Insight (American Society of Ophthalmic Registered Nurses) 

About: Insight (American Society of Ophthalmic Registered Nurses) is an academic journal. The journal publishes majorly in the area(s): MEDLINE & Cataract surgery. It has an ISSN identifier of 1060-135X. Over the lifetime, 205 publications have been published receiving 1086 citations.

Computer vision syndrome.

Abstract: Since computer use is such a visually demanding task, vision problems and symptoms have become very common in today’s work place . Most studies indicate that computer operators who view their video display terminals (VDT) report more eye related problems than non VDT office workers. NIOSH Survey (National Institute of Occupational Safety and Health) has reported that visual symptoms occur in 75-90 % of VDT workers as opposed to 22 % musculoskeletal disorders (carpel tunnel syndrome) in computer users .

The Pittsburgh Sleep Quality Index (PSQI).

Abstract: WHY: Sleep is a necessary part of life. However, normal aging changes, medical problems, psychiatric problems, and psychosocial issues can alter the pattern and quality of sleep as one grows older, and thus affect the quality of life in the older adult. Assessment of sleep patterns enables the nurse to intervene immediately by implementing interventions with the client, or by referring the client for further assessment. BEST TOOL: The Pittsburgh Sleep Quality Index (PSQI) is an effective instrument used to measure the quality and patterns of sleep in the older adult. It differentiates “poor” from “good” sleep by measuring seven areas: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction over the last month. The client self-rates each of these seven areas of sleep. Scoring of answers is based on a 0 to 3 scale, whereby 3 reflects the negative extreme on the Likert Scale. A global sum of “5” or greater indicates a “poor” sleeper. Although there are several questions that request the evaluation of the client’s bedmate or roommate, these are not scored (not reflected in attached instrument). Refer to “More on the Topic”, Buysse et al., 1989, for these questions. TARGET POPULATION: The PSQI can be used for both an initial assessment and ongoing comparative measurements with older adults across all health care settings. VALIDITY/RELIABILITY: The PSQI has internal consistency and a reliability coefficient (Cronbach’s alpha) of 0.83 for its seven components. Numerous studies using the PSQI have supported high validity and reliability. STRENGTHS AND LIMITATIONS: The PSQI is a subjective measure of sleep. Self-reporting by clients can empower the client, but can reflect inaccurate information if the client has difficulty understanding what is written, or can not see or physically write out responses. Moreover, the scale is presented in English. The scale can be adapted to enable the client to respond verbally to items on the scale by having the nurse read the statements to the client.

Standards of clinical nursing practice.

Abstract: Disclaimer The Society of Gastroenterology Nurses and Associates, Inc. (SGNA) presents this guideline for use in developing institutional policies, procedures, and/or protocols. Information contained in this guideline is based on published data and current practice. The Society of Gastroenterology Nurses and Associates, Inc. assumes no responsibility for the practices or recommendations of any member or other practitioner or for the policies and practices of any practice setting. The nurse and associate function within the limits of state licensure, state nurse practice act, and institutional policy. Preface Gastroenterology nurses and associates perform some tasks independently. Some tasks depend upon collaboration with others and some tasks depend on the performance or judgment of another member of the health care team. These components will differ significantly depending upon the nurse practice act in each state, professional or vocational licensure, educational background, and place of employment. Standards are authoritative statements used by the nursing professions to describe the responsibilities for which practitioners are accountable. Standards of Clinical Nursing Practice include:  Standards of Practice for the Registered Nurse in the Gastroenterology setting,  Standards of Professional Performance for the Registered Nurse in the Gastroenterology setting, and  Standards of Practice for the Licensed Practical/Vocational Nurse in the Gastroenterology setting. This document provides examples for implementation of the Standards of Practice as they relate to the roles of: advanced practice nurses (APRN), registered nurses, licensed practical/vocational nurses (LPN/LVN), and nursing assistive personnel (NAP), in the gastroenterology role. Role delineations have been defined by the Society of Gastroenterology Nurses and Associates, Inc. and are included in this document. Gastroenterology nurses should adhere to the Standards of Practice, complete the nursing process, and address other nursing practice issues and concerns (ANA, 2010). Definition of Terms Competency refers to an expected and measurable level of performance that integrates knowledge, skills, abilities, and judgment based on established scientific knowledge and expectations for nursing (ANA, 2010). Gastroenterology refers to the study of the structure, functions, and diseases of digestive organs. Nursing Assistive Personnel (NAP) refers to individuals who are trained to function in an assistive role in the gastroenterology setting. Standards of Practice describe a competent level of clinical nursing practice. Standards of Professional Performance describes a competent level of behavior in the professional role.

Dry eye symptoms following cataract surgery.

Abstract: This randomized, controlled clinical study demonstrates the development of dry eye-type symptoms after routine cataract extraction, and shows that topical cyclosporine ophthalmic emulsion can reduce the occurrence of these symptoms after cataract surgery. Based on these results, a regimen of pre- and postoperative topical cyclosporine should be considered for cataract patients who have dry eyes or who are at risk of developing dry eye. This paper presents the study methodology and results, and discusses implications for care of cataract patients so as to improve the quality of vision after surgery and to maximize patient satisfaction with the procedure.

Effect of structured preoperative teaching on anxiety levels of patients scheduled for cataract surgery.

Abstract: Cataract surgery is an outpatient, fast-paced surgical intervention that requires preoperative patient education to ensure success. The purpose of this study was to determine the effect of structured preoperative instructions on anxiety levels of patients scheduled for cataract surgery. A pretest/posttest classical experimental design was used to test the hypothesis. Anxiety was assessed by using the Spielberger State-Trait Anxiety Inventory. Blood pressure, pulse, and respiration were measured to assess the stimulation of the sympathetic nervous system in response to stress. The findings of this study support the hypothesis that structured preoperative instructions will decrease the anxiety level of patients scheduled for cataract surgery.