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Exploring Patient Experiences With and Perceptions of Robotic-Assisted Surgery in Denmark. 探索丹麦患者对机器人辅助手术的体验和感知。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-05-01 DOI: 10.1002/aorn.14334
Freia Heidtmann, Pia Lysdal Veje
{"title":"Exploring Patient Experiences With and Perceptions of Robotic-Assisted Surgery in Denmark.","authors":"Freia Heidtmann, Pia Lysdal Veje","doi":"10.1002/aorn.14334","DOIUrl":"https://doi.org/10.1002/aorn.14334","url":null,"abstract":"<p><p>Although the use of robotic-assisted surgery (RAS) is increasing worldwide, qualitative research on the patient experience with RAS is lacking. To understand patients' perioperative experiences, the authors conducted semi-structured interviews with five elective surgical patients from two regional hospitals. The interviews were structured to explore patient experiences that may reflect the implementation of enhanced recovery after surgery protocols. The transcribed interviews were analyzed, coded, and interpreted within a hermeneutic framework. Findings revealed three themes: perceptions of RAS as a surgical modality, preoperative preparation was soothing, and health care professionals influence the patient experience. The authors noted that although the participants reported limited knowledge of RAS, they generally felt positive about its use. The competence and demeanor of health care professionals may influence patients' experiences and perceptions of outcomes, and positive clinical outcomes may overcome negative perioperative experiences.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"326-334"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043151","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}
引用次数: 0
Maintaining Perioperative Normothermia in Patients Undergoing Ambulatory Surgery. 门诊手术患者围手术期正常体温的维持。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-05-01 DOI: 10.1002/aorn.14333
Oluwatoyin Akinyemi, Laurie Waldron, Crystal Corfman, Lauren Schumpert, Megan L Morrison, Carol Swamidoss-Douglas
{"title":"Maintaining Perioperative Normothermia in Patients Undergoing Ambulatory Surgery.","authors":"Oluwatoyin Akinyemi, Laurie Waldron, Crystal Corfman, Lauren Schumpert, Megan L Morrison, Carol Swamidoss-Douglas","doi":"10.1002/aorn.14333","DOIUrl":"https://doi.org/10.1002/aorn.14333","url":null,"abstract":"<p><p>Inadvertent perioperative hypothermia occurs before, during, or after surgery when the patient's core body temperature is unexpectedly less than 36 °C (96.8 °F). Perioperative nurses at an ambulatory surgery center performed a quality improvement project involving prewarming with a forced-air warming device. The nurses reviewed 40 patient records for temperatures without prewarming and collected temperature data for 40 prewarmed patients. The nurses compared patient temperatures preoperatively, 30 minutes and one hour after anesthesia induction, and upon arrival in the postanesthesia care unit. The results for both groups at 30 minutes after induction were similar; however, at one hour after anesthesia induction, 38% of patients in the preimplementation group and 53% of patients in the postimplementation group were normothermic. Patients in both groups were normothermic upon arrival in the postanesthesia care unit. Education of staff members, patients, and patients' family members was key to the successful implementation of prewarming at the facility.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"335-343"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043153","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}
引用次数: 0
Lighting the Pathway. 照亮道路。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-05-01 DOI: 10.1002/aorn.14346
Darlene B Murdock
{"title":"Lighting the Pathway.","authors":"Darlene B Murdock","doi":"10.1002/aorn.14346","DOIUrl":"https://doi.org/10.1002/aorn.14346","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"321-322"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060690","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}
引用次数: 0
Preventing a Surgical Site Fire. 预防手术现场火灾。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-05-01 DOI: 10.1002/aorn.14342
{"title":"Preventing a Surgical Site Fire.","authors":"","doi":"10.1002/aorn.14342","DOIUrl":"https://doi.org/10.1002/aorn.14342","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 5","pages":"378-380"},"PeriodicalIF":0.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058618","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}
引用次数: 0
Evaluation of the Content, Reliability, and Quality of YouTube Videos on Surgical Hand Scrubbing. YouTube手术洗手视频的内容、可靠性和质量评估。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-04-01 DOI: 10.1002/aorn.14319
Mahmut Dağcı, Hatice Merve Alptekin, Deren İhtiyar, Gamze Öztürk, Hazal Öztürk
{"title":"Evaluation of the Content, Reliability, and Quality of YouTube Videos on Surgical Hand Scrubbing.","authors":"Mahmut Dağcı, Hatice Merve Alptekin, Deren İhtiyar, Gamze Öztürk, Hazal Öztürk","doi":"10.1002/aorn.14319","DOIUrl":"10.1002/aorn.14319","url":null,"abstract":"<p><p>The purpose of this study was to evaluate the content, reliability, and quality of YouTube videos on surgical hand scrubbing. Two hundred videos in English were identified and screened according to the inclusion criteria. The evaluation of the sample of 72 videos was guided by content, reliability, and quality tools. Videos with at least one source in the description had significantly greater reliability scores than those without (t = 3.871, P < .001). There were no significant differences between the content scores and the general traits of the videos (eg, advertisements, subtitles). Analysis of the relationship between the content and quality scores with the video traits showed a weak positive correlation between quality scores and video length (r = 0.233, P = .049). Viewers should consider content, reliability, and quality rather than popularity when seeking educational video content on hand scrubbing.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 4","pages":"e1-e10"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722461","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}
引用次数: 0
Guidelines in Practice: Sterilization. 实践指南：消毒。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-04-01 DOI: 10.1002/aorn.14316
Jennifer Speth
{"title":"Guidelines in Practice: Sterilization.","authors":"Jennifer Speth","doi":"10.1002/aorn.14316","DOIUrl":"10.1002/aorn.14316","url":null,"abstract":"<p><p>Proper sterilization of instruments and medical devices is important in ensuring patient safety and preventing surgical site infections. Adhering to the manufacturer's written instructions for use of an item, its packaging, and the sterilizer is essential to ensure instruments and medical devices are properly sterilized. Quality assurance measures should be used to evaluate and monitor sterilization processes and increase patient safety. The recently updated AORN \"Guideline for sterilization\" provides perioperative nurses with guidance for processing, transporting, and storing reusable medical devices for use in perioperative and procedural settings. This article provides an overview of the guideline and discusses recommendations for selection of a processing method, transport and storage of sterile items, steam sterilization, and quality. It also includes a scenario describing specific concerns related to quality assurance and steam sterilizer maintenance. Perioperative nurses should review the guideline in its entirety and apply the recommendations when processing reusable medical devices.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 4","pages":"280-289"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722468","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}
引用次数: 0
The Influence of Workplace Sense of Belonging and Structural Empowerment on Perioperative Nurses' Turnover Intent. 工作场所归属感和结构授权对围手术期护士离职意向的影响。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-04-01 DOI: 10.1002/aorn.14317
Patricia Dwyer, Shannon Engstrand, Andrea Dyer
{"title":"The Influence of Workplace Sense of Belonging and Structural Empowerment on Perioperative Nurses' Turnover Intent.","authors":"Patricia Dwyer, Shannon Engstrand, Andrea Dyer","doi":"10.1002/aorn.14317","DOIUrl":"10.1002/aorn.14317","url":null,"abstract":"<p><p>Perioperative nurse turnover adds to workforce instability and affects patient safety and the well-being of nurses. Nurse turnover is influenced by an interplay of individual nurse characteristics, workplace interpersonal relationships, and organizational culture. The purpose of our study was to describe nurse turnover intention and explore the predictive influence of workplace sense of belonging and structural empowerment in a nationwide sample of perioperative nurses. Participants (N = 468) completed an online demographic questionnaire and three validated self-survey instruments. Approximately 40% of participants reported some degree of turnover intent. AORN membership (unstandardized beta [B] = -3.85, P < .05), structural empowerment (B = -0.80, P < .05), and workplace sense of belonging (B = -0.51, P < .001) were independent predictors of lower turnover intent scores. The findings provide valuable insights for designing interventions to promote supportive workplace relationships and create work environments where nurses feel empowered.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 4","pages":"267-279"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722513","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}
引用次数: 0
A Perioperative Clinical Advancement Program to Improve Nurse Recruitment and Retention. 围手术期临床进展计划，以改善护士招聘和保留。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-04-01 DOI: 10.1002/aorn.14318
Susan Finlayson, Stacey Brull, M Tracey Peñaloza, Nicolle Ciofalo
{"title":"A Perioperative Clinical Advancement Program to Improve Nurse Recruitment and Retention.","authors":"Susan Finlayson, Stacey Brull, M Tracey Peñaloza, Nicolle Ciofalo","doi":"10.1002/aorn.14318","DOIUrl":"10.1002/aorn.14318","url":null,"abstract":"<p><p>The United States is facing a critical nursing shortage, with an expected need for an additional 1 million nurses by 2030. The COVID-19 pandemic exacerbated this issue, causing significant stress and burnout among nurses, leading to high turnover rates. Perioperative nursing is challenged with recruitment and retention because of the steep learning curve and limited undergraduate training opportunities. A community teaching hospital implemented a Perioperative Clinical Advancement Program to address these challenges. The program includes components such as The Art of OR Nursing, The Science of OR Nursing, The Essence of OR Teamwork, and A Unique OR Initiative. This new ladder led to improved job satisfaction, reduced turnover rates, and enhanced professional development opportunities for nurses. The pilot program's success highlights the importance of tailored retention strategies and systematic interventions to support and retain perioperative nurses, ultimately contributing to better patient care and organizational stability.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 4","pages":"245-256"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722375","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}
引用次数: 0
Implementing a Standardized Surgical Count Process for Spine Implant Breakaway Components. 实施脊柱植入物分离部件的标准化手术计数过程。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-04-01 DOI: 10.1002/aorn.14320
Kristi Van Anderson, Justin P Gamble, Jami Clementz, Ella Echavez
{"title":"Implementing a Standardized Surgical Count Process for Spine Implant Breakaway Components.","authors":"Kristi Van Anderson, Justin P Gamble, Jami Clementz, Ella Echavez","doi":"10.1002/aorn.14320","DOIUrl":"10.1002/aorn.14320","url":null,"abstract":"<p><p>A quality improvement project was conducted at a large academic medical center in Colorado to address the issue of unintentionally retained foreign objects during spinal procedures. The initiative, implemented in January 2023, involved developing a standardized process for counting breakaway components of spinal implants, such as pedicle screw stems and nut tops, which are intended to be removed during surgery. The previous counting process was inadequate, relying heavily on implant vendors and lacking formal documentation and engagement with the RN circulator. A multidisciplinary team conducted a root cause analysis and found that human factors, communication breakdowns, and a lack of formal procedures were contributing to errors. The new process included standardized counting times, visual tools, and documentation in the electronic health record. Since implementation, compliance with the new process has improved and no retained breakaway components have been reported, enhancing patient safety and surgical outcomes.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 4","pages":"257-266"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722479","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}
引用次数: 0
Machine Perfusion Improves Organ Preservation for Transplant. 机器灌注改善器官移植保存。
IF 0.8 4区 医学
Aorn Journal Pub Date : 2025-03-01 DOI: 10.1002/aorn.14308
{"title":"Machine Perfusion Improves Organ Preservation for Transplant.","authors":"","doi":"10.1002/aorn.14308","DOIUrl":"https://doi.org/10.1002/aorn.14308","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"121 3","pages":"P13-P15"},"PeriodicalIF":0.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517461","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}
引用次数: 0
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