Aorn Journal最新文献

{"title":"Making My Mark as AORN President","authors":"Elizabeth S. Pincus","doi":"10.1002/aorn.14100","DOIUrl":"https://doi.org/10.1002/aorn.14100","url":null,"abstract":"<p>This year has flown by, and it is bittersweet that I must write my final President's Message column. Being the 61st AORN President is the professional honor of a lifetime, and I am excited to reflect on my year as I prepare to pass the torch. Attending meetings and conferences, representing our 45,000 members, and advocating for the perioperative nursing specialty entails great responsibility and accountability, but I wouldn't change the experience for anything.</p>\u0000<p>Many years ago, before I was on the AORN Board, the AORN President at the time told me something I have never forgotten. She had given me my first committee assignment, so during the AORN Global Surgical Conference &amp; Expo that marked the end of her Presidential term, I introduced myself to her. We chatted briefly, and then she said, “We expect great things from you.” I was honored, humbled, and terrified, wondering if I could ever live up to that. I hope when my term ends that she and each one of our members believes that I have done great things.</p>\u0000<p>Serving on the Board for the past eight years has been a privilege. I was shocked when I was first elected to the Board in 2016. I was relatively new to AORN, but the membership put its faith in me. Each time that I was placed on the ballot, I held firm to who I was and why being a perioperative nurse was so important. I promised to listen intently to the information presented to the Board and vote in the best interest of our membership.</p>\u0000<p>As I stepped into the role of AORN President one year ago, I took great pride and responsibility in leading our team of 12 Board members. No one is truly ready to assume the Presidential role, and the imposter syndrome is real! But I discovered what the AORN voters knew: I could lead with integrity and a meaningful, strategic vision. Your Board has made challenging decisions, knowing that we have positioned our association for continued growth and success.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"30 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967685","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":"Sustainability in the Perioperative Practice Setting","authors":"Erin Kyle","doi":"10.1002/aorn.14101","DOIUrl":"https://doi.org/10.1002/aorn.14101","url":null,"abstract":"<div>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/c46089c8-e234-450e-934c-ebd5580c27b2/aorn14101-gra-0007-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/c46089c8-e234-450e-934c-ebd5580c27b2/aorn14101-gra-0007-m.jpg\" loading=\"lazy\" src=\"/cms/asset/f11d7ff4-8211-49b2-8850-a55f99923c33/aorn14101-gra-0007-m.png\" title=\"image\"/></picture><p></p>\u0000</div>\u0000</figure>\u0000</div>\u0000<p>Climate change<span>^{1, 2}</span> and climate justice<span>²</span>—which addresses the social, racial, environmental, multispecies, and economic aspects of the climate crisis<span>³</span>—and their relationship with health are urgent issues that require nurses’ attention.<span>^{1, 2, 4}</span> The American Nurses Association,<span>²</span> the International Council of Nurses,<span>⁵</span> the World Health Organization,<span>⁶</span> the American Society of Anesthesiologists,<span>⁷</span> and AORN<span>¹</span> believe that the health of the environment is interconnected with the health of patients, and that nurses<span>^{1, 2, 4, 5, 7}</span> and health care leaders<span>⁶</span> should be informed about the ways that they can make a positive contribution to sustainable health care.</p>\u0000<p>In 1987, the United Nations’ World Commission on Environment and Development declared that “[h]umanity has the ability to make development sustainable – to ensure that it meets the needs of the present without compromising the ability of future generations to meet their own needs.”<span>⁸</span>^(p24) Measures to conserve natural resources, decrease waste, and reduce hazardous material exposure and emissions are important aspects of environmentally responsible practices that may result in a sustainable health care system.<span>¹</span> Perioperative practices can have a profound effect on the environment;<span>^{1, 9}</span> for example, perioperative areas consume approximately five times more energy per square foot than any other area of a health care facility and produce more than 30% of the waste of an entire facility.<span>¹⁰</span> Personnel should strive for environmental responsibility and support sustainability<span>^{1, 9}</span> through a variety of initiatives, such as clinical plastics recycling and medical waste reduction.<span>^{10, 11}</span></p>\u0000<p>An interdisciplinary approach to creating a comprehensive program that includes a variety of environmentally responsible actions in the perioperative setting likely can have the greatest effect.<span>^{1, 10}</span> This article summarizes the actions that perioperative RNs can implement to contribute to a sustainable world through environmental responsibility in the OR.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"83 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967690","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":"News Briefs","authors":"","doi":"10.1002/aorn.14103","DOIUrl":"https://doi.org/10.1002/aorn.14103","url":null,"abstract":"<h2> Fourth Survey and Report on Nurse Wellness Released</h2>\u0000<p>As part of its Pulse on the Nation's Nurses Survey Series, the American Nurses Foundation and American Nurses Association has released its fourth mental health and wellness survey and report, the goal of which is to obtain data to inform decisions about how to support nurses. The survey, which included more than 7,000 nurses, identified that 56% of nurses experienced symptoms of burnout that they attributed to staffing issues, increasing numbers of patients, poor leadership, and the time needed to complete administrative duties. Although burnout was high, only one-third of respondents reported that they were currently receiving mental health support; reported barriers included a lack of time, feeling that they should be able to handle their own mental health, and cost. Overall, 65% of nurses reported feeling “a great deal of stress” related to their jobs. Reports of stress and anxiety slightly improved from previous years’ surveys; however, reports of positive emotions (eg, feeling grateful or empowered) decreased. The report outlines actions to take to address mental health and wellness, such as addressing structural aspects of the job that affect workload (eg, using technology, delegating tasks), providing flexible work options (eg, start time, shift length), improving access to evidence-based mental health resources (eg, behavioral health concierge, peer-to-peer support), and strengthening skills and abilities (eg, training on conflict resolution).</p>\u0000<p><b>Read more:</b> https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/survey-4/</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"41 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967831","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":"Creating Specialty Leads in an Ambulatory Surgery Center to Improve Efficiency","authors":"","doi":"10.1002/aorn.14105","DOIUrl":"https://doi.org/10.1002/aorn.14105","url":null,"abstract":"<div>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/5cea128f-2516-4781-b84c-7085f4f7f656/aorn14105-gra-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/5cea128f-2516-4781-b84c-7085f4f7f656/aorn14105-gra-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/43336bf6-5678-4bbf-a50b-c2aab82be832/aorn14105-gra-0001-m.png\" title=\"image\"/></picture><p></p>\u0000</div>\u0000</figure>\u0000</div>\u0000<p><i>Periop Briefing</i> interviewed Tabitha Hoffman, MSN, RN, RNC-OB, NPD-BC, clinical education specialist, WellSpan Apple Hill Surgical Center, York, Pennsylvania, about a project to create a specialty lead role to improve communication, teamwork, efficiency, and preparedness.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"242 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967683","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":"Preventing Wrong-Side Surgery","authors":"","doi":"10.1002/aorn.14099","DOIUrl":"https://doi.org/10.1002/aorn.14099","url":null,"abstract":"<div>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/3d7c3fbd-0ce0-40d1-8b13-113ced2e58cc/aorn14099-gra-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/3d7c3fbd-0ce0-40d1-8b13-113ced2e58cc/aorn14099-gra-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/f2cc8dae-59b4-43e7-a43f-d38eb9a3a3b0/aorn14099-gra-0001-m.png\" title=\"image\"/></picture><p></p>\u0000</div>\u0000</figure>\u0000</div>\u0000<p>\u0000<i><b>Editor's note:</b> All names have been changed to protect the privacy and anonymity of the individuals, teams, and facilities involved.</i>\u0000</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"2 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967818","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":"Sharing Perioperative Nursing Expertise Through Publication: A Guide for the Novice Author","authors":"Rebecca Vortman, Pamayla E. Darbyshire, Ray-an Talatala","doi":"10.1002/aorn.14094","DOIUrl":"https://doi.org/10.1002/aorn.14094","url":null,"abstract":"Perioperative nurses can share their expertise by writing for publication in a peer-reviewed journal. Writing can help perioperative nurses grow their professional careers and advance the science of the perioperative nursing specialty. Despite the value and importance of publishing, perioperative nurses may lack confidence and fear rejection and negative feedback; increasing their knowledge and understanding of the authoring and publishing processes can assuage these fears. This education article describes concepts associated with scholarly publishing for authors and offers strategies to encourage perioperative nurses to share their practice experiences or research via peer-reviewed journals. Key steps associated with the writing and publication process are described. The article also explains the editorial and peer-review processes and provides supportive strategies for authors when a manuscript is not accepted initially.","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"126 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967928","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":"Best Practices for Surgical Smoke Evacuation and Filtration","authors":"","doi":"10.1002/aorn.14106","DOIUrl":"https://doi.org/10.1002/aorn.14106","url":null,"abstract":"<div>Surgical smoke is produced when surgical energy devices, such as electrosurgical units, lasers, and high-speed powered instruments, are used on tissue. It has been reported to contain toxic compounds (eg, hydrogen cyanide, benzene), bioaerosols, viruses (eg, human immunodeficiency virus), viable cancer cells, particles, blood fragments, and bacteria. Perioperative personnel, including surgeons, nurses, anesthesia professionals, and surgical technologists, are exposed to surgical smoke and its associated hazards (eg, respiratory, carcinogenic). To help protect personnel from these hazards and decrease their potential health risks, AORN recommends that health care organizations provide an environment free of surgical smoke, which includes using smoke evacuation and filtration in addition to room ventilation.<span>¹</span>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/17c2eb1f-67cd-4db4-9b79-fe967b0a96b6/aorn14106-fig-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/17c2eb1f-67cd-4db4-9b79-fe967b0a96b6/aorn14106-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/2aa7402a-ce4a-4cba-9804-c8f59e31b924/aorn14106-fig-0001-m.png\" title=\"image\"/></picture><p><b>Figure 1.</b> Best practices for surgical smoke evacuation and filtration.<span>¹</span></p>\u0000</div>\u0000</figure>\u0000</div>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"49 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967843","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":"Factors Affecting Perioperative Nurse Adherence to Ergonomic Safety Measures","authors":"Susan Letvak, Brandi Apple, Marjorie Jenkins","doi":"10.1002/aorn.14097","DOIUrl":"https://doi.org/10.1002/aorn.14097","url":null,"abstract":"AORN has identified safety risks unique to the perioperative setting and has developed ergonomic safety measures to help prevent musculoskeletal injuries and disorders. Little is known about adherence to these safety measures or the perceived barriers and facilitators to adherence. This study used a cross-sectional survey to determine the prevalence of pain and occurrence of musculoskeletal injuries and disorders. We asked perioperative staff members about their perceived barriers and facilitators to adherence with safety measures. A total of 155 perioperative nurses in one health system completed the online survey (55% response rate). Most (93%) had experienced at least one musculoskeletal injury or disorder or related pain. Years worked as a perioperative nurse and having neck pain were associated with safety measure adherence. The most reported barrier to safety measure adherence was inadequate staffing. Study findings highlight the need for increased attention to the physical workload demands in the perioperative setting.","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"242 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967825","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":"Forum and House of Delegates Agenda.","authors":"","doi":"10.1002/aorn.14093","DOIUrl":"10.1002/aorn.14093","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"119 2","pages":"119"},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565389","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":"Creating a Just Culture in the Perioperative Setting.","authors":"Katie Hooven, Gerry Altmiller","doi":"10.1002/aorn.14074","DOIUrl":"10.1002/aorn.14074","url":null,"abstract":"<p><p>There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"119 2","pages":"152-160"},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565386","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}