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Biomedical subjects

J M Reeder

Publications and source records attributed to J M Reeder.

At least 19 recordsLinked to original sources

Desktop document delivery using portable document format (PDF) files and the Web.

Desktop access to electronic full-text literature was rated one of the most desirable services in a client survey conducted by the University of Washington Libraries. The University of Washington Health Sciences Libraries (UW HSL) conducted a ten-month pilot test from August 1996 to May 1997 to determine the feasibility of delivering electronic journal articles via the Internet to remote faculty. Articles were scanned into Adobe Acrobat Portable Document Format (PDF) files and delivered to individuals using Multipurpose Internet Mail Extensions (MIME) standard e-mail attachments and the Web. Participants retrieved scanned articles and used the Adobe Acrobat Reader software to view and print files. The pilot test required a special programming effort to automate the client notification and file deletion processes. Test participants were satisfied with the pilot test despite some technical difficulties. Desktop delivery is now offered as a routine delivery method from the UW HSL.

Computer Systems

Latex sensitivity among perioperative nurses.

To estimate the prevalence, risk factors, and clinical spectrum of adverse reactions to natural rubber latex-containing products among a national sample of perioperative nurses, the investigators administered a self-reporting questionnaire to a convenience sample of 2,200 members of the Association of Operating Room Nurses, Inc. Of the 1,738 nurses who responded, 369 (21%) reported latex reactions. Multivariate analysis identified a history of allergies to cosmetic powders, other allergies, chronic illnesses, and regular use of latex gloves as independent risk factors for reactions to latex-containing products. Localized reactions, such as contact dermatitis, were the reactions reported most commonly, although severe systemic reactions also were described.

Adult

Nurses' knowledge, attitudes about HIV, AIDS. A replication study.

The AIDS epidemic is now in its second decade and shows no sign of relenting. Unfortunately, however, the AORN study shows that perioperative nurses' knowledge regarding HIV and AIDS is not adequate to enable them to provide patient care while maintaining safe practices. Focused educational programs should be made available to perioperative nurses to help them apply universal precautions and OSHA standards to everyday practice. Perioperative nurses must become knowledgeable about the disease and sensitive to the needs of patients who have this illness. All nurses have a special obligation to care for all patients; education and management strategies that enable exploration of values, fears, and prejudices will help nurses understand their own beliefs and those of other individuals. Recommendations from this study may be viewed as a starting point for this perioperative education.

Acquired Immunodeficiency Syndrome

Do-not-resuscitate orders in the operating room.

Surgery offers patients the chance to improve the quality and longevity of their lives, but surgery and anesthesia are not without risks. Patients should have the opportunity to make informed choices about the risks they take with respect to their health care. Perioperative nurses must be knowledgeable about advance directives and the implications they have for surgical care, and they must support patient autonomy by respecting the choices and decisions patients make about their care.

Advance Directives

Family perception: a key to intervention.

A family's perception of a critical illness or injury is a subjective experience based on coping strategies, past experiences with illness, family traditions, and the patient's role in the family. Qualitative data from a study on families coping with serious injury is used to describe and illustrate family perception and support findings from previous family needs studies. Interventions based on family perceptions and needs are discussed.

Adaptation, Psychological

Ethical dilemmas in the care of patients with the human immunodeficiency virus.

Ethical issues surrounding the care of HIV-infected patients continue to be a source of discussion, controversy, and difficult decisions. New information and new policies concerning AIDS are emerging frequently. In the final report of the Presidential Commission, we are reminded that "the responsibility of the health care community [is] to offer comprehensive and compassionate care to all HIV-infected persons." Should not that be our responsibility and commitment for all patients?

Acquired Immunodeficiency Syndrome

Secure the future. A model for an international nursing ethic.

Fidelity, accountability, virtues, and caring have been presented as a perspective by which perioperative nurses the world over may use to analyze and begin to approach the many and varied ethical dilemmas and issues that challenge us as professional nurses today. This model is just that--a model. Think about it. Discuss it with your international colleagues this week. Apply it to situations you have faced. I welcome debate and critique, for they are elements of professional and intellectual growth. Secure the future with the new knowledge, skills, and friendships you acquire this week. We have the challenge and the opportunity to help direct the future of our practice. There is uncertainty when we function in isolation. There is strength and unity of purpose when we use our common beliefs to enhance our practice. Secure the future starting now. Care about your patients, their families, and your colleagues. I thank you again for the opportunity and the privilege to share my views with you. I salute you, my colleagues in perioperative nursing.

Bioethical Issues

Ethical dilemmas in perioperative nursing practice.

Ethical dilemmas in perioperative nursing practice occur during all phases and in every practice setting. Awareness of commonly experienced dilemmas and understanding of a model available to analyze and resolve these dilemmas can benefit patients and perioperative nurses. Patients will benefit from nurse advocates who recognize and act to resolve actual and potential ethical dilemmas. Nurses will benefit when they are empowered with the knowledge and ethical skills to enhance patient autonomy, to protect dignity and confidentiality, and human rights. Perioperative nurses should reflect on previous dilemmas and use them to assist with resolution of similar dilemmas. They should be knowledgeable of personal, departmental, institutional, and professional resources available when faced with ethical dilemmas. The ANA code for Nurses and the AORN Statements of Competency in Perioperative Nursing are two resources available to perioperative nurses. In the increasingly complex, technologically laden surgical environment, patients who are sicker and living longer will require services of highly skilled and educated professionals. They are vulnerable in the surgical setting and need surgical teams to act on their behalf. Perioperative nurses with ethical skill are an asset to patients and other members of the surgical team when they seek to resolve ethical dilemmas in knowledgeable and systematic ways.

Acquired Immunodeficiency Syndrome