Pseudoclitoromegaly from acute T-cell lymphoblastic leukemia.

A 7-year-old girl presented with painful genital enlargement, which was first believed to be clitoromegaly of hormonal origin. However, on the physical exam the clitoris was not visible and the prepuce and labia minora were enlarged and tender. Magnetic resonance imaging demonstrated an infiltrative abnormal signal with restricted diffusion involving the enlarged clitoris and adjacent soft tissues of the prepuce and labia minora, confirming a nonhormonal infiltrative malignancy.

The experiences of new graduate nurses hired and retained in adult intensive care units.

Background: It is a common practice that new graduate Registered Nurses are hired into adult intensive care units as initial entry into practise. There exists a practice readiness gap between nursing curricula and actual clinical practise expectations at adult intensive care settings; this has led to negative consequences and subsequent nurse turnover, a concern nationwide. Nonetheless, some new graduate nurses survived their initial transition and continue to practise in adult settings.

Developing professional competence among critical care nurses: An integrative review of literature.

Background: Professional competence is the ability to base clinical decisions on prior experiences with particular clinical situations.

Methods: An integrative review of the literature using the methodology of Whittemore and Knafl. The guiding question was: What is the extent and nature of the published literature on intensive care nurses developing professional competence?

Results: This review analysed 21 peer-reviewed articles obtained from electronic databases.

Supporting a psychiatric hospital culture of safety.

Background: Concerns for patient safety have risen to the forefront of health care, including mental health care. Safe patient care depends, to a large extent, on high functioning teams, yet team training is lacking in basic professional training programs. To address the need for team training, one psychiatric hospital adopted the Team Strategies and Tools to Enhance Performance and Patient Safety program (TeamSTEPPS).

Relocating the Menninger Hospital: a nursing perspective.

The move of the Menninger Hospital represented a special challenge to the direct care nursing staff. As the efforts to implement an effective translocation of the clinical services moved forward, the goal included an effective transfer of the long-established therapeutic community and practices of Menninger into the new setting. This article reviews the challenges, processes, and problems in achieving that goal.

The cultural adjustment and mental health of Japanese immigrant youth.

Interviews were conducted with eight Japanese immigrant youth about their experiences with respect to adjusting to life in the United States, dealing with discrimination, and coping with cultural challenges. They were also questioned about their mental health and family and peer relations. Results indicate that participants managed to maintain bicultural identities and to cope with the problems that they encountered.