The Nursing clinics of North America
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Nurs. Clin. North Am. · Dec 2008
ReviewThe use of simulation technology in the education of nursing students.
This article provides a broad overview of simulation use in nursing education. An example of a simulation experience focusing on the development and debriefing of a medication safety exercise is presented based on a theoretic approach. Questions for future consideration by nursing educators and researchers are also presented with the ultimate goal of producing safer patient care and more deliberate reflecting practitioners.
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Nurs. Clin. North Am. · Dec 2008
ReviewTranscultural nursing courses online: implications for culturally competent care.
Cultural diversity must be taken seriously by both faculty and students, and requires action by both parties for successful integration into online learning. Limited diversity in the nursing workforce or student population creates a need for learning cultural competence. Online transcultural nursing courses meet this learning need and provide opportunities for a variety of students and faculty participation from around the world. Successful online learning experiences can contribute to the provision of culturally competent nursing care.
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Nurs. Clin. North Am. · Mar 2008
ReviewCardiovascular effects of mechanical ventilation and weaning.
Because of their anatomic position in the closed thoracic cavity, the heart and lungs interact during each ventilation cycle. The application of mechanical ventilation and subsequent removal changes normal ventilatory mechanics and produces alterations in cardiac preload and afterload that influence global hemodynamic state and delivery of oxygen and nutrients. Adverse cardiovascular responses to mechanical ventilation and weaning from ventilation include hemodynamic alterations and instability, myocardial ischemia, autonomic dysfunction, and cardiac dysrhythmias. Clinicians must have a clear understanding of the cardiovascular effects of mechanical ventilation and weaning so they may anticipate, recognize, and effectively manage negative effects and improve patient outcomes.
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Nurs. Clin. North Am. · Jun 2007
ReviewHolistic nursing as a specialty: holistic nursing - scope and standards of practice.
This article describes the Holistic Nursing: Scope and Standards of Practice. It defines holistic nursing, its five core values, and its practice standards. These include holistic philosophy, theory, and ethics; holistic caring process; holistic communication, therapeutic environment, and cultural diversity; holistic education and research; and holistic nurse self-care. Educational preparation for holistic nursing and settings in which holistic nurses practice are also explored.
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Diabetic neuropathy can affect every organ system of the body. Diagnosis of diabetic neuropathy is usually one of exclusion. ⋯ Simpler diagnostic tests for cardiac autonomic neuropathy, which can be performed in an office setting, may mean earlier recognition and treatment with less mortality. Oral medications for the treatment of erectile dysfunction make it easier for the patient to seek treatment for a condition that impact quality of life.