursing employees performing traditional nursing duties. The relative unpopularity of perioperative nursing as a career choice for graduate nurses is commonly attributed to little exposure to the specialty's theory and practice in undergraduate nursing education programs. This article discusses results of a longitudinal study's first phase to ascertain career preferences of undergraduate nursing students. Findings suggest that when students begin nursing programs, they consider perioperative nursing a favorable career option. Few studies regarding student nurses' attitudes toward perioperative nursing exist, making these results significant. AORN J 71 (March 2000) 600–605.
Myths and Realities of Ageism and Nursing
Authors: Letvak Susan 
Published: August 2006

ABSTRACTAgeism is pervasive throughout society, and it is an especially important issue for nurses because the nursing workforce is aging rapidly. This article explores ageism as it applies to women and nurses, along with the myths and realities about this prevalent attitude. It also presents strategies for managing and educating the aging nursing workforce. AORN J 75 (June 2002) 1101‐1107.
The Pancreas—Hermit of the Abdomen
Authors: Gavaghan Mary 
Published: August 2006

ABSTRACTThe pancreas is almost impossible to palpate because it is located in the retroperitoneal space. Life‐threatening lesions, therefore, often are not diagnosed until they are very advanced and encroaching on adjacent structures. The pancreas has a large endocrine and exocrine reserve, which also contributes to difficulty in diagnosing pancreatic disease. This article provides an in‐depth analysis of the anatomy and physiology of the pancreas and endocrinopathies, allowing nurses to provide optimal care for patients with pancreatic abnormalities. AORN J 75 (June 2002) 1110‐1130.
Perioperative Patient Education for Retinal Surgery
Authors: Shelswell Nancy L. 
Published: August 2006

ABSTRACTAnticipation of retinal surgery and fear of permanent vision loss can be stressful for patients. When patients first are diagnosed with retinal problems and informed that ocular surgery is required, they may not be psychologically or emotionally ready to absorb the information needed to prepare them for the postoperative recovery phase. Perioperative nurses have an opportunity to affect patient outcomes by providing information to patients before, during, and after surgery. Well‐educated patients have the necessary knowledge to maximize compliance and afford themselves an optimal surgical outcome. AORN J 75 (April 2002) 801‐807.