O estudo investiga o efeito simbólico da criação da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (EERP-USP), na imprensa escrita (1951), através da análise e discussão das matérias jornalísticas publicadas em três jornais da cidade, à época: A Cidade, Diário da Manha e a Tarde. Estudo de perspectiva histórica que se aproxima da abordagem da micro-história. O marco temporal desse trabalho refere-se à aprovação da organização e finalidade da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (FMRP-USP), que criou, anexa à mesma, a EERP/USP, através da Lei Estadual nº. 1467, de 26 de dezembro de 1951. O corpus documental constituiu-se das matérias jornalísticas relativas à criação da EERP-USP e/ou Enfermagem/enfermeiro(a) publicadas pelos jornais disponíveis para a pesquisa no Arquivo Público e Histórico da cidade. A coleta compreendeu os meses de dezembro de 1951 e janeiro de 1952. O marco teórico de referência para análise do texto jornalístico trata-se da teoria de mundo social, com utilização da noção de campo jornalístico, do sociólogo Pierre Bourdieu. Os resultados obtidos apontaram para um total de 47 matérias jornalísticas. Entretanto, 34 possuem a FMRP-USP como tema centrale seis (6) matérias se referem diretamente a EERP/USP, Enfermagem ou enfermeira(o). Observa-se que o discurso jornalístico sobre a instalação da FMRP-USP reconfigura o campo científico na cidade. Verificou-se que a EERP-USP, mesmo antes de sua instalação, apropriou-se de certo capital cultural, efeito da visibilidade da FMRP-USP. Nas seis matérias analisadas destaca-se um discurso ambivalente quanto à posição da Enfermagem e/ou EERP-USP em relação à FMRP-USP/Medicina, ora àquela que agrega capital simbólico de força equivalente às demais profissões, ora aquela que é referida como integrante, de um conjunto maior, que seria de domínio médico. Entretanto, destaca-se que este fenômeno ocorreu em virtude da inexistência de agentes sociais no campo simbólico que pudessem exercer forças a favor da EERP-USP, uma vez que, a Profa. Glete de Alcântara, sua principal agente social, iniciou suas atividades em Ribeirão Preto quatro meses após o período de analise do presente estudo. / The study investigates the symbolic effect of University of São Paulo at RibeirãoPreto College of Nursing\'screationin press (1951), through analysis and discussion of newspaper articles published in three newspapers of the city, at the time: THE CITY (A CIDADE), THE DAILY MORNING (DIÁRIO DA MANHÃ) and THE EVENING (A TARDE).Historical perspective Study that approximates of the micro historyapproach of. The timeframe refers to the approval of the organization and purpose of the University of São Paulo Faculty of Medicine of Ribeirao Preto (FMRP-USP), which created, attached to it, the University of São Paulo at RibeirãoPreto College of Nursing (EERP-USP) by State Law. 1467 of December 26 of 1951. The corpus of documents consisted of newspaper articles about the creation of EERP-USP and/or nursing/nurse published in the newspapers available for research in the Historical Public Archives of the city. The data were collected to the months of December 1951 and January 1952. The theoretical framework of reference for analysis of newspaper text is the social world theory, using the notion of journalistic field, by the sociologist Pierre Bourdieu. The results pointed to a total of 47 newspaper articles. However, 34 have the FMRP-USP as a central theme, and six (6) refers directly to EERP / USP, nursing or nurse. It is observed that media discourse about the installation of the FMRP-USP reconfigures the scientific field in the city. It was found that the EERP-USP, even before its installation, appropriated certain cultural capital, with is effect of the visibility of FMRP-USP. In the six articles analyzed stands anambivalent speech about the position of Nursing and/or EERP-USP regarding FMRP-USP/Medicine, once adds to that symbolic capital strength equivalent to other professions, once that is sometimes referred to as an integrant of a larger field dominated by the medical field. However, it is emphasized that this phenomenon occurred because of a lack of social agents in the symbolic field that could apply forces for EERP-USP, since the Professor. Glete de Alcântara, that is themost important social agent of EERP-USP, started its activities, in RibeirãoPreto, four months after the period analyzed in this study.

Nursing specialization involves focusing on nursing practice in an identified specific area within the entire field of professional nursing. A defined specialty scope of practice statement and standards of professional practice, with accompanying competencies, are unique to each nursing specialty. These documents help assure continued understanding and recognition of nursing’s diverse professional contributions. The purpose of this article is to demystify the process for specialty nurses who are creating or revising their specialty nursing scope and standards of practice. We provide best practices for the developmental process based on our recently published scope and standards of specialty nursing practice. The conclusion provides strategies to disseminate scope and standards documents to appropriate stakeholders.

Simulation, in its many forms, has been a part of nursing education and practice for many years. The use of games, computer-assisted instruction, standardized patients, virtual reality, and low-fidelity to high-fidelity mannequins have appeared in the past 40 years, whereas anatomical models, partial task trainers, and role playing were used earlier. A historical examination of these many forms of simulation in nursing is presented, followed by a discussion of the roles of simulation in both nursing education and practice. A viewpoint concerning the future of simulation in nursing concludes this article.

Introduction: Increased vegetable intake has been shown to protect against metabolic syndrome (MetS) among adults. However, limited studies have examined the association between vegetable consumption and MetS among pediatric Hispanic populations. The objective of this study was to explore the association between vegetable consumption and being at risk for MetS among a pediatric Hispanic population of Northeast Tennessee (TN). Methods: Nutrition, parental, and blood sample data were obtained from 114 Hispanic children aged 2 to 10 years who received care from a community health center in Northeast TN. Being at risk for MetS included having two or more of the following: elevated waist circumference, high blood pressure, elevated triglycerides, and low HDL. Multiple logistic regression analysis was used to examine the association between vegetable consumption and being at risk for MetS while controlling for child age, child sex, and parental marital status. Results: Higher vegetable intake was found to be associated with a 60% decrease in odds of being at risk for MetS (95% Confidence Interval (CI): 0.16-0.99). Children of parents who were not married were 162% more likely to be at risk for MetS compared to children of parents who were married (95% CI: 1.17-5.88). Discussion: Higher vegetable intake was associated with decreased odds of being at risk for MetS among this Hispanic pediatric population. Additional studies with a larger sample size are warranted to further understand the relationship of vegetable consumption and their potential protective effects on the development of MetS among this population.

The dependence of cardiac output measurement precision on ambient temperature and cardiac output stability was assessed by concurrent continuous and bolus thermodilution methods in postoperative cardiac surgery patients. The degree of agreement between the two methods was depended on room temperature (0.1 L/min for each degree below 25 degrees C). The agreement was also closer in trials where cardiac output was stable (< 10% variation). The continuous thermodilution method shows sufficient agreement with the bolus method for use in critical care; however, improved precision of cardiac output thermodilution measurements can be achieved by use of correction factors for cardiac instability and for ambient temperature.

Objectives: A large number of people cannot afford healthcare services in the United States. Researchers have studied the impact of lack of affordability of health care on the outcomes of various physical conditions. Mental health disorders have emerged as a major public health challenge during the past decade. The lack of affordability of health care also may contribute to the burden of mental health. This research focuses on the association between financial barriers to health care and mental health outcomes in the US state of Tennessee. Methods: We used cross-sectional data contained in the 2019 US Behavioral Risk Factor Surveillance System (BRFSS). We extracted data for the state of Tennessee, which included 6242 adults aged 18 years or older. Multinomial regression analyses were conducted to test the association between not being able to see a doctor with the number of mentally unhealthy days during the past month. We coded the outcome as a three-level variable, ≥20 past-month mentally unhealthy days, 1 to 20 past-month mentally unhealthy days, and 0 past-month mentally unhealthy days. The covariates examined included self-reported alcohol use, self-reported marijuana use, and other demographic variables. Results: Overall, 11.0% of participants reported ≥20 past-month mentally unhealthy days and 24.0% reported 1 to 20 past-month mentally unhealthy days. More than 13% of study participants reported they could not see a doctor because of the cost in the past 12 months. The inability to see a doctor because of the cost of care was associated with a higher risk of ≥20 past-month mentally unhealthy days (relative risk ratio 3.18; 95% confidence interval 2.57-3.92, P < 0.001) and 1 to 19 past-month mentally unhealthy days (relative risk ratio 1.94; 95% confidence interval 1.63-2.32, P < 0.001). Conclusions: Statistically significant associations were observed between the inability to see a doctor when needed because of cost and increased days of poorer mental health outcomes. This research has potential policy implications in the postcoronavirus disease 2019 era with healthcare transformation and significant financial impact.

No description available.

The incidence of postoperative nausea and vomiting (PONV) is unknown in neuraxial anesthesia for orthopedic surgery. The effect on PONV of adding gabapentin to an evidence-based antiemetic regimen as part of an opioid-sparing analgesic protocol is also unknown in this population. A retrospective analysis of all adults undergoing hip and knee arthroplasty and receiving neuraxial anesthesia in 2017 was conducted. The overall incidence of PONV was assessed. Additionally, PONV incidence was assessed for all combinations of gabapentin, dexamethasone, and/or ondansetron (in addition to propofol infusion) and compared with propofol alone. The PONV risk ratios were estimated, adjusting for age and PONV risk score. The overall incidence of PONV was 14.0%. The addition of gabapentin to propofol was associated with reduced PONV (multivariable risk ratio [mRR], 0.6; 95% CI, 0.4-1.0) vs propofol alone. Dexamethasone with propofol was associated with reduced PONV (mRR 0.6; 95% CI, 0.4-1.1) vs propofol alone, although not statistically significant. The addition of both gabapentin and dexamethasone to propofol was associated with stronger reduction in PONV (mRR 0.3; 95% CI, 0.1-0.7) vs propofol alone. Adding ondansetron to propofol showed little benefit. Gabapentin and dexamethasone are effective in reducing PONV in patients undergoing knee and hip arthroplasty with neuraxial anesthesia.

The ability to think critically is considered an essential skill of nursing graduates and competent nursing practice. Yet, the literature reports that teachers are having difficulty teaching for critical thinking and that critical thinking is lacking in new nursing graduates. This research study sought to identify barriers to the implementation of critical thinking teaching strategies by nursing faculty currently teaching in generic baccalaureate programs in Tennessee. Surveys were mailed to 262 nursing faculty; 194 were returned, and 175 were usable. Students' attitudes and expectations represented the single greatest barrier to the implementation of critical thinking teaching strategies, followed by time constraints and the perceived need to teach for content coverage. Recommendations to support and encourage faculty to teach for critical thinking are outlined.