bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing Clinical Learning Sites for Undergraduate Nursing Students
Authors: Lunday Kathleen K. , Winer Wendy K. , Batchelor Angela 
Published: August 2006

ABSTRACTAs health care continues to evolve and take on new shapes, perioperative procedures more often are occurring in nonhospital settings and with fewer opportunities for nursing intervention. Believing that nursing education must prepare nurses af the undergraduate level to provide quality and meaningful perioperative care, nursing specialists and educators at Emory University, Atlanta, developed two new clinical learning sites that allow undergraduate nursing students to learn from preceptors in advanced perioperative roles. These learning sites encourage students to develop and use critical thinking skills that are imperative to perioperative care. AORN J 70 (July 1999) 64‐71.
Balloon Endometrial Ablation as a Safe Alternative to Hysterectomy
Authors: Barrow Cynthia 
Published: August 2006

ABSTRACTEach year, 600,000 hysterectomies are performed in the United States, costing an estimated $4 billion. Approximately 50% of these hysterectomies are performed for menorrhagia or abnormal uterine bleeding. Menorrhagia can have a negative impact on a woman s lifestyle and self‐perception, often leading her to seek definitive treatment. Pharmacologic treatment for menorrhagia is not always successful, and dilatation and curettage provides relief for only the first few menstrual cycles. Surgical options include hysterectomy and two forms of endometrial ablation. Current research demonstrates that thermal uterine balloon therapy is the safest of these options. Uterine balloon therapy, an outpatient procedure, has resulted in successful reduction in menstrual flow in 70% to 90% of patients, and it soon may be performed as an office‐based procedure. AORN J 70 (July 1999) 80‐90.
The New Millennium Brings Nursing Informatics into the OR
Authors: Parker Joel L. , Abbott Patricia A. 
Published: August 2006

ABSTRACTWill the perioperative arena step out of the dark ages and into the new millennium with informatics? A paradigm shift must occur in both the perioperative arena and health care organizations. Health care organizations must realize the value of informatics and the importance of integrating the informatics nurse into the organizational information system's team. This article discusses how the informatics nurse can accelerate the paradigm shift in the perioperative arena if given the opportunity. The informatics nurse's proactive involvement in the perioperative environment will ensure that information handling technologies benefit the perioperative specialty and, ultimately, enhance patient care. AORN J 72 (Dec 2000) 1011–1017.
Comparison of Different Regimens for Surgical Hand Preparation
Authors: Larson Elaine L. , Aiello Allison E. , Heilman James M. , Lyle Christopher T. , Cronquist Alicia , Stahl Julie B. , Della‐Latta Phyllis 
Published: August 2006

ABSTRACTTwenty surgical staff members participated in a clinical trial to compare the microbiology and skin condition of hands when using a traditional surgical scrub (TSS) with a detergent‐based antiseptic containing 4% chlorhexidine gluconate (CHG) and a short application without scrub of a waterless hand preparation (HP) containing 61% ethyl alcohol, 1% CHG, and emollients. The HP was associated with less skin damage (P = .002) and lower microbial counts postscrub at days five (P = .002) and 19 (P = .02). The HP protocol had shorter contact time (HP mean [M] = 80.7 seconds; TSS M = 144.9 seconds; P< .0001), and more subjects preferred the HP regimen (P = .001). The HP performed better than the TSS, was less costly, and should be evaluated in larger trials and considered for widespread implementation. AORN J 73 (Feb 2001) 412–432.
Antibiotic Resistance—an Alarming Health Care Issue
Authors: Twomey Carolyn 
Published: August 2006

ABSTRACTEmerging highly infectious viral agents, resurgent diseases, and mutating bacteria have created a significant and costly health care crisis. Antibiotics that were proven to be definitive weapons against infectious disease now are losing their effectiveness. This article describes the etiology and impact of this global problem and offers perioperative nurses and other health care professionals guidelines about basic infection control and infectious disease prevention to help combat this crisis. AORN J 72 (July 2000) 64–75.
Implementing a Shared Governance Model in the Perioperative Setting
Authors: Root Susan D. 
Published: August 2006

ABSTRACTThis article examines the existing literature about shared governance, particularly as it applies to the perioperative setting, and chronicles the process of implementing a shared governance model in one hospital's surgical services department. The goal of the implementation was to improve the department's efficiency and morale by transferring decision‐making responsibilities to the staff level. Progress in the first 18 months of the project has been challenging, but results have been encouraging. AORN J 72 (July 2000) 95–104.
Gastrointestinal Surgical Patients' Outcomes Influenced by Nutrition
Authors: Reiland Karla Ernst 
Published: August 2006

ABSTRACTNutritional support differs for patients electing to have gastrointestinal surgical procedures and patients with abdominal trauma injuries. Trauma patients can rehabilitate more quickly than patients undergoing gastrointestinal surgeries, despite the traumatic injuries that require surgical intervention. This literature review examines and evaluates the clinical practice and management of these patients and the consequences of surgical nutritional deprivation. AORN J 71 (Jan 2000) 199–204.
Perioperative Care of the Older Adult with Auditory and Visual Changes
Authors: Kee Carolyn C. , Miller Valerie 
Published: August 2006

ABSTRACTPerioperative nurses can initiate measures during the perioperative period when working with older adults who have hearing and visual deficits. There are methods of assessing perioperative patients by interview and observation to provide indicators for nursing intervention. Caring and advocacy interventions include environmental modifications to enhance the patient's ability to hear, see, and understand what is happening during this anxiety‐promoting time. AORN J 70 (Dec 1999) 1012–1019.
Strategic Problem Solving in the New Millennium
Authors: Kontryn Veronica 
Published: August 2006

ABSTRACTDiagnosing problems, such as those related to failing equipment, lack of supplies, or scheduling disputes, and finding immediate and effective solutions can pose a challenge to perioperative nurses. Solving these problems can be accomplished, however, without excessive paperwork and cumbersome protocols. The problem tracking system is a standardized problem‐solving method that creates a continuous cycle of documentation, feedback, action, and assessment, thus establishing an interdependence between problem identification, solution, and evaluation. In this system, all participants have a vested interest in ensuring successful outcomes, valuable internal resources are optimized, and measurable results are demonstrated. AORN J 70 (Dec 1999) 1035–1044.
Minimally Invasive Treatment of Twin‐to‐Twin Transfusion Syndrome
Authors: Allen M.H. , Garabelis N.S. , Bornice P.W. , Quintero R.A. 
Published: August 2006

ABSTRACTSelective laser photocoagulation of communicating vessels (SLPCV) is an application of minimally invasive endoscopic fetal surgery (ie, surgical fetoscopy) performed for severe cases of twin‐to‐twin transfusion syndrome (TTTS), a complication of monochorionic twin pregnancies. Advances in ultrasound and endoscopy have aided the identification and treatment of this potentially lethal or fatal condition. Surgical fetoscopy, an innovation in the field of surgery and maternal‐fetal medicine, benefits patients by reducing the morbidity and mortality associated with TTTS, with minimal risks to the mother. AORN J 71 (April 2000) 796–810.
Creating Outcomes with Redesign Efforts
Authors: Allison Cole Donna 
Published: August 2006

ABSTRACTIntegrating principles from a variety of theories, managers have developed a conceptual framework for reengineering processes in an endoscopy unit to improve the value of services provided to customers. A major goal of this redesign was to enhance or maintain quality of care, increase efficiency, and maintain or reduce costs. This was accomplished by analyzing data and outcome measures related to patient, physician, and staff member satisfaction, as well as resource allocation. The departmental results were tangible, positive, and visible almost immediately. With the right team and the right techniques, tools, methodologies, and decision‐making processes, redesign projects can and do lead to dramatic improvements in productivity, service, customer and staff member satisfaction, cost control, and innovation. AORN J 70 (Sept 1999) 406–413.
Technique and Patient Care Using Interbody Fusion Technology
Authors: Mangum Sandra 
Published: August 2006

ABSTRACTA new development in spinal surgery uses cylindrical fusion devices for fixation and fusion. Two products, which involve differing procedures, instrumentation, and implants, have been used for more than two years and are becoming more popular as excellent fusion and recovery rates have been reported. This article discusses the historical background of surgery for spinal fusion and describes the preoperative preparation and procedures for both of the products. The conclusion summarizes postoperative care, patient teaching, and preventing possible complications. AORN J 68 (Nov 1998) 786‐798.
Surgical Treatment for Intranasal Squamous Cell Carcinoma
Authors: McEwen Donna R. , Marenda Susan A. 
Published: August 2006

ABSTRACTSurgical treatment for aggressive intranasal squamous cell carcinoma (SCC) requires a multidisciplinary team approach to ensure optimal patient outcomes. Surgical procedures for the removal of intranasal malignancies may include rhinectomy, palatectomy, and maxillectomy. These procedures leave patients with significant facial defects that are corrected with staged surgical reconstructions or applications of facial prostheses. This article describes the etiology of intranasal SCC, discusses treatment options, and presents a case study that chronicles the events from diagnosis through rehabilitation of a patient undergoing rhinectomy, partial bilateral maxillectomy, and partial palatectomy. AORN J 63 (Jan 1996) 163–182.
A Resume or Curriculum Vitae for Success
Authors: Markey Bernadine T. , Campbell Robert L. 
Published: August 2006

ABSTRACTNurses who are searching for new positions can enhance their job employment potential with well‐written resumes. Scholarship and award recognition also can be improved by creating well‐written resumes and/or curricula vitae. Appropriate cover letters effectively introduce nurses to employers or review committees. This article presents a few basic suggestions that can simplify the creation of any of these documents and help nurses produce a quality product. AORN J 63 (Jan 1996) 192–202.
A Pilot Study Appraising the Climate for Perioperative Nursing Research
Authors: Fawcett Debra L. , Lainof Carole A. 
Published: August 2006

ABSTRACTFifty‐four perioperative nurses from five Midwestern hospitals completed a questionnaire about areas of interest, perceived barriers, and experience with clinical nursing research. The 22‐item questionnaire explored their attitudes, education levels, perceptions of barriers, interest, experience related to nursing research, and demographic information. Fifty‐eight percent of the perioperative nurse respondents reported a definite interest in clinical nursing research, 55% had not attended a nursing research class, and only 40% had ever read nursing research. The perceived barriers included lack of on‐duty time to do research, lack of administrative support, and lack of recognition. AORN J 63 (Jan 1996) 205–208.
The Spiritual Needs of Pediatric Patients and Their Families
Authors: Fina Doris K. 
Published: August 2006

ABSTRACTHolistic perioperative nursing care of children and their families includes assessing their spiritual needs and identifying interventions that help them achieve spiritual comfort. This is achieved by therapeutic listening and by facilitating children's and family members' access to clergy members or their practice of religious rites and rituals. Perioperative nurses have a unique opportunity and responsibility to assess children's or family members' spiritual needs and to intervene on their behalf. This article describes the opportunities a surgical liaison nurse may have to intervene on the behalf of family members during children's perioperative experiences. AORN J 62 (Oct 1995) 556–564.
Competency‐Based Orientation for Registered Perioperative Nurses
Authors: Speers Alice T. , Gilberg Kristine M. , Koch Frances A. 
Published: August 2006

ABSTRACTA comprehensive orientation is essential for new nurses who plan to practice in the perioperative area. The traditional perioperative orientation program at our hospital was not effective, so we developed a competency‐based orientation program to improve patient care, decrease costs, and increase new nurses' confidence and perioperative skills. Program results have been positive and rewarding and have provided many new perioperative registered nurses whose practice is based on sound principles. AORN J 62 (Oct 1995) 567–578.
Developing Competency‐Based Perioperative Orientation Programs
Authors: Schramm Carol A. , Hoshowsky Victoria M. 
Published: August 2006

ABSTRACTEnsuring the competency of staff members at all levels of practice is an ongoing challenge for perioperative clinical educators. The authors developed a competency‐based orientation program using AORN's perioperative nursing competency statements as a conceptual framework. The model also incorporates requirements from external regulatory agencies (eg, the Joint Commission on Accreditation of Healthcare Organizations) that influence the direction of health care institutions seeking accreditation. The model provides the components necessary to validate the orientation of perioperative staff members and the delivery of comprehensive nursing care in perioperative settings. AORN J 62 (Oct 1995) 579–590.
Meeting Infection Control Standards in the OR
Authors: Allen George , Josephson Adele 
Published: August 2006

ABSTRACTQuality health care is associated with the absence of negative outcomes in patients. Institutions realize that quality cannot be assured but it can be assessed and methods can be developed to improve patient care. Many health care institutions, therefore, have begun the conceptual transition from a quality assurance model to principles of continuous quality improvement (CQI). This article describes a CQI project that was developed to enhance infection control standards in OR settings. The project involved three phases: development of a survey tool, implementation of an environmental assessment and monitoring model, and transfer of the model to OR staff members. Five months after implementation of the model, the chi‐square test revealed there was a significant improvement in compliance (x2 = 5.0, P <.03). After 22 months of using the model, compliance to infection control standards remains high and OR staff members have taken ownership of the model by incorporating it into their departmental CQI process. AORN J 62 (Oct 1995) 595–602.
A Salute to the Nurses of World War II
Authors: Breakiron Marie 
Published: August 2006

ABSTRACTThe nation recently celebrated the 50th anniversary of World War II (WWII) with a renewed interest in Pearl Harbor and D‐Day (ie, the day the Allies invaded Europe.) One group of war heroes—all volunteers—received little attention, although they endured bombings, torpedoes, antiaircraft fire, prison, starvation, and death. They were the nurses of WWII. They served all over the world and left a legacy that today's perioperative nurses are committed to preserving. This article was written to honor the nurses of WWII. It relates only a few stories of thousands that could be told. AORN J 62 (Nov 1995) 710‐722.
Laparoscopic Swenson Pull‐Through Procedure for Congenital Megacolon
Authors: George Cindy , Hammes Mary , Schwarz Donna 
Published: August 2006

ABSTRACTConstipation that is unresponsive to conventional remedies is the primary symptom of congenital megacolon (ie, Hirschsprung's disease). The cause of congenital megacolon is lack of ganglion ceiis in the bowel. The laparoscopic Swenson pull‐through procedure involves removing the aganglionic segment of the colon, bringing the normally decompressed bowel through the pelvic floor, and anastomosing the bowel to the anorectal verge. Advantages of the laparoscopic approach include shorter lengths of hospital stay and fewer complications resulting from disruption of skin integrity. AORN J 62 (Nov 1995) 727‐736.
Arthroscopic Rotator Cuff Repairs Using Suture Anchors
Authors: Farrall Lee Anna 
Published: August 2006

ABSTRACTArthroscopic rotator cuff repairs using titanium‐alloy suture anchors are a new treatment option for active patients with shoulder injuries. Shoulder arthroscopy and arthroscopic repair procedures are alternative treatments to traditional open surgical procedures for Bankart lesions and rotator cuff tears. Distinct advantages of arthroscopic repair techniques include decreased patient tissue trauma and morbidity rates and shortened recovery and rehabilitation periods. AORN J62 (Nov 1995) 739‐750.
A Historical Decline of Educational Perioperative Clinical Experiences
Authors: Wagner V. Doreen , Kee Carolyn C. , Gray D. Patricia 
Published: August 2006

ABSTRACTThis historical study identifies sociocultural and economic influences that have contributed to the decline of educational perioperative clinical experiences. Three themes were identified: the professional versus the technical role of OR nurses debate, the nurse generalist versus the nurse specialist debate, and the relative lack of control that nursing has over its own destiny. Recommendations to reverse this trend include increasing the visibility of perioperative nurses to the public and within the profession of nursing, structuring efforts to capitalize on the changes occurring in nursing education, and promoting a stronger affiliation between nursing academia and practice settings. AORN J 62 (Nov 1995) 771‐782.
The Perioperative Nurse's Role in Anesthesia Management
Authors: Stein Richard H. 
Published: August 2006

ABSTRACTThe perioperative nurse's role in anesthesia management of the surgical patient begins with a preoperative patient assessment and ends when the patient recovers from the effects of anesthesia. An understanding of the following concepts enhances the perioperative nurse's ability to collaborate with anesthesia care providers in providing optimal care: anesthesia risk classifications, choice of anesthetic agents, importance of patient positioning, anesthesia induction and intubation techniques, levels of general anesthesia, inhalational agents, malignant hyperthermia, and patient monitoring parameters during local and regional anesthesia. AORN J 62 (Nov 1995) 794–804.
A Career Ladder Program Designed by Perioperative Staff Nurses
Authors: Day Doris S. , Scidmore Celeste 
Published: August 2006

ABSTRACTStaff members at Baylor University Medical Center, Dallas, were dissatisfied with the existing clinical ladder program, so a committee of perioperative staff nurses was appointed to create a new program. The new program was based on a literature review and RN and management survey data. Under the new program, nurses must accumulate points to qualify for or maintain clinical nurse levels I, II, or III. The point system recognizes many professional contributions that were ignored by the previous program. AORN J 62 (Nov 1995) 805‐809.
Perioperative Perspective of a United Nations Humanitarian Mission
Authors: Smith Steven D. , Smith Kimberly A. 
Published: August 2006

ABSTRACTThe use of deployable medical systems is not new to the US Army, but their use in support of United Nations peacekeepers is new. This article describes one Army unit's experience near Zagreb, Croatia, in 1993. The physical location, language and cultural barriers, and difficulty obtaining supplies posed significant challenges to those involved. The focus is on the OR team: its capabilities, achievements, and importance during this mission. AORN J 62 (Dec 1995) 875‐883.
Effects of Intraoperative Manual Descending Compressions on Saphenous Vein Incision Healing
Authors: Moody Carol A. , Cardwell Bonnie Gordon , Liehr Patricia 
Published: August 2006

ABSTRACTMany patients who undergo saphenous vein harvesting during aortocoronary bypass procedures experience saphenous vein incision site complications, such as hematoma formation. Twelve percent of the patients in this descriptive, comparative study developed hematomas in their saphenous vein incision sites. Contributing factors were age, smoking, diabetes, and intraoperative heparinization. An intraoperative nursing intervention (ie, manual descending compressions) did not decrease hematoma formation but warrants further investigation. AORN J 62 (Dec 1995) 913‐923.
Radiolabeled Monoclonal Antibodies
Authors: Brumley Cindy L. , Kuhn Joseph A. 
Published: August 2006

ABSTRACTMonoclonal antibodies (MoAbs) are biologically engineered proteins designed to bind to antigens emanating from tumor cells. Selected radioactive isotopes are fused with MoAbs to allow radioimmunodetection or external imaging of metastatic deposits in patients with colon cancer. For the past 10 years, radiolabeled MoAbs have improved tumor localization techniques and influenced the clinical management of surgical patients. Intraoperatively, surgeons use appropriately shielded, handheld, gamma detection probes to locate radiolabeled MoAbs and corresponding colon cancers (ie, residual, recurrent tumors). Using gamma detection probes intraoperatively, surgeons can localize nonpalpable occult tumors and disecse not suspected from external antibody scans or other traditional diagnostic methods. This success confirms the need for complete tumor resections, thorough scanning of entire tumor beds, and ex vivo scanning of surgical specimens to assess for potential nodal metastases. AORN J 62 (Sept 1995) 343–355.
Demographics and Patient Treatment Choice in Stage I Breast Cancer
Authors: Graling Paula R. , Grant Joanne M. 
Published: August 2006

ABSTRACTThe identification of factors related to patients' treatment selections for breast cancer is important to health care providers. This study examined the relationship of selected demographics to patient treatment choice for stage I breast cancer. The study design was a retrospective chart review from a community hospital's tumor registry. The investigators used frequency distributions, chi‐square tests, and factor analyses to analyze a convenience sample of 58 patients with stage I breast cancer who registered in 1992 and 1993. The results show that education level is a significant influencing factor (p = .02) in patients' treatment choices. Perioperative nurses often help patients clarify treatment option information and provide support during the decision‐making process. Demographic factors may affect patients' perceptions of critical information and directly influence their treatment choices. AORN J 62 (Sept 1995) 376–384.