bluuebunny/crossref_metadata_2025_split huggingface dataset:
Political Involvement in Nursing—Politics, Ethics, and Strategic Action
Authors: Des Jardin Karen E. 
Published: August 2006

ABSTRACTPolitical apathy in the nursing profession can be attributed to numerous factors, including a perceived ethical conflict between professional values and political involvement, as well as a lack of strategy for political action. Differences in personal and professional ethics, conflicting loyalties, and a negative image of politics create ethical tension for nurses. Political‐ethical conflicts can mean choosing between job, patient care, and personal ideals. Many nurses never have considered it their place to challenge the structure of the health care system or the rules guiding that system. Supporting political action that demands change in the system, therefore, can cause tension among nurses. The political‐ethical dilemma for nurses is related to outdated images of nursing, repression, fear of power, and lack of knowledge. Many guidelines exist to help nurses understand why they should get involved in the political process. By using these guidelines, nurses can evaluate issues and use a valid method to assess problems, plan for action, and evaluate the effectiveness and benefits of specific strategies. In the second of this two‐part series on political involvement in nursing, political‐ethical conflict is explored, along with strategies for political action. AORN J 74 (Nov 2001) 614–622
Calvarial Vault Remodeling for Sagittal Synostosis
Authors: Johnston Susan A. 
Published: August 2006

ABSTRACTSagittal synostosis is the most common form of craniosynostosis (ie, premature fusion of cranial sutures). Sagittal synostosis, which is the premature fusion of the sagittal suture, occurs in 56% to 58% of all reported cases of craniosynostosis. This article describes calvarial vault remodeling, the procedure of choice at Childrens Hospital Los Angeles for surgical intervention to correct sagittal synostosis. Perioperative interventions to minimize patients' risks and maximize benefits are explained. A case study is presented to describe the experience of one patient and his family members. AORN J 74 (Nov 2001) 634–647.
Computer‐assisted Prefabrication of Individual Craniofacial Implants
Authors: Eufinger Harald , Saylor Brigitte 
Published: August 2006

ABSTRACTHistorically, reconstruction of the skull with intraoperatively modeled implants has been restricted severely by limitations in implant material, unpredictable aesthetic results, prolonged OR time, and indirect techniques that cause decreased precision and increased expense. This article discusses modern computer‐aided design and manufacturing systems that allow for direct preoperative fabrication of implants out of pure titanium with a variety of enhanced construction details. Between 1997 and 1999, 135 cranial and craniofacial reconstructions with defects measuring up to 22 cm were performed using this technique at 25 health care centers in Europe. The results obtained in these patients were predictable and constant and demonstrated dramatically reduced OR times. AORN J 74 (Nov 2001) 648–654.
Weekend Operating Room On Call Staffing Requirements
Authors: Dexter Franklin , O'Neill Liam 
Published: August 2006

ABSTRACTThis article describes a statistical method used to determine the minimum number of OR teams that should be on call for urgent procedures, in‐house versus on standby from home, to minimize labor costs. The OR manager obtains the number of ORs staffed at each hour of the 24‐hour period of interest (eg, 7 AM Saturday to 7 AM Sunday) from the surgical suite's information system. The minimum number of total staffed hours needed to care for patients is calculated for a prespecified level of the acceptable risk of inadequate staffing. A method used to determine whether each staff member should work in‐house or on standby from home then is introduced. This method enumerates all possible combinations of shifts to find the one with the lowest cost, and it ensures a prespecified service level. An example based on 248 weeks of data collected from a large surgical suite is presented, and staffing for emergency procedures is reviewed. AORN J 74 (Nov 2001) 664–671.
Time as a Catalyst for Tension in Nurse‐Surgeon Communication
Authors: Espin Sherry L. , Lingard Lorelei A. 
Published: August 2006

ABSTRACTCarefully studying communication patterns between nurses and surgeons questions popular stereotypes about OR discourse and expands educators' understanding of the factors that motivate team communication, patterns that are habitual among team members, and issues that act as catalysis for tension. This study examines the nature of communication between perioperative nurses and surgeons and identifies patterns and sites of tension. Researchers observed 128 hours of interaction between nurses and surgeons in four surgical divisions at one teaching hospital in Ontario, Canada. Field notes were read, coded, and analyzed independently. Results showed that higher tension in nurse‐surgeon communication clusters around particular themes, the most dominant of which is time. Analysis of this theme reveals communication strategies that allow surgeons and nurses to achieve individual goals and support social cohesion among team members.AORN J74 (Nov 2001) 672–682.
Do Humorous Preoperative Teaching Strategies Work?
Authors: Schrecengost Ann 
Published: August 2006

ABSTRACTIncorporating humor into preoperative teaching may improve patients' ability to recall pertinent instruction. This article describes a study in which an experimental, two‐group, pretest/posttest design was used to determine whether there was a significant difference in the amount of knowledge patients recalled after receiving a teaching booklet either with (ie, experimental) or without (ie, control) humor. The sample included 50 patients undergoing open‐heart surgery. Results indicate that there was no significant difference (F1, 48 = .07, P > .05) between the groups in the amount of knowledge gained related to postoperative pulmonary exercises. Both groups, however, had a statistically significant increase in the amount of knowledge gained from pretest to posttest (F1, 48 = 39.16, P < .05). Before humorous teaching strategies can be recommended for use in preoperative teaching, further research about the relationship between preoperative instruction, humor, and knowledge retention is necessary. AORN J 74 (Nov 2001) 683–689.
Promoting Patient Safety Through Preoperative Patient Verification
Authors: Brown Becky , Riippa Markay , Shaneberger Kathy 
Published: August 2006

ABSTRACTAt Spectrum Health, Grand Rapids, Mich, a process to verify patient identification, procedure, and procedure side and site was developed and implemented to improve the current process. Focusing on risk‐reduction strategies, an interdisciplinary task force revised the facility's surgical site identification policy and improved the surgical scheduling form to highlight information for sided procedures. Task force members also designed a verification checklist to require the comparison of any procedure data to the physician's order. This article describes these improvements and other methods that were established to ensure patient safety and reduce risk. Ongoing data collection verifies that the process remains in place and that team members are compliant. The improved process maximizes patient safety because it allows for early intervention when any discrepancies are identified. AORN J 74 (Nov 2001) 690–698.
Mobile Linear Accelerators for Intraoperative Radiation Therapy
Authors: Beddar A. Sam , Domanovic Mary Ann , Kubu Mary Lou , Ellis Rod J. , Sibata Claudio H. , Kinsella Timothy J. 
Published: August 2006

ABSTRACTIntraoperative radiation therapy (IORT) is becoming an increasingly common procedure for treating gross tumors or tumor beds after resection. Traditionally, IORT delivery required either heavily shielded ORs or transporting anesthetized patients to the department of radiation oncology. The availability of a self‐shielded mobile electron linear accelerator has made this treatment modality accessible to institutions that otherwise would not consider performing IORT. This article describes IORT equipment and supplies and addresses perioperative nursing issues, as well as the roles of other team members involved in the delivery of IORT. AORN J 74 (Nov 2001) 700–705.
Exploring the Impact of Physician Verbal Abuse on Perioperative Nurses
Authors: Cook Janice K. , Green Meredith , Topp Robert V. 
Published: August 2006

ABSTRACTThe purpose of this study is to explore the incidence and impact of physician verbal abuse on perioperative nurses. Roy's Adaptation Model was used as the framework for this descriptive, exploratory study. Seventy‐eight perioperative nurses completed the Verbal Abuse Scale questionnaire. Seventy‐one nurses (91%) reported experiencing some type of verbal abuse from a physician during the past year. Results show, however, that nurses use adaptive coping behaviors and problem‐focused skills to deal with the abuse. AORN J 74 (Sept 2001) 317–331.
Creating a Positive Surgical Experience for Patients
Authors: Garbee Deborah Delaney , Beare Patricia Gauntlett 
Published: August 2006

ABSTRACTPerioperative nurses strive to provide a positive surgical environment and, thus, a positive surgical experience for all patients. Blending traditional medicine with complementary therapies is one way to accomplish this task. This article presents a brief review of literature about traditional and complementary interventions used successfully in health care settings, along with a case study illustrating how one facility integrated these therapies into surgical patient care. The facility's goal was to increase patient satisfaction and create a positive surgical experience. AORN J 74 (Sept 2001) 333–337.
Topical Anesthesia—A New Approach To Cataract Surgery
Authors: Hutchisson Bettyann , Nicoladis Carol Broman 
Published: August 2006

ABSTRACTPatients undergoing cataract surgery with the use of topical anesthesia experience less pain, can return home faster, and avoid the need for an eye patch, which can cause depth perception problems. Patient education performed by the perioperative nurse significantly affects patients' experience and recovery. This article discusses the history of cataract surgery, etiology of cataract formation, and traditional anesthetic choices. The patient selection process relative to topical anesthesia is defined, and the patient's experience throughout the perioperative phases of cataract extraction is described. AORN J 74 (Sept 2001) 340–350.
Percutaneous Chordotomy for Managing Cancer Pain
Authors: Oran Nazan Tuna 
Published: August 2006

ABSTRACTPain is a problem frequently encountered by patients with cancer. For more than 30 years, the percutaneous chordotomy procedure has been a nonpharmacological approach to the management of intractable cancer pain. Nursing care of patients before, during, and after the percutaneous chordotomy procedure is challenging. Patients and their family members need to be educated about the intent and outcomes of the procedure, as well as its complications. The purpose of this article is to review the theoretical aspect of pain perception and outline the anatomical background and basic steps of the percutaneous chordotomy procedure. Preoperative patient education and preparation, intraoperative nursing interventions, and postoperative patient care are discussed. AORN J 74 (Sept 2001) 363‐372.
Speaking the Language of Finance
Authors: Hunt Pamela S. 
Published: August 2006

ABSTRACTNursing leadership skills have changed dramatically in a short period of time. Just being able to cover the schedule and ensure adequate orientation for new employees are not enough in today's health care environment. This article outlines steps to ensure adequate staffing levels, assess productivity, and justify the operational supplies and capital equipment necessary for effective patient care. It also outlines steps nursing leaders can take to market their programs and services. AORN J 73 (April 2001) 774–787.
Development of the Perioperative Nursing Data Set
Authors: Kleinbeck Susan V.M. 
Published: August 2006

ABSTRACTNursing practice is a major component of health care. Yet, it remains undervalued and essentially invisible because little data exist to substantiate the influence of nurses on patient outcomes. The research‐based Perioperative Nursing Data Set (PNDS), with an easily automated nomenclature capable of describing the specialty practice of perioperative nursing, was designed to fill this gap. Four domains (ie, safety, physiologic response to surgery, patient and family behavioral response to surgery, health system) form the foundation of the PNDS. Each domain, with accompanying desired outcomes, nursing interventions, and nursing diagnoses, has reliability, content validity, and evidence of construct validity. The purpose of this article is to introduce the conceptual framework, taxonomy, and potential clinical applications of the PNDS. AORN J 70 (July 1999) 15‐28.
Do Not Let a Deposition Ruin Your Disposition
Authors: Duffy William 
Published: August 2006

ABSTRACTThe US legal system has a unique language and different customs. The key to surviving an encounter in the health law arena is to understand legal language, customs, and the objectives surrounding a lawsuit. A deposition usually is a health care practitioners first encounter with testifying under oath. This article reviews the objectives and tactics that are used in a lawsuit and explains some strategies for health care practitioners to use when testifying during a deposition and presenting their defense. AORN J 70 (July 1999) 34‐42.
Clinical Decision‐making Processes in Perioperative Nursing
Authors: Parker Cheryl B. , Minick Ptlene , Kee Carolyn C. 
Published: August 2006

ABSTRACTThe purpose of this phenomenological study was to reveal the processes of clinical decision making by expert perioperative nurses. Six nurses with a minimum of five years experience who considered themselves to be experts in OR nursing were asked to describe perioperative situations in which they had made a difference in patient outcomes. In every situation described, an intricate pattern of concern was present and associated with further assessments. The pattern was labeled Seeing the big picture: Engendered through caring. This study provides initial documentation to support how RNs make critical contributions to the quality of perioperative patient care.AORN J70 (July 1999) 45‐62.
Determining the Best Length of an OR Orientation Program
Authors: Wells Maryann M.P. 
Published: August 2006

ABSTRACTThe length of orientation necessary for nurses new to the OR to obtain basic perioperative skills to ensure quality patient care is a major expense for health care facilities. The length of perioperative orientation programs varies greatly from institution to institution. Some last only one month, and others last from three months to one year. Educators usually decide the length of time based on tradition or outcomes; however, this may not be the best way to determine the length of an orientation program. A standardized time frame for perioperative orientation needs to become a reality. This article reports the results of a study that examined the effect orientation length had on RN compliance rates after nurses completed two different orientation programs and discusses the implications for developing orientation programs. AORN J 70 (July 1999) 72‐78.
Cardiac Explantation and Autotransplantation
Authors: Wagner Schelley , Hutchisson Bettyann , Baird M. Ginny 
Published: August 2006

ABSTRACTCardiac explantation and autotransplantation is a procedure by which the heart is removed from the chest and replaced. Explantation of the heart for tumor removal has been documented six times in the literature; however, with this aggressive, approach, the median patient survival rate is only eight months. This article presents a case study in which this procedure was used to treat a patient with malignant fibrous histiocytoma. AORN J 70 (July 1999) 99‐107.
Airborne Particulates in the OR Environment
Authors: Edmiston Charles E. , Sinski Sharon , Seabrook Gary R. , Simons Dorna , Goheen Michael P. 
Published: August 2006

ABSTRACTIntraoperative sampling of airborne particulates is rarely performed in teh OR environment because of technical difficulties associated with sampling methodologies and because of the common belief that airborne contamination is infrequently associated with surgical site infections (SSIs). In this study, investigators recovered nonviable (ie, lint) and viable (ie, microorganisms) particulates during vascular surgery using a personal cascade impactor sampling device. The predominant nonviable particulates recovered during intraoperative sampling were wood pulp fibers from disposable gowns and drapes. Several potential nosocomial pathogens (eg, Staphylococcus aureus, Staphylococcus epidermidis) and other drug‐resistant isolates frequently were recovered from an area adjacent to the surgical field. The widespread presence of airborne particulates during surgery suggests that further studies are warranted to assess the role these particles may play in the development of SSIs or in dissemination of nosocomial pathogens within the OR and hospital environment. AORN J 69 (June 1999) 1169‐1183.
Caring for the Islamic Patient
Authors: McKennis Ann T. 
Published: August 2006

ABSTRACTThe delivery of culturally sensitive care by perioperative nurses is an essential element of patient advocacy. To provide culturally astute care, nurses must familiarize themselves with the world's religious and ethnic groups. Islam is a worldwide religion and, like all religions, is practiced along a spectrum ranging from very conservative and traditional practices to the more liberal and contemporary ones. A person may accept some, all, or none, of the principles discussed in this manuscript. Additionally, the patient's country of origin plays an integral role in the planning of culturally competent care. AORN J 69 (June 1999) 1187‐1196.
Perioperative Management of Burn Patients
Authors: Rose David D. , Jordan Elizabeth B. 
Published: August 2006

ABSTRACTBurns continue to be a leading cause of death in the United States. Survivability of burn patients has increased since 1988 because of significant changes in the management of life‐threatening injuries. Advances include rapid removal of eschar, skin grafting, and early enteral feeding. Pathophysiologic changes occur in every major organ system of the burn patient and must be aggressively treated. Perioperative care of the burn patient begins in the immediate postburn period and continues throughout the patient's care. Intraoperative management of the patient requires organization, planning, and, above all, communication between the OR team members and anesthesia care providers to ensure optimum results. AORN J 69 (June 1999) 1211‐1222.
Vertical Banded Gastroplasty: A Treatment for Morbid Obesity
Authors: Goldberg Susan , Rivers Peggy , Smith Kelly , Homan Walliam 
Published: August 2006

ABSTRACTStomach stapling to aid the morbidly obese patient with weight loss has been available for years. Unfortunately, some methods of bariatric surgery (eg, gastric bypass surgery) can lead to serious complications. This article discusses vertical banded gastroplasty (VBG) and presents an overview of morbid obesity and its inherent medical problems, the screening process and the physical and psychological needs of patients undergoing bariatric procedures, the anatomy and physiology of normal digestion, and the perioperative nursing considerations in caring for a patient undergoing VBG. AORN J 72 (Dec 2000) 988–1003.
Preventing Injuries Using an Ergonomic Approach
Authors: Owen Bernice D. 
Published: August 2006

ABSTRACTThe risk of back injury is a continuing problem for nurses. Patient‐handling tasks (eg, transferring patients on and off stretchers, repositioning patients on OR beds) are a major precipitating factor to this problem. Educating nurses about body mechanics has not been the answer to preventing back injuries; however, changing the physical demands of the job (ie, using an ergonomic approach) by using assistive devices (eg, friction reducers) has been proven to decrease perceived stress and injury rates and increase patient comfort. This article focuses on the problem of nurses' back and shoulder overexertion injuries and explores the application of ergonomics in the perioperative setting. AORN J 72 (Dec 2000) 1031–1036.
Developing a Perioperative Peer Performance Appraisal System
Authors: Mathews Diane E. 
Published: August 2006

ABSTRACTThis article describes the course of action taken by one surgical department to develop and implement a peer appraisal process for nursing staff members. This rural, hospital‐based, four‐room surgical suite is staffed by 15.5 full‐time equivalents (ie, 22 staff members total) and includes full‐time, part‐time, and per diem nurses; surgical technologists; two aides; one scheduler; and one part‐time educator. The author explains the steps the department took from beginning concept to implementation of the peer appraisal process. AORN J 72 (Dec 2000) 1039–1046.
Perioperative Care of the Elderly Surgical Patient
Authors: Bailes Barbara K. 
Published: August 2006

ABSTRACTElderly surgical patients undergo approximately 20% or more of all surgical procedures in acute care hospitals across the country. Elderly people also are more at risk for surgical intervention because of age‐related system changes and comorbid conditions. In recent years, greater knowledge about aging and advanced surgical, anesthetic, and monitoring technology has made it possible for many elderly people to undergo surgery without significant mortality. This article is intended to increase the ability of perioperative nurses to anticipate, plan, and provide care for their elderly surgical patients. AORN J 72 (Aug 2000) 186–207.
Depression, Delirium, and Dementia in the Elderly Patient
Authors: Hoot Martin Jan , Hoot Haynes Linda Carol 
Published: August 2006

ABSTRACTPerioperative nurses commonly care for patients with changes in mental status, especially elderly patients. Three common mental status disorders in the elderly are delirium, depression, and dementia. Each of the disorders can have similar clinical presentations. Despite similarities, the appropriate nursing interventions may vary significantly. Interventions discussed in this article focus on the etiology of the presenting problem and the nursing interventions that will promote the most positive outcome for the patient. AORN J 72 (Aug 2000) 209–217.
Marketing the RN First Assistant Role
Authors: Homan Timothy , Dunscombe Althea 
Published: August 2006

ABSTRACTNurses who are educated and certified for the RN first assistant (RNFA) role must look for ways to introduce the RNFA role into their health care setting while also marketing their services over another assistant's services. This article offers information on the RNFA role, including practice requirements, a job description, and strategies to help institute the first assistant role into a health care facility. AORN J 72 (Aug 2000) 234–240.
The Pioneer Spirit in Perioperative Advanced Practice—Two Practice Examples
Authors: Fox Vicki J. , Schira Mary , Wadlund Diana 
Published: August 2006

ABSTRACTPerioperative nurses have options in advanced practice instead of leaving the acute care setting. One of the newest advanced practice roles is the acute care nurse practitioner (ACNP). This role may be ideal for perioperative nurses who want to remain in perioperative practice and grow clinically by pursuing advanced practice. This article presents two collaborative practice examples for the ACNP in the perioperative setting. The authors describe new frontiers in advanced perioperative practice and analyze the emerging advanced practice role of the ACNP. This challenging and exciting role is well suited to perioperative practice in a general and trauma surgery practice. The academic preparation, certification, and credentialing necessary to practice as an ACNP are explained. AORN J 72 (Aug 2000) 241–253.