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Table of Contents
Fall 2001 / Volume 19, Number 4

Features

The Life Experiences of Survivors of Head and Neck Cancer: A Pilot Study
Deborah J. Fritz, RN, PhD-C, FNP

ORL Nurses' Perceptions and Knowledge of Tobacco Cessation Programs
Helene J. Krouse, PhD, ARNP, CORLN
Janice F. Adams, RN, BSN, MPA, CNA, CORLN

Departments

Editorial: Increasing Public Awareness of Oral Cancer
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives: The Imperative of Community Outreach
Ann P. Luther, MSN, RN, CS, Cm, CORLN

Media Review: Personal Journeys
Heather Rebic, BS, RN

Highlights From the Hill: The Nursing Shortage
Linda Miller Calandra, MSN, RN, CPNP, CORLN

Spotlight on Research: Endoscopic Sinus Surgery
Susan F. Rudy, MSN, RN, CRNP, CORLN

Of Specialty Interest: Website Resources for ORL Nurses, Part II

In The News

Patient Education: Head and Neck Self-Exam
The University of Texas M.D. Cancer Center


Life Experiences of Head and Neck Cancer Survivors: A Pilot Study
Deborah J. Fritz, RN, PhD-C, FNP

Abstract ...
The purpose of this phenomenological pilot study is to describe the experiences of three patients surviving head and neck cancer treatment. The sample included two males and one female, ages 55 - 75, who had head and neck surgery and smoked for a minimum of three years. Ten theme clusters emerged into four major categories: treatment side effects, self-image disturbance, depression, and pain.

ORL Nurses' Perceptions and Knowledge of Tobacco Cessation Programs
Helene J. Krouse, PhD, ARNP, CORLN
Janice F. Adams, BSN, MPA, CNA, CORLN
Lorie L. Sparacino, MS, CPNP, CORLN

Abstract ...
Educating nurses about smoking and tobacco use is a priority of the Society of Otorhinolaryngology and Head-Neck Nurses (SOHN). The first Tobacco Cessation and Smokeless Tobacco Programs were implemented for SOHN members in 1999. An educational survey was designed to investigate knowledge level and perceptions of ORL nurses about tobacco use and treatments for smoking cessation. Results of this report revealed that the majority of SOHN members surveyed were interested in participating in a train the trainer program and incorporating tobacco cessation methodologies into their ORL nursing practice.

Highlights From the Hill: The Nursing Shortage - Will Government Take a Stand?
Linda Miller Calandra, MSN, RN, CRNP, CORLN

Abstract ...
As the 2001 Nurse in Washington Intern (NIWI) for SOHN, I spoke with other nursing representatives about the hottest topic for nursing today - the shortage. Despite the multifaceted backgrounds, educations and geographic locales, nearly every NIW attendee had the same question in mind. How does a nurse impact government to act on this critical issue? What we can do to educate the public and our legislators about the issue of the aging nursing workforce and our dwindling numbers?

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Table of Contents
Summer 2001 / Volume 19, Number 3

Features

From the Director's Chair
Sandra L. Schwartz, MS, RN, CORLN

Presidential Perspectives: 1976 - 2001

SOHN 25th Anniversary Timeline

ORL Nursing: Where We Have Been and Where We Are Going
Ann T. McKennis, RN, CNOR, CORLN
Janice F. Adams, BSN, MPA, CNA, CORLN

Departments

Editorial: 2001: A SOHN Odyssey
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives 2001: Nursing in the 21st Century
Ann Luther, MSN, RN, CS, Cn, CORLN

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Table of Contents
Spring 2001 / Volume 19, Number 2

Features

Overcoming the Top 10 Tracheotomy Self-Care Learning Barriers
Susan F. Rudy, MSN, CS-FNP, CORLN
Linda McCullagh, RN, MPH

Cover Feature: A Young Patient's Progress
Robert J. Adderly, MD, FRCPC

Departments

Editorial: What's Right with Nursing
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives: Change Your World - Volunteer
Ann P. Luther, MSN, RN, CS, Cm, CORLN

Spotlight on Research
Feature Editor - Helene J. Krouse, PhD, ARNP, CORLN
Elaine M. Walizer, LTC (ret.), AN, MSN
Penelope S. Fisher, MS, RN, CORLN

How I Do It: Fire in the OR: This Can't Be Happening to Me
Sylvan E. Lepiane, RN II, CNOR

Media Review: Spring 2001 Clinical and Career Resources
Heather Rebic, BS, RN

Highlights from the Hill: NIWI 2000: Issues and Opportunities
Tim Clemons, RN, CNOR

Of Specialty Interest: How to Start a Local Chapter
Marianne B. Briggs, MSN, CRNP

SOHN 2001: Continuing Education Calendar

Introduction to 2001 SOHN Officers and Board


Overcoming the Top 10 Tracheotomy Self-Care Learning Barriers
2000 SOHN Literary Award Winner

Susan F. Rudy, MSN, CS-FNP, CORLN
Linda McCullagh, RN, MPH

Abstract ...
Multispecialty inpatient units are the norm in today's acute care settings. Since few units have the luxury of seasoned otorhinolaryngology (ORL) nurses, care of the postoperative patient with a tracheotomy, including discharge teaching and planning are left to the generalists. Generalist nurses and new ORL nurses may find themselves experiencing fear and anxiety along with the tracheotomy patients they care for and teach. Experienced ORL nurses are continually challenged to find ways to share their expertise with patients and less experienced nurses in effective ways. This article presents a unique approach to preparing nurses to teach self-tracheotomy care to their patients. Medical-surgical staff nurses attended a 90-minute inservice program presenting actual clinical scenarios of temporarily learning-impaired patients with tracheotomies, and were asked to role play effective interventions. The program content is designed to address the reluctance of inexperienced, busy nurses to confront learning barriers and motivate patients to accomplish early postoperative involvement in tracheotomy self care. The widespread nature of the challenges faced by nurses and patients regarding tracheotomy care has been confirmed by discussions with colleagues on a national level. It has been confirmed further by the first author's clinical experiences in a wide variety of health care settings. Recommended nursing actions and responses to learning barriers presented here are based on expert opinion and clinical experience.

Media Review: Spring 2001 Clinical and Career Resources
Heather Rebic, BS, RN

Abstract ...
Nurses are constantly looking for resources to assist in patient care management. This review includes a head and neck nursing textbook, audiotapes for newly diagnosed cancer patients, a book of food remedies, and journal articles providing an update on pain management. In addition, a resource for nurses seeking employment and a Web site that promises hypertext links to a variety of topics for teaching, research, and consumers are also included.

Highlights from the Hill: NIWI 2000: Issues and Opportunities
Tim Clemons, RN, CNOR

Abstract ...
The Nurse in Washington Internship (NIWI) is a four-day annual program sponsored by the National Federation of Specialty Nursing Organizations (NFSNO). Aside from presenting a dynamic educational experience, NIWI enables nurses to actively participate in the Government Relations process by spending a day on Capitol Hill. The 2000 NIWI focused on several issues of importance to nurses and nursing practice. This article discusses those issues.

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Table of Contents
Winter 2001 / Volume 19, Number 1

Features

Factors Associated with Hearing Loss
Among Workers of the Airline Industry in Korea

Oi-Saeng C. Hong, PhD, RN
Mi Ja Kim, PhD, RN, FAAN

Departments

Editorial Awards and Rewards
Linda K. Clarke, MS, RN, CORLN

Presidential Perspectives 
Share the Magic of Nursing - Tell A Story

Ann P. Luther, MSN, RN, CS, Cm, CORLN

Spotlight on Research Clinical Study 
and Literature Review of Nasal Irrigation

Feature Editor - Helene J. Krouse, PhD, ARNP, CORLN
Karen Baker, MSN, RN

MEDIA REVIEW
 Tracheostomy and Laryngectomy 
Educational Videotapes and Guides

Heather Rebic, BS, RN

HOW I DO IT 
Presenting a Poster

Karen Baker, MSN, RN, Nurse Consultant

Highlights from the Hill Needlestick 
Prevention and Reduction in Medical Errors

Janice F. Adams, BSN, MPA, CNA, CORLN

Of Special Interest Healthy People 2010
Linda K. Clarke, MS, RN, CORLN

Products of Interest
Cynthia A. Tucker, BA, RN, RNFA, CORLN, CNOR

A New Source for Help
Eric D. Blom, PhD


Factors Associated with Hearing Loss 
Among Workers of the Airline Industry in Korea

Oi-Saeng C. Hong, PhD, RN
Mi Ja Kim, PhD, RN, FAAN

Abstract ...
Noise-induced hearing loss (NIHL) is a major occupational hazard. Occupational noise exposure threatens the hearing of many workers. In addition to noise exposure in the workplace, multiple factors affect individual susceptibility to NIHL. The purpose of this study was to identify factors associated with hearing loss in airport workers. A cross-sectional epidemiological design was used. Study subjects were 255 high noise-exposed full-time male workers at a large metropolitan airport in Korea. Data were collected by a self-administered questionnaire, blood pressure measurement, audiological assessment, and a record review of baseline hearing and noise levels of locations where the employee worked. The result of multivariate analysis showed that both occupational noise exposure (noise exposure level, years of noise exposure) and personal risk factors including non-occupational noise exposure, history of ear disease, ototoxic drug use, cigarette smoking, hypertension, and use of hearing protective devices (HPDs) were significantly associated with hearing loss. An aggressive hearing conservation program is needed at the airport, emphasizing both job-related noise exposure and personal risk factors for hearing loss.

MEDIA REVIEW
Tracheostomy and Laryngectomy - Educational Videotapes and Guides

Heather Rebic, BS, RN

Abstract ... 
Companies selling medical products often employ public relations specialists who not only sell their products, but also provide education to patients and healthcare providers. Manufacturers of medical and surgical supplies have been in the forefront of this concept for many years. This review includes videotapes, printed materials, and online services provided by three major companies on the "cutting edge" of the otorhinolaryngology (ORL) products they manufacture. In addition, these companies remain committed to offering both professional and patient education. An important note is that these services are usually offered at no charge.

How I Do It
Presenting a Poster

Karen Baker, MSN, RN, Nurse Consultant

Abstract ... 
Each year during the Annual Congress and Nursing Symposium, the Society of Otorhinolaryngology and Head-Neck Nurses sponsors a poster exhibit and contest. Displaying a poster at a national meeting is a good way to present information to a widespread audience without the anxiety of speaking before a large group. Posters serve as educational tools, stimulating interest in both research and clinical topics.

Highlights from the Hill
Needlestick Prevention and Reduction in Medical Errors

Janice F. Adams, BSN, MPA, CNA, CORLN

Abstract ... 
On November 6, 2000, President Clinton signed into law the Needlestick Safety and Prevention Act, amending the Occupational Safety and Health Administration Standard on bloodbourne pathogens.

Needlestick prevention has been a longstanding healthcare concern. The Occupational Safety and Health Administration (OSHA) estimates that from 600,000 to one million needlestick and sharps injuries occur per year. Approximately 2% of the sharps devices are likely to be contaminated with the human immunodeficiency virus (HIV). Currently, more than 54 cases of occupationally acquired HIV have been documented.

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