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PubMed · 10570709

The ambulatory surgery unit as a learning experience.

Abstract

Today's graduate nurses are expected to enter the work environment at increased levels of competence. Skills are expected to be ingrained, and health care administrators expect new graduates to be able to think critically. Nurse educators often are looking for new and creative ways to educate students. The ambulatory surgery setting can provide a plethora of clinical tasks and situations that teach students how to gather information, make judgments, prioritize, handle multiple demands and patients, and perform clinical skills quickly and efficiently. This article describes a pilot project in which eight nursing students learned valuable clinical and critical thinking skills in the fast-paced world of ambulatory care.

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BibTeXRIS

D L Fawcett. 1999. The ambulatory surgery unit as a learning experience.. https://doi.org/10.1016/s0001-2092(06)61297-0

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The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy.

PURPOSE OF REVIEW: The literature was reviewed to describe the role of gait analysis in the orthopaedic management of ambulatory children with cerebral palsy and examine the current best evidence to support these roles. RECENT FINDINGS: Gait laboratory analysis is superior to visual or observational analysis of gait because it provides an objective record of gait that is able to quantify the magnitude of deviations of pathologic gait from normal and also explain these abnormalities. Recognizable gait patterns can be classified and used for making treatment decisions, the effectiveness of which can be assessed using gait analysis as a measure of gait outcomes. There are many sources of variability, however, including patients themselves, the gait laboratories and testing processes, interpretation of data and surgeons' surgical recommendations. SUMMARY: Although gait analysis has been shown to alter decision making, there is little evidence that the decisions based on gait analysis lead to better outcomes. Consequently, clinical gait analysis remains controversial, with wide variation in the rates of utilization of gait analysis in the management of children with ambulatory cerebral palsy. The time is ripe for clinical trials and cohort studies to provide the evidence to establish the appropriate utilization of this technology.

Ambulatory Surgical Procedures↗