ORNAC journal最新文献

{"title":"Developing a culture of collaboration in the operating room: more than effective communication.","authors":"Patricia Wade","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this literature review was to examine the current state of knowledge on successful collaborative practice in the operating room. Using the determinants of successful collaborative practice, developed by San-Martin-Rodriguez, Beaulieu, D'Amour, & Ferrada-Videla, the current literature on collaboration in the operating room was reviewed in order to identify the gaps in knowledge and identify future research avenues. The review highlighted that communication patterns among operating room team members was the most extensively researched aspect of teamwork. Other aspects, such as the willingness to engage in collaborative practice, trust, respect, societal factors, and cultural factors, were absent from the literature. Future research will need to focus on these gaps in knowledge in order to maximize our limited research resources and improve patient safety.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 4","pages":"16-20, 22-3, 32-8"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33044334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spotlight on ORNAC members. An interview with Barb Sawatsky, RN.","authors":"Barb Sawastsky,&nbsp;Catherine Harley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 4","pages":"27-9"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33044335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"President's message. Meaning of excellence in perioperative practice.","authors":"Rupinder Khotar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 3","pages":"6, 8"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32753739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spotlight on ORNAC members: an interview with Erin Robertson RN, BScN(HONS), CPN(C).","authors":"Erin Robertson,&nbsp;Catherine Harley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 3","pages":"30-2"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32753741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Non-technical skills of the scrub practitioner: the SPLINTS system.","authors":"Rhona Flin,&nbsp;Lucy Mitchell,&nbsp;Bonnie McLeod","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article describes the nontechnical skill set, and behavioural rating tool, for scrub practitioners/nurses (e.g. perioperative registered nurses; operating room technicians) known as the Scrub Practitioners' List of Intraoperative NonTechnical Skills or the SPLINTS system. The SPLINTS system was developed at the Industrial Psychology Research Centre of the University of Aberdeen, Scotland, by a research team comprising psychologists, scrub nurses, and a surgeon. Details of the system were presented, by Rhona Flin, at the ORNAC National and International Conference with IFPN, in Ottawa, in April of 2013. This article outlines the background of the research project and the method used to develop the SPLINTS system and suggests why it might be a valuable training and assessment tool for scrub practitioners in Canada.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 3","pages":"33-8"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32753742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative skin antiseptics for preventing surgical site infections: what to do?","authors":"Paule Poulin,&nbsp;Kelly Chapman,&nbsp;Lynda McGahan,&nbsp;Lea Austen,&nbsp;Trevor Schuler","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Safe and effective patient preoperative skin antisepsis is recommended to prevent surgical site infections (SSIs), reduce patient morbidity, and reduce systemic costs. However, there is lack of consensus among best practice recommendations regarding the optimal skin antiseptic solution and method of application.</p><p><strong>Methods: </strong>In 2010 and 2011 the health technology appraisal committee of the Surgery Operational Clinical Network (SOCN), of Alberta Health Services (AHS), conducted an environmental scan to determine the current preoperative skin antisepsis in Alberta, reviewed key publications and existing guidelines, and requested a systematic review from the Canadian Agency for Drugs and Technologies in Health (CADTH). Using this information, and an established protocol for evidence-informed recommendations, the health technology appraisal committee made recommendations that were, in 2012, reviewed and endorsed by the SOCN executive and the AHS-Infection Prevention and Control (IPC) group.</p><p><strong>Results: </strong>The environmental scan revealed practice variation in the types of antiseptic solutions and application methods being used in the 18 Alberta hospitals surveyed. The systematic review suggested that preoperative antiseptic showering reduces skin flora but the effect on SSI rates was inconclusive. While the review found no conclusive evidence to recommend an optimal antiseptic solution or application method, the results of two large randomized controlled trials suggest that chlorhexidine in 70% alcohol is more effective than povidone iodine in the prevention of SSIs. These results and the recommendations from Safer Healthcare Now!, a program of the Canadian Patient Safety Institute (CPSI), were used to inform the recommendations for AHS. These recommendations included abandoning preoperative showering with antiseptics except for special cases (high-risk surgeries such as sternotomies and implants as recommended by IPC) and standardizing skin antiseptic application methods and solution to chlorhexidine (CHG) in 70% alcohol. The exception would be procedures involving the ear, eye, mouth, mucous membranes, neural tissue, infants and emergent trauma cases where povidine iodine should be used.</p><p><strong>Conclusion: </strong>Using the best available evidence it was recommended that AHS standardize surgical skin antisepsis to 2% CHG in 70% alcohol as the preferred antiseptic and povidone iodine, as an alternative when CHG is contraindicated, to reduce SSIs, practice variation, and health care costs. Further research is required to determine the optimal skin antiseptic solution to reduce SSIs.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 3","pages":"12-5, 24-9"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32753740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spotlight on ORNAC members. An interview with Pat Pocock RN, DIPNE, BNS.","authors":"Pat Pocock,&nbsp;Catherine Harley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 2","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32550473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative MRI: the challenges of providing a safe environment for patients and personnel.","authors":"Joan Porteous","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Real-time intraoperative magnetic resonance imaging (iMRI) provides a tremendous benefit to patients undergoing brain tumour surgery. This paper will discuss the Winnipeg Health Sciences Centre's experience implementing a new iMRI program in a new neurosurgery operating room suite. It will review MRI technology and discuss related safety considerations for patients and personnel.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 2","pages":"12-4, 16-9, 22 passim"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32550472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative registered nurse excellence. Raising the bar at the point of care--star performance.","authors":"Muriel Shewchuk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As described, the responsibilities of the Perioperative RN are extensive, complex, time-sensitive, can impact a large number of patients and multi-professionals. In a time of tremendous pressures in health care, with patient safety as a focus, there is an expectation of practice excellence throughout. Registered Nurses need to determine if they can, or are willing to, achieve excellence of practice in the OR. Our reason for being is \"THE PATIENT\". Strategize how you will achieve the bar of excellence and in the words of Wayne Gretzky--\"skate to where the puck will be.\" Shower your environment with positive sprinklings of star performance--the return professional profits are immeasurable.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 2","pages":"31-3, 35, 37-8"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32550474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making a difference: using the safe surgery checklist to initiate continuing education for perioperative nurses in low-income settings.","authors":"Genelle Leifso","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The WHO Safe Surgery Checklist (2008) patient safety focus and communication prompts are widely accepted. In many low-income regions (as defined by the World Bank and accepted by the World Health Organization) perioperative nurses have little or no formal training; continuing and in-service education are virtually unknown; nor does an articulated \"culture of safety\" exist. In 2009 the Canadian Network for International Surgery (CNIS) piloted a two-day perioperative nursing course, in Addis Ababa, Ethiopia, using lectures, case studies, skills sessions, and role-play exercises based on the SSSL Checklist outline and protocols. Canadian instructors (who are certified after taking the Canadian Network for International Surgery-sponsored Instructor's Course) have since returned and taught at additional sites in Ethiopia and Uganda. Course participants now include perioperative nurses, anaesthetists, and junior surgical residents--mirroring the interdisciplinary teamwork that is crucial to safe perioperative patient care. The course's facilitated discussions focus on workplace and practice issues in order to allow for appropriate evaluation and planning of future educational initiatives. Participants complete pre- and post-course questionnaires, which evaluate baseline and post-course knowledge, and further follow-up is completed four months after course completion. This article explains the need for aiding in the expansion of perioperative nursing knowledge and skill in low-income settings and provides the author's personal perspective and experience in responding to this need. Her experience as facilitator in a pilot project and subsequent course development described. The objective is to discuss ways that other perioperative nurses can work to make a positive difference on professional practice and patient care in low-income regions.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"32 1","pages":"12-20, 22, 25 passim"},"PeriodicalIF":0.0,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32234874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}