Journal of Perianesthesia Nursing最新文献

{"title":"Call for 2026 Conference Speakers / Member-Get-An-Educator","authors":"","doi":"10.1016/S1089-9472(25)00095-4","DOIUrl":"10.1016/S1089-9472(25)00095-4","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Page 246"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a Preanesthetic Telehealth Visit to Reduce Day-of-Surgery Cancellations","authors":"Elizabeth Wolgemuth DNP, CRNA,&nbsp;Jessica Glackin DNP, CRNA,&nbsp;Anh Bao Linquist DNP, CRNA,&nbsp;Jamie Dorman DNP, CRNA,&nbsp;Emily Somanath DNP, CRNA,&nbsp;Michelle Canale DNP, CRNA, FAANA,&nbsp;Erik Rauch DNP, MBA, CRNA, NSPM-C","doi":"10.1016/j.jopan.2024.05.022","DOIUrl":"10.1016/j.jopan.2024.05.022","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of the telehealth preanesthesia clinic (PAC) is to reduce the number of day-of-surgery (DOS) cancellations through the implementation of an algorithm-based standardized protocol.</div></div><div><h3>Design</h3><div>A prospective quality improvement project with pre and post assessment.</div></div><div><h3>Methods</h3><div>One hundred and fifty preoperative and postoperative surgical chart reviews using the Focus, Analyze, Develop, Execute, and Evaluate model. Retrospective chart reviews were conducted via the electronic health record to collect DOS cancellation counts along with reason for cancellation for a 6-week period prior to implementation, and a 6-week period postimplementation based on inclusion and exclusion criteria.</div></div><div><h3>Findings</h3><div>The implementation of a telehealth PAC using TEMPO (transition and action, evaluation and significant history, medications, procedure and condition, and overall plan) protocols resulted in a statistically significant reduction in DOS cancellations from 3.38% to 1.72%.</div></div><div><h3>Conclusions</h3><div>Postimplementation findings support the use of a telehealth PAC to reduce DOS cancellations.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 265-269"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses Service Organization - ASPAN","authors":"","doi":"10.1016/S1089-9472(25)00097-8","DOIUrl":"10.1016/S1089-9472(25)00097-8","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Page 248"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immersive Virtual Reality Versus Video Distraction for the Management of Emergence Delirium in Children: A Randomized Controlled Study","authors":"Hong Chen MNS, RN ,&nbsp;Le Chen MNS, RN ,&nbsp;Chen Zhu BNS, RN ,&nbsp;Sainan Li BNS, CPAN ,&nbsp;Juan Zhou BNS, RN ,&nbsp;Chengxiang Liu MNS, RN","doi":"10.1016/j.jopan.2024.05.006","DOIUrl":"10.1016/j.jopan.2024.05.006","url":null,"abstract":"<div><h3>Purpose</h3><div>Emergence delirium (ED) presents challenges for both parents and health care providers in pediatric surgical settings. This study aims to evaluate the effectiveness of immersive virtual reality (VR) distraction and video distraction combined with parental presence in reducing ED in preschool-aged children undergoing elective surgery.</div></div><div><h3>Design</h3><div>A prospective, randomized, controlled clinical trial was conducted with 90 children ages 4 to 7. Participants were randomly assigned to three groups: VR distraction (group V), tablet video distraction with parental presence (group T), and standard care (group C). The primary endpoints were the incidence of ED and Pediatric Anesthesia Emergence Delirium Scale scores, with secondary measures encompassing scores from the Parental Separation Anxiety Scale and the Faces, Legs, Activity, Cry, Consolability (FLACC) scale.</div></div><div><h3>Methods</h3><div>Participants were assigned to one of the three intervention groups, and relevant scales were used to assess ED, parental separation anxiety, and postoperative pain. The immersive VR distraction and video distraction with parental presence interventions were compared against standard care.</div></div><div><h3>Findings</h3><div>Immersive VR distraction significantly reduced the incidence of ED (6.67% in group V vs 40% in group T and 60% in group C), and the incidence of ED in group V was notably lower than in the other groups (<em>P</em> = .023 vs group T and <em>P</em> = .004 vs group C). Children in group V displayed significantly lower FLACC compared with the other groups as well (<em>P</em> &lt; .05). However, no significant differences between the 3 groups were observed in perioperative anxiety as assessed by the Parental Separation Anxiety Scale scores (<em>P</em> = .27).</div></div><div><h3>Conclusions</h3><div>This study underscores the potential of immersive VR distraction as an effective intervention for mitigating ED in pediatric surgical patients. The findings suggest that incorporating VR technology during the perioperative period can positively impact postoperative outcomes. Further research in diverse surgical contexts is recommended to validate these findings and explore the broader applicability of VR distraction in pediatric health care settings.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 318-325"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-Emptive Acetaminophen for Postoperative Pain (PAPP): An Updated Meta-Analysis","authors":"Brett Doleman PhD, BSc, MBBS, PGCert, FRCA ,&nbsp;Síle Ann Johnson PhD, BSc, BM, BCh, MRes ,&nbsp;Daniel Last BSc, BMBS ,&nbsp;Nuriyah Ali MBBCH ,&nbsp;Zdenek Klezl ,&nbsp;David Rogerson ,&nbsp;Jonathan Lund DM, FRCS ,&nbsp;John Williams PhD, BSc, MBChB, FRCA, FFPMRCA","doi":"10.1016/j.jopan.2024.04.005","DOIUrl":"10.1016/j.jopan.2024.04.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Postoperative pain is a common consequence of surgery. Pre-emptive analgesia involves the initiation of analgesics prior to surgical incision. This has been proposed as a simple method to help reduce postoperative pain, which may be more effective in higher-risk populations such as cervical spine surgery. A previous meta-analysis has demonstrated that pre-emptive acetaminophen may be effective in reducing postoperative pain although the certainty of evidence was limited. This present paper is an updated meta-analysis comparing pre-emptive acetaminophen versus postincision acetaminophen in adult patients undergoing surgery.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis with the inclusion of an unpublished randomized, placebo-controlled, double-blind trial.</div></div><div><h3>Methods</h3><div>An updated meta-analysis was conducted which searched electronic databases to identify randomized controlled trials with the same interventions.</div></div><div><h3>Findings</h3><div>We included 845 participants and 12 studies in the updated meta-analysis. The meta-analysis (including our trial) found reduced 24-hour morphine consumption in the pre-emptive group (mean difference −2.42 mg; 95% confidence interval −4.26 to −0.59 mg), as well as reduced postoperative vomiting (risk ratio 0.56; 95% confidence interval 0.36 to 0.88). There was no difference between pre-emptive acetaminophen and control groups for time to analgesic request, pain scores at 6 and 24 hours or pruritis. For all outcomes assessed, there was very low certainty of evidence.</div></div><div><h3>Conclusions</h3><div>This meta-analysis found pre-emptive acetaminophen reduced 24-hour opioid consumption and postoperative vomiting.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 415-421.e4"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S1089-9472(25)00060-7","DOIUrl":"10.1016/S1089-9472(25)00060-7","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Page A1"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hail, Honor, Salute! Campaign","authors":"","doi":"10.1016/S1089-9472(25)00096-6","DOIUrl":"10.1016/S1089-9472(25)00096-6","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Page 247"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considering Umbrellas","authors":"Susan J. Fetzer PhD, RN","doi":"10.1016/j.jopan.2025.01.005","DOIUrl":"10.1016/j.jopan.2025.01.005","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 459-460"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Nurses to Increase Certification Rates in a Postanesthesia Care Unit: A Collaborative Team Approach","authors":"Diala Epstein BSN, RN, CPAN, CPN, ONC, CRRN,&nbsp;Patricia Maria Lavin DNP, RN, NEA-BC,&nbsp;Jennifer Withall PhD, RN, ACNS, ONC,&nbsp;Diana Wong MS, RN, CPAN, ONC","doi":"10.1016/j.jopan.2024.05.004","DOIUrl":"10.1016/j.jopan.2024.05.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Purpose&lt;/h3&gt;&lt;div&gt;The number of postanesthesia care unit (PACU) registered nurses (RNs) with a specialty nursing certification at an orthopedic hospital in an academic health system was below the organizational benchmark. A clinical nurse-led process was developed to increase the percentage of PACU RNs with a specialty certification. This article will describe the strategies and interventions identified to support, reward, and recognize nurses who obtain or maintain their specialty certifications.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A performance improvement project using the Plan-Do-Study-Act cycle.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A gap analysis identified barriers preventing PACU nurses from obtaining specialty certifications in an orthopedic acute care American Nurses Credentialing Center Magnet-designated hospital. An anonymous web-based survey was distributed to 18 nurses who, although eligible, were not certified. The survey assessed common barriers to certification (eg, cost of the examination, comfort level with the testing process, level of access to review courses and study materials, expense to maintain credentials, personal interest in certification, and awareness of qualification information to take the exam). The project team included PACU nurse leaders, certified clinical nurses, nursing professional development specialists, and other interdisciplinary team members (eg, content experts from different departments).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Eighteen RNs completed the anonymous survey. The leading barrier was the expense of the certification exam (73%), while 66% of respondents reported discomfort with the test-taking process. Additionally, 61% of nurses reported that more access to review courses and study materials is needed, 44% responded that the expense of maintaining credentials is a barrier, 39% responded that the additional compensation pay for a specialty certification was considered to be insufficient, 39% agreed there is a lack of information on eligibility criteria, and 6% responded that they have no interest or desire to become certified. The survey results informed implementation strategies to increase certification rates, including initiating peer-to-peer exam groups and ongoing collaboration with nurse leaders on reward and recognition strategies. The removal of known barriers to obtaining specialty certification significantly increased certification rates in the PACU. Over the project period, the percentage of PACU-certified nurses increased to 60%, exceeding the project goal of 51%.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Peer-to-peer education and collaboration with nursing leadership and other interdisciplinary team members helped increase PACU's certification rates in this orthopedic specialty hospital. The informational and recognition strategies were impactful, resulting in additional nurses interested in becoming certified. Newly certified nurses are now motivating others to seek cert","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 260-264"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Acupressure on Preoperative Anxiety, Postoperative Pain, and Nausea and Vomiting in Otolaryngology Patients","authors":"Seda Turkili MD ,&nbsp;Ahmet Karaman PhD, RN ,&nbsp;Tugba Çam Yanık PhD, RN ,&nbsp;Gülay Altun Ugraş PhD, RN ,&nbsp;Serpil Yüksel PhD, RN ,&nbsp;Serkan Turkili MD ,&nbsp;Bahar Taşdelen PhD","doi":"10.1016/j.jopan.2024.05.027","DOIUrl":"10.1016/j.jopan.2024.05.027","url":null,"abstract":"<div><h3>Purpose</h3><div>Surgical patients frequently experience symptoms such as preoperative anxiety, postoperative pain, and nausea and vomiting. The aim of this study was to determine the effects of acupressure on preoperative anxiety, postoperative pain, and nausea and vomiting in otolaryngology patients.</div></div><div><h3>Design</h3><div>The study was designed as a prospective, assessor-blinded, parallel, 2-armed (1:1), randomized controlled trial.</div></div><div><h3>Methods</h3><div>The sample of this study consisted of 60 otolaryngology patients. Patients were assigned to the acupressure (n = 30) or control (n = 30) groups (1:1) through randomization. During the preoperative period, participants in the acupressure group received a 15-minute treatment involving pressure applied to the HT7, LI4, and EX-HN3 points. No intervention was administered to participants in the control group. Preoperative anxiety levels were evaluated using the State Anxiety Scale both before and 15 minutes after the acupressure application. Postoperative pain was assessed using the Numeric Pain Rating Scale at 4 hours postoperatively, at 10:00 p.m., at 08:00 a.m., and upon discharge. Postoperative nausea and vomiting were assessed at discharge using the Rhodes Index of Nausea, Vomiting, and Retching.</div></div><div><h3>Findings</h3><div>Although the preoperative anxiety of the control group increased in the operating room waiting area, that of the acupressure group decreased significantly (<em>P</em> = .033). The postoperative pain severity levels of the 2 groups were similar at the fourth hour after surgery and at 10:00 p.m. (<em>P</em> &gt; .05), whereas they were significantly lower at 08:00 a.m. (<em>P</em> = .04) and discharge (<em>P</em> = .048) in the acupressure group. No significant difference was found between the groups in postoperative nausea and vomiting symptoms (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>Acupressure was effective in reducing the severity of preoperative anxiety and postoperative pain in otolaryngology patients, but the same effect was not observed in postoperative nausea and vomiting.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 385-392"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}