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Biomedical subjects

J J Takahashi

Publications and source records attributed to J J Takahashi.

2 recordsLinked to original sources

Project Alpha. Designing courses that recruit and retain OR nurses.

Those who participated in developing and teaching the courses gained many new skills including writing objectives and test questions, public speaking, and expertise in the topics they taught. Another benefit was the sense of pride and accomplishment in developing and presenting a quality postgraduate program. This was reinforced by student evaluations as the course progressed. In addition, they were paid by the college as salaried faculty members. The clinical preceptors benefited through the relationships they developed with their students. They were given the opportunity to exhibit their clinical skills and experienced pride and satisfaction as their novice colleagues grew. The students reaped the benefit of instruction from perioperative nurses who were enthusiastic and committed to the practice of perioperative nursing. They also received information from experienced nurses who were functioning in the OR on a daily basis. The small class size was another benefit because it allowed ample time for questions and individual instruction. Project Alpha has been an ongoing focus of the AORN of Alameda County for approximately 10 years. The chapter began with a three-day observational experience for sophomore nursing students and moved on to include a perioperative elective and management preceptorship for upper-division nursing students. Most recently, the chapter has supported the postgraduate perioperative course described in this article. The nurses completing this postgraduate program enter perioperative practice with a strong base of knowledge and sense of professionalism.

California↗

Preoperative nursing assessment. A research study.

This study identified characteristics of preoperative nursing assessments performed on ambulatory and morning admission patients by nurses at two facilities. Two tools used to identify these characteristics were developed by the investigators using the OR nursing criteria list adapted from the Rush-Medicus Process Monitoring Criteria Master List, and the "Competency statements in perioperative nursing." Results were compared between hospitals, between observed and self-reported activities, and between assessments made by perioperative nurses with differing demographic attributes. Significant results were found in nine items comparing the number of observed versus self-reported activities, and in two items comparing diploma nurses with baccalaureate nurses. The study has implications for entry into practice, for nursing activities in relation to prospective payment, and for relating conceptual models to nursing assessments. It strongly suggests the need for future research in the quality and characteristics of preoperative nursing assessment and documentation. Emphasis on providing the humanistic component of nursing care will help offset the dehumanizing elements of new methods of providing health care that are a result of the changing economic climate. After all, the ultimate focus of nursing care in general--and perioperative nursing in particular--is the patient, not the economic system. The determination of existing nursing assessment activities by this study provides baseline data for evaluating future changes in nursing care.

Ambulatory Surgical Procedures↗