Journal of Perioperative Nursing最新文献_第8页

Culturally focused pre-surgery screening to reduce Aboriginal and Torres Strait Islander patient surgical cancellations 注重文化的术前筛查，以减少原住民和托雷斯海峡岛民患者的手术取消

Journal of Perioperative Nursing Pub Date : 2021-08-19 DOI: 10.26550/2209-1092.1133

Cory J Williams, Yashni Kander, King Law, Patricia Kennedy, Geoffrey Binge, Elizabeth Strathdee

引用次数: 0

Post-operative use of HME filter‑protected open tracheostomy circuit during the COVID-19 pandemic COVID-19大流行期间术后使用HME过滤器保护的开放式气管切开术回路

Journal of Perioperative Nursing Pub Date : 2021-08-19 DOI: 10.26550/2209-1092.1138

W. S. Koh, Irene Ng, Megan Downing

{"title":"Post-operative use of HME filter‑protected open tracheostomy circuit during the COVID-19 pandemic","authors":"W. S. Koh, Irene Ng, Megan Downing","doi":"10.26550/2209-1092.1138","DOIUrl":"https://doi.org/10.26550/2209-1092.1138","url":null,"abstract":"In the era of the COVID-19 pandemic, the avoidance of aerosol generating procedures (AGPs) is paramount to reduce the risk of viral transmission to staff and other patients. Perioperative management of a new tracheostomy is challenging as routine care, such as suctioning, frequently involves AGPs. We developed and implemented an apparatus called the heat and moisture exchanger (HME) filter-protected open circuit. This enabled closed suctioning to be performed and allowed spontaneously breathing patients to be managed with an open circuit in a shared environment while reducing the risk of viral aerosolisation. We performed a prospective observational study of 20 cases, recording the incidence of desaturation (<90%), apparatus disconnection, apparatus dislodgement and apparatus replacement. The ease of use of the apparatus for recovery nursing staff and patient comfort were measured on a Likert scale. There were no incidents of desaturation. There were two circuit disconnections. Apparatus replacement with an alternate circuit was not required for any patient. Most recovery nursing staff agreed or strongly agreed that the apparatus was easy to use and that the apparatus bulk or weight did not interfere with patient care activities. Ninety-five per cent of patients reported that their breathing was comfortable prior to discharge from the Post Anaesthesia Care Unit. In conclusion, the HME filter-protected open circuit is a relatively safe, acceptable and practical device to use for spontaneously breathing patients with newly created tracheostomies in the perioperative environment.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42837511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'Can you hear me?' Barriers to and facilitators of communication in the presence of noise in the operating room “你能听到我说话吗？”手术室有噪音时的沟通障碍和促进因素

Journal of Perioperative Nursing Pub Date : 2021-07-30 DOI: 10.26550/2209-1092.1132

Louise C Grant Mrs, P. Nicholson, Bronwyn Davidson Associate Professor, Elizabeth Manias

引用次数: 2

Effectiveness of non-pharmacological interventions to manage anxiety in adolescents in the perioperative period: A systematic review and meta‑analysis 非药物干预对围手术期青少年焦虑管理的有效性:一项系统回顾和荟萃分析

Journal of Perioperative Nursing Pub Date : 2021-07-30 DOI: 10.26550/2209-1092.1130

Marcia Pestana-Santos, M. J. Pereira, Adriana Pestana-Santos, E. Santos, A. Goncalves, D. Cardoso, Lurdes Lomba, Margarida Reis Santos

引用次数: 3

Undertaking the surgical count: An observational study 进行手术计数:一项观察性研究

Journal of Perioperative Nursing Pub Date : 2021-06-29 DOI: 10.26550/2209-1092.1089

Victoria Ruth Warwick Dr, B. Gillespie, A. McMurray, Karen G Clark-Burg Professor

{"title":"Undertaking the surgical count: An observational study","authors":"Victoria Ruth Warwick Dr, B. Gillespie, A. McMurray, Karen G Clark-Burg Professor","doi":"10.26550/2209-1092.1089","DOIUrl":"https://doi.org/10.26550/2209-1092.1089","url":null,"abstract":"Objective To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’ 1 . Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data. Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate. Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46489802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Still more to do to improve perioperative safety and prevent patient harm 在提高围手术期安全性和预防患者伤害方面还有更多的工作要做

Journal of Perioperative Nursing Pub Date : 2021-05-31 DOI: 10.26550/2209-1092.1127

J. Duff

引用次数: 0

Capnography monitoring in the Post Anaesthesia Care Unit (PACU) 麻醉后护理病房(PACU)的血管造影监测

Journal of Perioperative Nursing Pub Date : 2021-05-30 DOI: 10.26550/2209-1092.1125

C. Wilks, P. Foran

引用次数: 2

Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review 识别患者倡导安全文化的障碍：一项综合综述

Journal of Perioperative Nursing Pub Date : 2021-05-30 DOI: 10.26550/2209-1092.1126

Teena Shoemark, Paula Foran

{"title":"Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review","authors":"Teena Shoemark, Paula Foran","doi":"10.26550/2209-1092.1126","DOIUrl":"https://doi.org/10.26550/2209-1092.1126","url":null,"abstract":"Problem identification Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture. An electronic search of the databases, EBSCOhost, Academic search ultimate, Cumulative Index Nursing and Allied Health Literature (CINAHL), Healthsource, MEDLINE and PubMed, was undertaken and yielded ten articles for inclusion. Primary research included in this review consisted of five qualitative studies, three quantitative studies and two case studies. Further literature was used to provide background into this subject and guidance on writing this paper. The selected research was critically appraised for methodological quality using JBI critical appraisal checklists for case reports, qualitative and prevalence research. A data extraction table was used to record, group, compare and inform the integrative process of thematic analysis and data synthesis, generating themes that emerged through the selected literature. will will discuss may be an organisational commitment to enhance patient advocacy by perioperative nurses allowing them to speak up on behalf of their","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45312133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ergoophthalmological risks associated with dry eye in the operating room 手术室干眼症相关的Ergoo邻苯二甲酸风险

Journal of Perioperative Nursing Pub Date : 2021-05-11 DOI: 10.26550/2209-1092.1115

Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr.

{"title":"Ergoophthalmological risks associated with dry eye in the operating room","authors":"Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr.","doi":"10.26550/2209-1092.1115","DOIUrl":"https://doi.org/10.26550/2209-1092.1115","url":null,"abstract":"Dry eye disease is one of the most common pathologies of the ocular surface. In parallel with increased screen exposure, environmental changes and modern life in recent years, the prevalence and severity of dry eye have been increasing. Ergoophthalmology is the study of visual ergonomic conditions. It is concerned with injuries to the eyes caused by occupational factors and uses a multidisciplinary approach to understand the causes of occupational visionrelated and ocular diseases and to prevent and manage these conditions. Vision-related risks in the operating room are critical for patients and health care providers. There are many predisposing factors in the operating room environment – air conditioning, constant humidity, constant room temperature, intense lighting, surgical smoke, anaesthetic gases and the use of irritant chemicals and biological aerosols. In addition, surgery itself is a critical task requiring long-term mental effort and concentration which can also predispose operating room staff to dry eye disease. In this review, we discuss occupational and environmental ergoophthalmological risk factors for dry eye disease in the operating room.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42678584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Determining the attitude of operating room nurses to radiation exposure: A descriptive study 决定手术室护士对辐射暴露的态度:一项描述性研究

Journal of Perioperative Nursing Pub Date : 2021-04-30 DOI: 10.26550/2209-1092.1112

Ayfer Ozbas, A. Turkmen, G. Dundar

引用次数: 1