Journal of Perianesthesia Nursing最新文献

{"title":"Global Research Trends in Postoperative Delirium and Its Risk Factors: A Bibliometric and Visual Analysis","authors":"Xing Liu MS, RN ,&nbsp;Zhao Huangfu MS, MD ,&nbsp;Xiao Zhang MS, MD ,&nbsp;Taohong Ma RN","doi":"10.1016/j.jopan.2024.04.002","DOIUrl":"10.1016/j.jopan.2024.04.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Postoperative delirium (POD) is one of the most frequent complications after surgery which is closely associated with many adverse outcomes, including high mortality and low quality of life. This study aims to carry out a bibliometric analysis of POD and its risk factors from 2012 to 2022 to reveal the research status and hot spots.</div></div><div><h3>Design</h3><div>This study is a bibliometric and visualized analysis.</div></div><div><h3>Methods</h3><div>Relevant publications between 2012 and 2022 were extracted from the Web of Science Core Collection database. CiteSpace software (v6.1. R2, Drexel University), VOSviewer software (v1.6.18, Leiden University), and the Online Analysis Platform of Literature Metrology were used to analyze research attributes. These publications were used to analyze research attributes, including countries, journals, institutions, authors, keywords, and burst detection, to predict trends and hot spots.</div></div><div><h3>Findings</h3><div>We included a total of 1,324 related documents from 2012 to 2022. The literature on POD has increased significantly since 2016. The United States and Harvard University were the leading literature publishing country (436/1324, 32.9%) and institution (112/1324, 8.5%). <em>Anesthesia and Analgesia</em> was the most frequently published journal. Keywords analysis with VOSviewer revealed that the keywords could be divided into five clusters, including anesthesia techniques, cardiac surgery, risk factors, intraoperative anesthesia monitoring, and postoperative cognitive dysfunction. We included a total of 198 POD risk factors documents, and the literature on POD risk factors increased. The People’s Republic of China and Harvard University were the leading literature publishing country (53/198, 26.8%) and institution (12/198, 6.1%). Elderly, hip surgery, frailty, postoperative pain, cardiac surgery, dementia, and depression are keywords that are risk factors for POD.</div></div><div><h3>Conclusions</h3><div>The number of literature on POD in the field of anesthesia has increased significantly. Risk factors and anesthesia techniques are still key areas of research. Encephalogram, the use of sedatives, and perioperative nursing may be the new research focus. Older adults, hip fractures, cardiac surgery, liver transplants, dementia, and depression are hot words in the field of POD risk factors.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 400-414"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903327","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":"Perioperative Management of Argininemia in a Child Undergoing Circumcision: A Case Report","authors":"Suki Ismet MD, MMED ,&nbsp;Muhamad Rafiqi Hehsan MBBCh, MMED","doi":"10.1016/j.jopan.2024.05.025","DOIUrl":"10.1016/j.jopan.2024.05.025","url":null,"abstract":"<div><div>Argininemia is a rare autosomal recessive metabolic disorder characterized by a deficiency of arginase, a vital enzyme in the urea cycle. This metabolic defect results in the accumulation of arginine and its metabolites, leading to hyperammonemia and associated neurological symptoms. We present a case detailing the perioperative management of an 11-year-old male child diagnosed with argininemia undergoing circumcision. The perioperative management of patients with argininemia presents unique challenges due to the risk of hyperammonemia and neurological decompensation triggered by physiological stress, fasting, and the catabolic state associated with surgery. This case report highlights the importance of individualized anesthetic strategies for patients with rare metabolic disorders like argininemia. A multidisciplinary approach involving collaboration among anesthesiologists, endocrinologists, dietitians, and surgeons is essential to ensuring a safe perioperative experience for these patients. Further research is essential to refine perioperative protocols and optimal anesthetic interventions for individuals with argininemia undergoing surgical procedures.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 251-253"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113859","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":"Impact of a Modified Protocol for Blood Collection on Hemolysis Rates and Nurses' Perceptions About Improving Their Practice Environment","authors":"Jennifer Stanton Gordon BSN, RN, CPAN ,&nbsp;Erin Niklinski MSN, RN, ONC, CPAN ,&nbsp;Huong Do MA ,&nbsp;Patricia Quinlan PhD, MPA, RN, CPHQ.","doi":"10.1016/j.jopan.2024.05.023","DOIUrl":"10.1016/j.jopan.2024.05.023","url":null,"abstract":"<div><h3>Purpose</h3><div>In 2019, approximately 5% of blood draws in the postanesthesia care unit (PACU) were hemolyzed compared to 1.1% across other hospital units. A preliminary review showed almost 60% of patients sampled blood employing arterial lines in the unit. The purpose of this quality improvement study was to improve blood drawing practices and reduce the occurrence of hemolysis. A secondary aim was for PACU nurses to lead this unit-based initiative.</div></div><div><h3>Design</h3><div>Team members led by PACU nurses used the Deming model of quality improvement as a framework to better the process of specimen collection.</div></div><div><h3>Methods</h3><div>The team employed the Plan-Do-Check-Act procedure to organize their improvement efforts. Specimen collection protocol was modified to include manual aspiration from arterial lines and hemolysis data was retrieved from laboratory generated reports and electronic medical records.</div></div><div><h3>Findings</h3><div>By changing blood drawing practices, the hemolysis rate was significantly reduced from 5.2% to 3.6%. Two years postimplementation, rates continue to decline with the current rate at 1.97%.</div></div><div><h3>Conclusion</h3><div>This nurse-led interdisciplinary improvement initiative identified and trialed evidence-based solutions to reduce blood specimen hemolysis.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 270-276"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127118","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":"Impact of Prewarming on Maintaining Perioperative Body Temperature: A Randomized Clinical Trial","authors":"Vanessa de Brito Poveda PhD, RN ,&nbsp;Juliana Rizzo Gnatta PhD, RN ,&nbsp;Cassiane de Santana Lemos PhD, RN ,&nbsp;Amy Hagedorn Wonder PhD, RN ,&nbsp;Ariane Souza do Nascimento MSc, RN ,&nbsp;Michele Estevanatto Tose de Godoi RN ,&nbsp;João Francisco Possari RN ,&nbsp;Ulysses Ribeiro Jr PhD, MD","doi":"10.1016/j.jopan.2024.05.011","DOIUrl":"10.1016/j.jopan.2024.05.011","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the prewarming effect on body temperature in the perioperative period of patients undergoing conventional abdominal surgery and the level of thermal comfort.</div></div><div><h3>Design</h3><div>A randomized controlled clinical trial.</div></div><div><h3>Methods</h3><div>A Brazilian oncology hospital located in São Paulo. A total of 99 patients aged 18 years or over undergoing elective conventional abdominal surgeries, with a minimum duration of 1 hour of anesthesia. The study was carried out from 2019 to 2021. Patients were randomized into 3 groups: prewarming with a blanket and cotton sheet (control; n = 33); prewarming with a forced-air warming system for 20 minutes (intervention 1; n = 33); prewarming with a forced-air warming system for 30 minutes (intervention 2; n = 33). Central temperature was measured by a zero-heat-flux temperature sensor every 20 minutes from the preoperative period until the surgery end time. The level of thermal comfort was determined through self-report during the preanesthetic and postanesthetic periods.</div></div><div><h3>Findings</h3><div>There was a significant difference between the temperatures between the groups (<em>P</em> = .048), with evidence of greater benefit in maintaining the temperature in the group that received the prewarming intervention for 20 minutes. There was no significant difference between the percentage of temperatures below 36 °C among the groups (<em>P</em> = .135). Patients in the intervention groups were more comfortable during the postanesthetic recovery period than those in the control group (<em>P</em> = .048). Only 7 (8.24%) patients had postoperative chills (<em>P</em> = .399) and more than half of these incidents occurred in the control group (4; 13.3%).</div></div><div><h3>Conclusions</h3><div>Prewarming for 20 minutes obtained the best results, showing the lowest average of temperature episodes below 36 °C during the intraoperative period and greater thermal comfort as reported by patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 343-348"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299335","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 Different Doses of Ropivacaine for Caudal Block in School-aged Children Undergoing Shang Ring Circumcision","authors":"Bin Zhang MD ,&nbsp;Zhaofang Zhang MM ,&nbsp;Xin Huang PhD ,&nbsp;Weilian Ren MB ,&nbsp;Junxia Wang MD","doi":"10.1016/j.jopan.2024.05.012","DOIUrl":"10.1016/j.jopan.2024.05.012","url":null,"abstract":"<div><h3>Purpose</h3><div>The present study aimed to evaluate the effects of three different doses of ropivacaine in Shang Ring circumcision in school-aged children.</div></div><div><h3>Design</h3><div>This is a prospective, randomized, controlled study.</div></div><div><h3>Methods</h3><div>A total of 148 American Society of Anesthesiologists I to II children were enrolled and randomly assigned into the R0.2%, R0.25%, and R0.3% groups. These groups received 0.2%, 0.25%, and 0.3% of ropivacaine (0.5 mL/kg) for caudal block, respectively. The perioperative data on anesthesia quality (including adequate analgesia rate, analgesic duration, lower extremity numbness duration, and postoperative first urination time), and adverse events were collected. Hemodynamic variables were also measured perioperatively.</div></div><div><h3>Findings</h3><div>The adequate analgesia rate of caudal block in the R0.2% group (75.5%) was significantly lower than that in the R0.25% (94.0%) and R0.3% groups (98.0%) (<em>P</em> = .001). The analgesic duration of the R0.2% and R0.25% groups was significantly less than that of the R0.3% group (<em>P</em> &lt; .001). The duration of lower extremity numbness in R0.2% group was significantly shorter than that in R0.25% (<em>P</em> &lt; .05) and R0.3% groups (<em>P</em> &lt; .01), and there was no significant difference between the R0.25% and R0.3% groups. The first urination time of R0.2% was significantly shorter than the R0.3% group (<em>P</em> &lt; .05). There was no significant difference between the R0.2% and R0.25% or the R0.25% and R0.3% groups. No significant difference was found in adverse effects among groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>Caudal block with 0.3% ropivacaine can provide more satisfactory intraoperative analgesia quality for school-aged children receiving Shang Ring circumcision, without increasing the risk of adverse effects.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 349-355"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299340","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 Oral Water and Ice Popsicle Exposure on the Management of Thirst in the Immediate Postoperative Period","authors":"Esra Eren PhD, RN ,&nbsp;Seher Deniz Oztekin PhD, RN","doi":"10.1016/j.jopan.2024.05.013","DOIUrl":"10.1016/j.jopan.2024.05.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Thirst is a high-incidence condition that causes patients to experience problems in the early postoperative period in the postanesthesia care unit (PACU). The study was conducted to determine the effect of oral water and ice application in managing early postoperative thirst.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>The study was conducted between January and April 2017 with 150 patients who were transferred from the operating room of a university hospital to the PACU and met the research criteria. The patients were divided into treatment (water group = 50, ice group = 50) and control (n = 50) groups. Patients in the intervention group received oral water/ice application after admission to the PACU after surgery. Patients in the control group received routine treatment and care.</div></div><div><h3>Findings</h3><div>In intragroup comparisons before and after the application, there was a statistically significant decrease in thirst, dry mouth, dry throat, and difficulty in swallowing in the water and ice groups (<em>P</em> &lt; .001); ice application was more effective than water application, and there was no significant difference in the control group (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>Postoperative oral water/ice application was an effective and safe nursing intervention to reduce thirst, dry mouth, dry throat, and difficulty in swallowing. Ice application was more effective.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 356-364"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299342","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":"Decreasing Postsurgical Length of Stay in the Postanesthesia Care Unit for Obstructive Sleep Apnea and Obese Patients Using Exspiron Minute Ventilation Monitoring","authors":"Lindsay Holt PhD, MSN, RN, CPAN, CCRN ,&nbsp;Cresilda Newsom DNP, MSN, RN, CPAN ,&nbsp;JoAnn Daugherty PhD, RN, CNL","doi":"10.1016/j.jopan.2024.05.021","DOIUrl":"10.1016/j.jopan.2024.05.021","url":null,"abstract":"<div><h3>Purpose</h3><div>In the postanesthesia care unit (PACU), it is imperative to monitor respiration and ventilation, especially in patients diagnosed with or at risk for obstructive sleep apnea (OSA). Research studies have been published to highlight the importance of minute ventilation monitoring (MVM) as an early warning system of impending respiratory compromise, warranting studies to assess timely safe discharge in this high-risk population at UC San Diego Health.</div></div><div><h3>Design</h3><div>This quantitative study was conducted using a two-group comparative design method.</div></div><div><h3>Methods</h3><div>Length of stay was measured in 100 patients identified as high risk in the surgical setting with diagnosed or suspected OSA or a documented body mass index ≥40 with and without the use of MVM to evaluate its impact on PACU length of stay. Fifty patients were monitored using the University of California San Diego (USCD) Health standard of care monitoring of respiratory rate, pulse oximetry, and capnography when indicated, then compared to 50 patients monitored with the UCSD Health standard of care with the addition of MVM using the Exspiron monitoring device.</div></div><div><h3>Findings</h3><div>PACU length of stay decreased for those who received MVM (M = 106.22, SD = 56.85) than those who did not (M = 140.96, SD = 81.55), a statistically significant difference of 34.74 (95% CI, 6.64 to 62.83), <em>t</em>(97) = 2.46, <em>P</em> = .016. Total time savings between the 2 groups was 1,843 minutes of PACU bed occupancy.</div></div><div><h3>Conclusions</h3><div>The use of minute ventilation monitoring in addition to the standard of care in postsurgical patients can significantly reduce the length of high-risk patients with known or suspected OSA safely from the postoperative care unit.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 381-384"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903353","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":"Experiences of Patients Undergoing Robot-assisted Cardiac Surgery: A Qualitative Study","authors":"Berrin Pazar RN, PhD ,&nbsp;Emine İyigün RN, PhD ,&nbsp;Sevinç Taştan RN, PhD ,&nbsp;Murat Kadan MD","doi":"10.1016/j.jopan.2024.05.010","DOIUrl":"10.1016/j.jopan.2024.05.010","url":null,"abstract":"<div><h3>Purpose</h3><div>Over the last two decades, the use of robotic surgery in cardiac procedures has become increasingly prevalent. Typically, assessments of patient outcomes for robot-assisted surgery concentrate on patient morbidity and mortality, surgical complications, and length of hospital stay. However, there is limited research on patients' perceptions of robot-assisted surgery. Therefore, this study aims to determine the experiences of patients undergoing robot-assisted cardiac surgery.</div></div><div><h3>Design</h3><div>The study used a qualitative design.</div></div><div><h3>Methods</h3><div>The study was conducted with 12 patients who underwent robot-assisted heart surgery at an educational and research hospital. Ethical approval and written informed consent were obtained before the study.</div></div><div><h3>Findings</h3><div>66.7% of the participants were male with an average age of 38.25 ± 16.06 years. The analysis of qualitative data identified three themes: Robotic surgery, Post-Surgical Experience, and Homecoming.</div></div><div><h3>Conclusions</h3><div>Patients expressed satisfaction with robotic surgery and recommended it to others undergoing surgery. Based on the findings, we may suggest that nurses may conduct personalized education programs about robotic surgery and develop programs to follow up with patients at home.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 337-342"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914369","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":"Adult Patient Perceptions of Nurse Listening Behaviors in an Ambulatory Surgery Setting.","authors":"Kelly E Lancaster, Jacqueline Bourque, Kristiina Hyrkas","doi":"10.1016/j.jopan.2025.01.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.013","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to fill the knowledge gap by seeking the individual patient's perception regarding nurse listening behaviors. Our research question was: what behaviors do adult day surgery patients believe conveyed nurse listening during a recent day surgery experience?</p><p><strong>Design: </strong>A qualitative design was used for this study.</p><p><strong>Methods: </strong>A stratified convenience sample of 20 English-speaking adult patients was interviewed about their experiences. Audio-recorded interviews were transcribed and analyzed manually using thematic analysis.</p><p><strong>Findings: </strong>The analysis resulted in two themes. The first \"Interplay of Caring Communication\" was characterized by behaviors of nonverbal communication during the patient and nurse interaction, including observations of eye-to-eye contact, looking at the patient's face and the nurse's body language and facial expressions. Verbal communication behaviors occurred when nurses adapted or modified their teaching to meet patients' learning needs. Patients perceived nurses' oral communication styles as listening behaviors when they engaged in conversation by facilitating the dialog, asking and answering questions, and documenting the answers. The second theme \"Realization of Feeling Understood\" was characterized by descriptions of awareness of feelings and emotions, including patient experienced feelings and nurses acknowledging patient's emotions. Furthermore, insights into the experience of being heard emerged that were composed of the experience of patient care, the perception that everybody listens, they paid attention, acknowledged and respected the patient's wishes for care decisions.</p><p><strong>Conclusions: </strong>Patient perceptions of nurse listening are not limited to verbal exchanges between the patient and nurse but are also shaped by observations of nonverbal behaviors and the actions of nurses. These specific behaviors are important to patients, affecting their perception that \"my nurse is listening to me.\" Incorporated into daily practice, these behaviors can make patients feel they are being heard.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732259","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":"Improving Safe Thermoregulation Practices in an Urban Outpatient Surgery Center Through a Quality Improvement Initiative.","authors":"Jamie M Young, Kimberly Couch","doi":"10.1016/j.jopan.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.010","url":null,"abstract":"<p><strong>Purpose: </strong>Inadvertent perioperative hypothermia, defined as a core temperature below 36 °C, can lead to complications but is preventable when nursing interventions follow clinical practice recommendations. At an urban outpatient surgery center in Kirkland, Washington, a quality improvement initiative was implemented to improve thermoregulation practices to 80% over 8 weeks.</p><p><strong>Design: </strong>A rapid cycle quality improvement project, guided by the Institute of Medicine's safety aim, was carried out using the Plan-Do-Study-Act model.</p><p><strong>Methods: </strong>Quantitative data were collected via a chart review with the PreOp Audit Tool and Postanesthesia Care Unit (PACU) Audit Tool. Interpretation of the quantitative data, in conjunction with the field notes, drove the next test of change to improve safe thermoregulation, which occurred biweekly. Team engagement scores were collected via a survey pre- and post-intervention, and means were calculated.</p><p><strong>Findings: </strong>Safe thermoregulation increased from 62% to 92%, exceeding the 80% target. The PreOp and PACU Warming Bundle proved to be the most effective intervention.</p><p><strong>Conclusions: </strong>Normothermia care bundles are effective in maintaining safe thermoregulation throughout the perioperative process and improve staff knowledge of clinical practice recommendations. In addition, normothermia care bundles decrease staff-perceived workload in managing normothermia.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732401","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}