Journal of Perianesthesia Nursing最新文献

{"title":"Nursing Students' Operating Room Experiences: A Qualitative Metasynthesis","authors":"","doi":"10.1016/j.jopan.2023.12.029","DOIUrl":"10.1016/j.jopan.2023.12.029","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to analyze the findings of qualitative studies about nursing students’ experiences with operating room (OR) practices. There is a need to conduct metasynthesis studies to highlight the overarching dimensions of nursing students' experiences in the OR learning environment, identify and summarize key elements, draw attention to the professional implications of the experience, and then help define the future research agenda. This original study is the first metasynthesis of qualitative studies focusing on nursing students' OR practice experiences.</div></div><div><h3>Design</h3><div>A qualitative metasynthesis.</div></div><div><h3>Methods</h3><div>This metasynthesis study was based on the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement and registered with PROSPERO (International prospective register of systematic reviews) (CRD42021252129). This metasynthesis consists of qualitative studies that included themes, were conducted with nursing students with OR experience, and were published in English between December 2000 and June 2022. Data were analyzed using the two-step metasynthesis procedures proposed by Sandelowski and Barroso.</div></div><div><h3>Findings</h3><div>This metasynthesis study was carried out by analyzing 12 qualitative studies that met the inclusion criteria, reflected the results of a total of 244 nursing students, and were conducted in 7 different countries. As a result of the analysis of the studies, two main themes and seven subthemes were determined about the OR experiences of nursing students. The main themes of the study included (1) the OR environment and (2) professionalism and career choices.</div></div><div><h3>Conclusions</h3><div>The synthesis of studies in this research revealed nursing students' OR experiences and provided evidence about the association between these experiences and their professionalism and career goals. The research drew attention to the limitations and facilitators of the OR learning environment for nursing students and provided guidance for a positive interactive learning environment.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867179","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":"International Comparisons of Hospitals’ Phase I Postanesthesia Care Unit Lengths of Stay Show Most Patients Need 30 minutes or Less Recovery Time to Advance From a 1 Nurse: 2 Patient Staffing Ratio","authors":"","doi":"10.1016/j.jopan.2023.12.020","DOIUrl":"10.1016/j.jopan.2023.12.020","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358505","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":"Reducing No-Show Appointments in Preanesthesia Screening","authors":"","doi":"10.1016/j.jopan.2023.12.030","DOIUrl":"10.1016/j.jopan.2023.12.030","url":null,"abstract":"<div><h3>Purpose</h3><div><span>Preanesthesia screening is critical to evaluate the patient’s medical and surgical history before any procedure or surgery to assess for risks and to optimize outcomes during the </span>perioperative period<span>. The purpose of this quality improvement project was to decrease the number of missed appointments in the outpatient preanesthesia and surgical screening clinic and the impact on provider satisfaction.</span></div></div><div><h3>Design</h3><div>The design of this quality improvement project was pre and post design. Automated and live phone calls reminders were provided for patients scheduled in the outpatient preanesthesia. Data were collected to compare missed appointment rates from a 3-month period before the project implementation and a 3-month period afterward.</div></div><div><h3>Methods</h3><div>Predata collection included the number of no-shows in the electronic health record system from the previous 3 months. Participants included all adult patients who are scheduled for a preanesthesia surgical screening appointment. Provider satisfaction was assessed using a 5-question survey, pre and postinnovation.</div></div><div><h3>Findings</h3><div>Reminder systems had a statistically significant impact on reducing the number of no-shows in the preanesthesia and surgical screening clinic. No significant impact was shown in provider satisfaction.</div></div><div><h3>Conclusions</h3><div>Implementation of a reminder system can help to reduce no-show rates in clinics. Patient no-shows overload the health system by reducing the productivity of providers and waste resources including use of clinic staff, longer wait times for other patients, and the timing providers put into chart preparation.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140827270","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":"Determination of Risk Factors for Nausea and Vomiting in Children After Appendectomy","authors":"","doi":"10.1016/j.jopan.2023.12.025","DOIUrl":"10.1016/j.jopan.2023.12.025","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This study aimed at investigating the risk factors for postoperative nausea and vomiting (PONV) in pediatric patients undergoing </span>appendectomy.</div></div><div><h3>Design</h3><div>This is a prospective, descriptive, cross-sectional study.</div></div><div><h3>Methods</h3><div>The study involved 163 children aged 5 to 18 years who underwent appendectomy in the pediatric surgery clinic of a tertiary hospital between December 2022 and June 2023. The study data were collected through the patient information form, Baxter Retching Faces scale, and Wong–Baker Faces Pain Rating Scale, which included questions about the descriptive and clinical characteristics of the participants and was prepared by the researcher consistent with the literature.</div></div><div><h3>Findings</h3><div><span><span>A significant relationship was observed between the severity of postoperative pain and the occurrence of PONV in patients with both nonperforated and perforated </span>appendicitis (</span><em>P</em><span> &lt; .001). In addition, operative time and the time to the first oral feeding were shorter in patients with nonperforated appendicitis in the non-PONV group (</span><em>P</em> = .005 and <em>P</em><span> = .042, respectively) Logistic regression analysis<span><span> revealed that postoperative pain, family history of PONV and appendix perforation were risk factors for PONV in children with both nonperforated and </span>perforated appendicitis (</span></span><em>P</em> &lt; .001, <em>P</em> = .040, and <em>P</em> &lt; .001, respectively).</div></div><div><h3>Conclusions</h3><div><span><span>In children undergoing appendectomy, family history of PONV, severity of postoperative pain, increased operative time, and increased transition time to oral feeding are risk factors for PONV. </span>Pediatric nurses, who have an important role in the management of PONV, should evaluate patients in terms of PONV risk in the </span>preoperative period within the scope of evidence-based practices and perform pharmacological or nonpharmacological interventions according to the degree of risk.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859644","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":"Evaluation of the Opinions of Surgery Patients on Perioperative Privacy.","authors":"Burçin Irmak, Nurgül Bölükbaş, Muharrem Çelik, Elif Aslan, Hatice Polat Şimşek, Ömer Seyfi Acar, Ümmühan İrice","doi":"10.1016/j.jopan.2024.06.115","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.06.115","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate surgical patients' perceptions of perioperative privacy.</p><p><strong>Design: </strong>A descriptive and cross-sectional study.</p><p><strong>Methods: </strong>A total of 172 patients who underwent surgical intervention at a state hospital were included. A Patient Information Form and the Perioperative Privacy Scale (PPS) were used to collect data. The data were analyzed using descriptive statistical methods, Mann-Whitney U test, and Kruskal-Wallis H test.</p><p><strong>Findings: </strong>With a mean age of 56.81 ± 1.29 years, 56.4% of the patients were male. Over half of all patients (51.7%) were familiar with the concept of patient privacy, and the vast majority (94.2%) felt that their privacy was protected by the health care staff during their hospital stay. The mean PPS score was 74.38 ± 10.44. A statistically significant difference was found between the patients' marital status, education level, health insurance, attention to privacy by health personnel, and the mean scores of the PPS (P < .05).</p><p><strong>Conclusions: </strong>The research found that patients who underwent surgery felt that their privacy was well-protected during the perioperative period. To maintain patient privacy during this process, surgical nurses should continue their current practices and emphasize the importance of the subject in in-service training programs.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330676","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":"Letter to the Editor Regarding “Pericapsular Nerve Group (PENG) Block Results in Significant Opioid Reduction in Total Hip Arthroplasty: A Retrospective Analysis”","authors":"","doi":"10.1016/j.jopan.2024.06.112","DOIUrl":"10.1016/j.jopan.2024.06.112","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358504","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 Impact of Preangiography Anxiety on Postangiography Comfort in Older Adults: Implications for Perianesthesia Nursing Care.","authors":"İlayda Sarac, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.jopan.2024.05.028","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.05.028","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the relationship between anxiety before coronary angiography and comfort after coronary angiography in people over 65 years of age.</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Methods: </strong>The study population consisted of patients aged 65 years and older who agreed to participate in the study and underwent coronary angiography. The study was carried out on a total of 201 patients. Data for the study were collected using the Sociodemographic and Medical Information Form, Surgical Fear Questionnaire (SFQ), Early Postoperative Comfort Scale, Visual Anxiety Scale (VAS), and Angiography Information Form. Pearson's test was used to determine the direction of the relationship between comfort after angiography and fear and anxiety before angiography. Multivariate linear regression program was used for different orders of magnitude between predictors of comfort rates.</p><p><strong>Findings: </strong>A negative and low-level correlation was found between Early Postoperative Comfort Scale and short-term SFQ, long-term SFQ, total SFQ, and VAS. Variables and scale scores that showed statistically significant differences in predicting patient comfort after angiography in univariate analyses were evaluated using stepwise multiple linear regression analysis. The best model for the postangiography comfort score was created in step 4. Increasing age, the presence of a chronic disease, and high levels of anxiety and fear before angiography were found to be negative predictors of comfort after angiography.</p><p><strong>Conclusions: </strong>Comfort after angiography was reduced by high fear and anxiety before angiography, increasing age, and the presence of chronic disease. This study highlights the importance of anxiety management and individualized care before angiography in older people.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373304","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":"Intraoperative Takotsubo Cardiomyopathy: A Case Report","authors":"","doi":"10.1016/j.jopan.2023.12.014","DOIUrl":"10.1016/j.jopan.2023.12.014","url":null,"abstract":"<div><div><span>Takotsubo cardiomyopathy<span><span><span> (TTC) is a rare condition associated with transient akinesia of apical segments and </span>hyperkinesia of basal segments of the heart. Although several mechanisms have been proposed to cause direct and indirect </span>myocardial damage<span><span><span><span> owing to catecholamine excess, the underlying </span>pathophysiology<span><span> remains unknown. An 18-year-old female was referred to our otorhinolaryngology </span>outpatient clinic for a </span></span>septorhinoplasty. Apart from the fear of surgery, the patient had no other health issues. After the administration of </span>local anesthesia<span> (lidocaine and epinephrine mix), tachycardia<span> storms occurred and soon ended with cardiac collapse. Further evaluation revealed TTC. TTC should be considered, especially in cases of treatment-resistant hemodynamic problems after cardiac resuscitation, and nurses can play a crucial role during the preanesthetic period in helping the patient cope with the stress factors related to the upcoming surgery</span></span></span></span></span><em>.</em></div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194907","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 Effect of Therapeutic Play on Children’s Pain, Anxiety and Mothers’ Anxiety during Pre- and Postcircumcision Period","authors":"","doi":"10.1016/j.jopan.2023.12.015","DOIUrl":"10.1016/j.jopan.2023.12.015","url":null,"abstract":"<div><h3>Purpose</h3><div>The study was conducted to determine the effect of the therapeutic play method implemented on the pre- and postcircumcision pain and anxiety levels of children and mothers’ anxiety levels in the pediatric surgery clinic.</div></div><div><h3>Design</h3><div>Prospective, randomized clinical trial.</div></div><div><h3>Methods</h3><div>The study consisted of children between the ages of 3 to 6 admitted to the pediatric surgery clinic and their mothers (N = 120; Therapeutic playgroup = 60, Control group = 60). As a therapeutic play method the children and their mothers used play dough during the structured conversation for about 10 minutes before and after the operation. A questionnaire, the Face, Legs, Activity, Cry, Consolability (FLACC) pain scale, the Children's Emotional Manifestation Scale (CEMS) anxiety scale, and State-Trait Anxiety Inventory-S (STAI-S) anxiety scale for parents were used to collect data.</div></div><div><h3>Findings</h3><div>In the pre- and postcircumcision period, the pain and anxiety levels of children and mothers’ anxiety levels in the therapeutic playgroup were statistically lower compared to the control group (<em>P</em><span> &lt; .05). In the postoperative period, a positive and significance correlation was found between anxiety levels of the mothers and pain and anxiety levels of children in the control group (</span><em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>The therapeutic play method was effective in reducing the pain and anxiety levels of children and mothers’ anxiety in the pre- and postcircumcision period.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319574","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":"Patient-Centeredness in the Perioperative Period—A Rapid Review of Current Research","authors":"","doi":"10.1016/j.jopan.2023.12.028","DOIUrl":"10.1016/j.jopan.2023.12.028","url":null,"abstract":"<div><h3>Purpose</h3><div>The indication of surgery is a critical moment in a person’s life implying different needs, feelings, or fears. The aim of the current literature review<span> was to elucidate the prevailing utilization of the concepts ‘patient-centeredness’ and ‘person-centeredness’ within the perioperative period.</span></div></div><div><h3>Design</h3><div>A rapid review design.</div></div><div><h3>Methods</h3><div><span><span>Literature searches were conducted in the databases PubMed, Scopus (Elsevier), American Psychological Association PsychInfo (Ovid), </span>Embase<span> (Ovid), CINAHL (Ovid), and </span></span>Cochrane Library in December 2022. Rayyan software was used to assess the articles. Joanna Briggs Institute critical appraisal tools were used to evaluate the quality of the included articles. Thematic analysis was used to identify themes across the articles.</div></div><div><h3>Findings</h3><div>The electronic database searches identified 1,967 articles. A total of 12 articles were assessed in full text against the inclusion and exclusion criteria, and finally, a total of seven articles were included. The articles originated from six countries, employed disparate methodological approaches, and featured a heterogeneous array of participants representing various health care settings. Patient-centeredness held the mantle as the most prominently used concept across the seven articles, whereas person-centeredness emerged as the least frequently explored concept. One theme was identified across the articles; Preparedness. This was related to shared decision-making and information pre, peri- and postoperative.</div></div><div><h3>Conclusions</h3><div>This rapid review suggests that patient preparedness, particularly through shared decision-making and providing information, is a recurring theme in the limited studies on patient- or centeredness in the perioperative context. The fact that only one single study focuses on person-centered care underscores the pressing need for a comprehensive re-evaluation of modern perioperative care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871243","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}