bluuebunny/crossref_metadata_2025_split huggingface dataset:
A National Study of Perioperative Nurse Education in Two Technologies
Authors: McConnell Edwina A. , Hilbig Jill 
Published: August 2006

ABSTRACTIn this study, perioperative RNs (n = 122) from hospitals throughout the United States were surveyed to explore how and what they initially learned about the different types of technology they use in direct patient care and the consequences of using these technologies. The study revealed that the most frequently identified method participants used to learn technologies (ie, count procedure, electro‐surgical unit [ESU]) was via instruction from other staff members, and RNs were more likely to learn more facts about the count procedure than about the ESU. Although the count procedure was significantly more likely to cause stress to RNs (P = .000), an inaccurate count procedure was no more likely to result in patient harm than incorrect operation of an ESU. AORN J 72 (Aug 2000) 254–264.
Sequential Bilateral Total Knee Arthroplasty
Authors: Branson Jill Jasperson , Goldstein Wayne M. 
Published: August 2006

ABSTRACTAs the senior citizen population has grown, the incidence of osteoarthritis and joint replacement has increased. Bilateral total knee arthroplasty (BTKA) can be performed sequentially during one anesthetic. Studies have shown the complication rates differ only slightly for total knee arthroplasty procedures performed sequentially during one anesthetic or separately requiring two hospitalizations. With the use of staggered tourniquet deflation times, efficient OR time and motion techniques, and careful postoperative management, patients can achieve successful outcomes after BTKA during one anesthetic. AORN J 73 (March 2001) 610–635.
An Integrative Review of Pressure Relief in Surgical Patients
Authors: Armstrong Diana , Bortz Pamela 
Published: August 2006

ABSTRACTEffective patient positioning has been an important issue throughout the history of the nursing profession. Pressure ulcers result from prolonged pressure, which causes skin, tissue, or muscle damage. Surgical patients present a unique challenge in preventing pressure ulcers because they are immobile and unable to perceive the discomfort of prolonged pressure. The purpose of this integrative review is to examine risk factors associated with pressure ulcer development in surgical patients and to examine pressure‐relieving support surfaces to determine if they significantly reduce intraoperative tissue pressure and result in a lower incidence of postoperative pressure ulcers. Most of the research focuses on long‐term care units, with little attention given to the acute care setting. Although the pathophysiology and etiology of pressure ulcers are well documented by years of research, the OR as an etiologic factor is largely undefined. AORN J 73 (March 2001) 645–674.
Nurses as Working Women
Authors: Letvak Susan 
Published: August 2006

ABSTRACTWomen today make up nearly half of the nation's workforce. A number of these women have children at home, and women also often are responsible for providing care to older adult family members or friends. The different roles assigned to women in today's society are burdensome, particularly for nurses who deal with the stress of managed care, downsizing, the nursing shortage, caring for increasingly ill patients, long and irregular hours, and daily crises. There are ways that nurses can modify their work situation, however, to help them cope with the rigors of the workplace and the home. AORN J 73 (March 2001) 675–682.
Perioperative Preparation of the Adolescent Surgical Patient
Authors: Busen Nancy H. 
Published: August 2006

ABSTRACTThe perioperative preparation of adolescents for surgery provides a challenge to nurses and other health care providers because of the wide diversity in adolescents' age, physical maturation, and cognitive and psychosocial development. Perioperative issues, informed consent, and assent differ considerably depending on the age and developmental level of each adolescent. This article provides information about adolescent growth and development and approaches to managing adolescent surgical patients. AORN J 73 (Feb 2001) 337–363.
Treating Benign Colon Disorders Using Laparoscopic Colectomy
Authors: Cox Joyce A. , Rogers Mary A. , Cox Steven D. 
Published: August 2006

ABSTRACTLaparoscopic bowel surgery is a recent application of minimally invasive videoscopic techniques. Understanding the anatomy and physiology of the bowel, the background of bowel disorders and their treatment, signs and symptoms of bowel disease, and the patient selection process can help perioperative nurses better care for patients diagnosed with colon polyps, diverticulitis, and inflammatory bowel disease. AORN J 73 (Feb 2001) 377–398.
Implementing a Nonlatex Surgical Glove Study in the OR
Authors: Korniewicz Denise M. , Garzon Laurel , Seltzer Judy , Kennedy Nancy , Feinleib Manning 
Published: August 2006

ABSTRACTSterile surgical gloves are used to protect patients and health care workers (HCWs) from infection during surgery and to shield HCWs from exposure to bloodborne pathogens. Based on increased reports of latex allergy, many HCWs now use nonlatex surgical gloves as a substitute for natural rubber gloves. Little is known, however, about the performance of nonlatex gloves in surgery. This article describes a study that currently is being performed to test the barrier performance of nonlatex surgical gloves after they have been used in surgery and to determine HCW satisfaction. To date, 12,703 latex and nonlatex gloves from all surgical services have been collected and tested for barrier quality. This article describes the project and challenges encountered by the collaborative team of perioperative staff members and nurse researchers as they collect data. AORN J 73 (Feb 2001) 435–445.
A Creative Process for Reinforcing Aseptic Technique Practices
Authors: Ford Donna A. , Koehler Suzanne H. 
Published: August 2006

ABSTRACTIssues in aseptic technique challenge every perioperative practitioner. Equally challenging for educators is how to creatively present information to large groups of staff members in a way that facilitates learning. This article describes the process used to address practice issues in aseptic technique and to present educational inservice programs to a large number of staff members. Two clinical educators formed a work group comprising staff RNs and surgical technologists to address this topic. Work group members then planned and presented a two‐part education session to review these issues with surgical staff members. AORN J 73 (Feb 2001) 446–450.
Herbs and the Perioperative Patient
Authors: Brumley Cindy 
Published: August 2006

ABSTRACTHerbs are claimed to cure or correct many ills, and in the United States, they are classified as dietary supplements. The Federal Trade Commission, rather than the US Food and Drug Administration, has primary responsibility for dietary supplements, so companies may make claims about herbs that are unsubstantiated by research. Perioperative nurses should be aware of herb usage, interactions with other traditional medications, and herbs effects on perioperative patients.AORN J72 (Nov 2000) 785–796.
“Don't Destroy the Evidence!”
Authors: Wick Jane M. 
Published: August 2006

ABSTRACTAs nurses, we interact with both victims and perpetrators of violence. Our goal is to save the patient; however, we also play a role in the legal outcome of that violence. What we do in caring for these patients is important. Means of preserving and documenting evidence while caring for the victims of violence are discussed and guidelines for the nurse s legal role are given. AORN J 72 (Nov 2000) 807–827.
Challenges of Measuring Intraoperative Patient Outcomes
Authors: Kleinbeck Susan V.M. , McKennett Melanie 
Published: August 2006

ABSTRACTThe Perioperative Patient Focused Model incorporates AORN s patient outcomes standards of perioperative care. Although the outcomes were designed for perioperative practice, it is difficult to judge which outcome standards an intraoperative nurse might appropriately use to determine if the patient has achieve the desired result at the time of discharge from the OR. The purpose of this article is to explore whether intraoperative nurses can implement the new model by substituting intermediate patient outcomes to evaluate the effect of nursing care delivered during a surgical procedure. AORN J 72 (Nov 2000) 91–99.
Redesign of Medication and Supply Distribution in a Day Surgery Center
Authors: Drescher Nadine Iris 
Published: August 2006

ABSTRACTThe day surgery center at NYU Hospitals Center installed an automated medication and supply distribution system as part of its facility renovation. A constricted Manhattan site prohibited physical expansion, so space efficiency became top priority. Goals also included increasing revenue, positioning for managed care contracting, improving access to supplies and medications, use tracking and inventory adjustment, documenting and tracking, accurate charging, and enhancing patient and staff member satisfaction. Space efficiencies achieved via automated distribution enabled planners to save one OR, which generates approximately $1 million in revenue annually. Demonstrated quarterly cost savings total $35,615, for an expected $142,460 in annual savings. The number of full‐time employees did not increase from the amount budgeted for the prior system in any department participating in implementing the new system. AORN J 72 (Nov 2000) 854–861.
Perioperative Documentation in Finland
Authors: Junttila K. , Salantera S. , Hupli M. 
Published: August 2006

ABSTRACTIn Finland, research studies about perioperative documentation are few, and there are no professional recommendations for perioperative documentation, such as AORN s Standards, Recommended Practices, and Guidelines. Exploring current documentation practices and contents used in Finland is the first step to establishing a standard for perioperative documentation. The need for this type of exploration resulted in a study that found that the aim of nursing documentation is not always clear, and current documentation practice does not necessarily reveal the decision making that directs patient care, demonstrate nursing resources needed, or provide data for evaluating and developing perioperative practice. Education, motivation, and computerization generally were mentioned as a means to develop documentation. AORN J 72 (Nov 2000) 862–877.
A Phenomenologic Study of How Perioperative Nurses Perceive Their Work World
Authors: Chard Robin R. 
Published: August 2006

ABSTRACTAs health care facilities restructure and downsize, many are evaluating the value of RNs as members of the health care team. While many studies have been done about how health care systems measure value, no studies have been found that focus on areas of concern from the perspective of nurses who actually work in the OR. This article details the results of a phenomenologic study that used one‐on‐one interviews to ask five perioperative nurses how they perceive their work world. By telling the nurses stories, five essential themes of being a nurse in the perioperative work world emerged. AORN J, 72 (Nov 2000) 878–889.
Historical Development of Latex Allergy
Authors: Dyck Reuben J. 
Published: August 2006

ABSTRACTLatex allergy has become an increasing problem for both patients and health care providers. This article presents an overview of the historical background of latex and how it was developed. This information is helpful in understanding our current reliance on and problems associated with latex use. AORN J 72 (July 2000) 27–40.
Perioperative Care of Patients with Latex Allergy
Authors: Davis Blanca Rosa 
Published: August 2006

ABSTRACTInitially identified in the pediatric population, latex allergy and sensitivity now are seen at increasingly higher rates in all age groups, and are especially prevalent in health care workers. Knowledge about the sources of latex in the environment, the signs and symptoms seen in latex sensitivity and allergic reaction, risk tactors for sensitivity, and how to assess patients and those working in the health care profession for possible latex sensitivity is important for perioperative nurses. AORN J 72 (July 2000) 47–54.
Preparation, Experience, and Aftermath of Hurricane Floyd
Authors: Campese Claudia 
Published: August 2006

ABSTRACTIn September 1999, Hurricane Floyd threatened the southeastern coast of the United States, causing the largest peacetime evacuation in history. The hurricane moved onto land when it curved northward and slammed into southeastern North Carolina near Wilmington and Cape Fear. This region already had experienced three hurricanes in recent years and had been brushed by Hurricane Dennis one month earlier. This article describes actions taken by the New Hanover Regional Medical Center surgical services department in Wilmington, NC, to prepare for and weather the storm. The aftermath and cleanup also are discussed. AORN J 72 (July 2000) 82–93.
Ultrasound Use in Cardiothoracic Surgery
Authors: Heckman Rod 
Published: August 2006

ABSTRACTWith the advent of minimally invasive surgical techniques, patients in the United States currently are undergoing safer, more comfortable surgical procedures than in the past. Traditionally, saphenous vein harvesting techniques involved open surgical techniques that could become sources of postoperative complications, including pain, poor wound healing, increased length of hospital stay, and higher costs for the patient and hospital. These complications were the impetus for developing minimally invasive techniques for vein harvesting. Minimally invasive saphenous vein harvesting is performed through small incisions and subcutaneous tunnels. The procedure offers an atraumatic conduit for the coronary artery bypass procedure and decreases the number of leg wound complications. Ultrasound devices currently offer a quick, accurate method for locating veins before harvest, thereby avoiding wound complications and injuries. AORN J 73 (Jan 2001) 144–165.
The Use of Neuromodulation for Treatment of Urinary Incontinence
Authors: Buback Debbie 
Published: August 2006

ABSTRACTUrinary incontinence (UI) affects many people in the United States. Although the prevalence of UI increases with age, it should not be considered part of the normal aging process. Medication to relax the bladder and behavioral therapy have been used to treat patients suffering from UI, but they often are unsuccessful or poorly tolerated. Neuromodulation through sacral nerve stimulation is a minimally invasive surgical procedure for treatment of urge incontinence. Neuromodulation is becoming the next logical step at many centers for treating urge incontinence after the failure of more conservative measures. AORN J 73 (Jan 2001) 176–190.
Preparing Children for Surgery—an Integrative Research Review
Authors: O' Conner‐Van Susan 
Published: August 2006

ABSTRACTThe purpose of this integrative research review was to determine the methodological and substantive characteristics of the research pertaining to preparation of children for surgery, examine pertinent research issues, and suggest recommendations for future research and practice. A total of 400 articles were reviewed using inclusion and exclusion criteria. Twenty‐two studies, published between 1974 and 1995, met the criteria and, therefore, constituted the study corpus. The total sample comprised 1,263 subjects. Findings indicate that further research is needed to examine the efficacy of preparation strategies, address diverse populations, and include patient and parent involvement in the preparation process. AORN J 71(Feb 2000) 334–343.
Perioperative Data Elements: Interventions and Outcomes
Authors: Beyea Suzanne C. 
Published: August 2006

ABSTRACTIn 1999, the American Nurses Association's committee on nursing practice recognized AORN's Perioperative Nursing Data Set (PNDS) as a data set useful in the practice of nursing. The PNDS is a standardized nursing language specific to perioperative settings that is both clinically relevant and empirically validated. This data set is the culmination of six years of effort by AORN and AORN staff members to develop a standardized language that is clearly defined, common to all cases, and consistent across time. AORN J 71 (February 2000) 344–352.
TRAM Flap Breast Reconstruction with Expanders and Implants
Authors: Moran S.L. , Herceg S. , Kurtelawicz K. , Serletti J.M. 
Published: August 2006

ABSTRACTBreast reconstruction has become an essential part of breast cancer management. The transverse rectus abdominis myocutaneous (TRAM) flap has replaced the prosthetic implant as the first choice for breast reconstruction. There are several incidences in which the volume of autogenous tissue cannot fulfill the requirements for symmetric reconstruction, especially in those patients with limited abdominal tissue and large ptotic breasts. The TRAM flap can be combined with tissue expanders and implants to obtain symmetry in these difficult reconstructive situations. AORN J 71 (Feb 2000) 354–362
Body Contouring with Ultrasound‐assisted Lipoplasty
Authors: Moss Rose , Moss Charles J. , Broadway David R. 
Published: August 2006

ABSTRACTLipoplasty (ie, liposuction) is the most commonly performed cosmetic surgical procedure in the United States. During the past 20 years, there have been dramatic technological advancements in both surgical technique and equipment used to improve postoperative outcomes. As a result, perioperative nurses are faced with the challenge of providing quality care for this patient population in a variety of ambulatory surgical settings with highly specialized equipment. Perioperative team members play significant roles in the coordination of individualized patient‐focused care, which includes detailed instructions and education, appropriate use and care of equipment, and postoperative follow‐up. The efforts of the team members contribute to positive surgical outcomes, as well as to overall patient satisfaction. AORN J 71 (Feb 2000) 370–385.
Monitoring for Intraoperative‐Awareness
Authors: Ouellette Sandra M. , Simpson Chrysanne 
Published: August 2006

ABSTRACTDespite advances in anesthetic technique and technology, intraoperative awareness continues to occur with alarming regularity. The psychological effects on patients and the medicolegal consequences to providers have created the need for a reliable monitor of the hypnotic component of anesthesia. A new technology known as bispectral analysis (BIS) has the potential to put an end to the devastating occurrence of intraoperative awareness, as well as improve the overall effectiveness of anesthetic delivery and the surgical experience. Applicable to almost any situation requiring sedation or general anesthesia, BIS's reliability is a real‐time measure of hypnosis levels.
Renal Transplantation
Authors: Wallace Miriam A. 
Published: August 2006

ABSTRACTMedical and scientific advances have improved the diagnosis and treatment of kidney disorders. Organ transplantation has evolved from an experimental surgery to a medically accepted form of treatment for organ failure. The kidney was the first organ to be successfully replaced by a donor organ, and it is presently the most commonly transplanted organ. Kidney transplantation restores reasonably normal health to patients whose kidneys no longer function, and it frees them from the limitations imposed by dialysis. Improved graft survival rates have further enhanced the desirability of transplantation. AORN J 68 (December 1998) 964‐993.
The First Modern Operating Room in America
Authors: Clemons Bette J. 
Published: August 2006

ABSTRACTThe modern OR was a vital addition to aseptic technique and essential to the development of invasive surgery, and many people do not realize that it needed to be “invented.” Gustav Neuber, William S. Halsted, Charles McBurney, and others pioneered the necessary changes in practices and the environment to protect the patient from infection. This article presents the history behind the evolvement of the modern OR and discusses changes in the structures of some facilities as awareness increased about the principles of asepsis. AORN J 71 (Jan 2000) pages.
Pharmacotherapeutics of Positive Inotropes
Authors: Morrill Paula 
Published: August 2006

ABSTRACTPharmacology is integrated in all areas of nursing practice. From the most basic entry level to the most advanced clinical practice, nursing curriculums are not complete without pharmacology. The word “pharmacology” often makes nurses and other health care professionals feel uneasy. Pharmacology implies complicated words and formulas that seem foreign, recalled only from one's most distant recollections of college years. For many health care providers, courses in pharmacology are taken before they care for patients, leaving them with little practical experience from which to relate. Education involves not simply learning and doing, but also applying knowledge. A basic understanding of pharmacology is needed to break down the barriers of pharmacologic communication and put the clinician at ease with terminology so often used by the medical community. AORN J 71 (Jan 2000) 173–185.
Pediatric Septic Arthritis
Authors: Salzbach Robin 
Published: August 2006

ABSTRACTAcute septic arthritis, or septic joint, results from bacterial invasion of the joint space. Infecting organisms can invade any joint through the bloodstream, from adjacent osteomyelitis, or through direct inoculation of the wound. Although this can occur at any age, children are particularly susceptible and must be treated rapidly by joint aspiration, arthrotomy, or by a combination of procedures. AORN J 70 (Dec 1999) 988–1002.
Using Adult Learning Principles for Perioperative Orientation Programs
Authors: Nelson Fraulein S. 
Published: August 2006

ABSTRACTNew graduates and experienced nurses who choose perioperative nursing need comprehensive training because of the specialized nature of the OR. A comprehensive orientation program results in quality care for patients. This article presents four adult learning principles and strategies for orienting new nurses to the OR. The strategies suggest a framework for developing, organizing, or revising a perioperative nursing orientation program. The program gives nurses who are interested in perioperative nursing the opportunity to enter this specialty.AORN J 70(Dec 1999) 1046–1058.
Inadvertent Hypothermia in the OR
Authors: Arndt Kenley 
Published: August 2006

ABSTRACTHypothermia is one of the most common problems that patients experience in the perioperative environment. Hypothermia causes more problems for the patient than the mere unpleasant experience of feeling cold. Additional nursing interventions are required for a patient suffering from inadvertent hypothermia, which often delays the patient's discharge from the perioperative setting. Many of the nursing interventions that are successful in preventing hypothermia and restoring body heat to surgical patients, such as applying a warmed blanket to a patient's body, seem straightforward. Understanding the cause and effects of inadvertent hypothermia, however, is essential in recognizing it and implementing the most effective nursing interventions. AORN J 70 (Aug 1999) 204–214.
Regulatory Statutes and Issues—Clinical Accountability in Perioperative Settings
Authors: Otto Dorothy A. 
Published: August 2006

ABSTRACTNursing regulations exist to protect and benefit the health, safety, and welfare of the individual. Accountability is a multifaceted concept with many interpretations. All nurses are expected to engage in professional role activities appropriate to their education, experience, and position. Ultimately, nurses are accountable to themselves, their patients, and their peers for their professional nursing actions. This article addresses regulatory statutes and other issues of importance in the perioperative setting, including ethical and legal considerations, patient advocacy, delegation of tasks to unlicensed assistive personnel, and selected expanded roles in perioperative nursing practice. AORN J 70 (Aug 1999) 241–252.