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Evacuating an OR is a complex process: who does what? 手术室疏散是一个复杂的过程:谁做什么?
ORNAC journal Pub Date : 2013-03-01
Joan Porteous
{"title":"Evacuating an OR is a complex process: who does what?","authors":"Joan Porteous","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It became necessary, following the relocation of the entire Winnipeg Health Sciences Centre Adult OR department in 2007 and in consideration of fire code regulations, to re-evaluate and modify the existing evacuation plan and to simulate, and test, these modifications in the new environment. Planning a fire evacuation simulation for a large tertiary OR is a very complex process and involves a great deal of planning and attention to detail. It requires a multidisciplinary approach as it involves many departments. Learning about one site's experiences may benefit others. The goal of this article is to provide some planning examples and guidelines for use by sites that are beginning to undertake this important process.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"31 1","pages":"15, 17-9, 30-2 passim"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31359075","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}
引用次数: 0
Reducing paediatric anxiety preoperatively: strategies for nurses. 减少儿科术前焦虑:护士策略。
ORNAC journal Pub Date : 2012-12-01
Angela R St-Onge
{"title":"Reducing paediatric anxiety preoperatively: strategies for nurses.","authors":"Angela R St-Onge","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>he surgical process can cause anxiety in children and this anxiety can be associated with both short and long term negative outcomes. Reduced pre-operative anxiety can improve both the child's and family's surgical experience. This article identifies strategies for nurses to address this issue, including: a child-focused approach, distraction techniques, and informed parental presence.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 4","pages":"14-9"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31241312","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}
引用次数: 0
History of the National O.R. Nurses. 国家手术室护士的历史。
ORNAC journal Pub Date : 2012-12-01
Dorothy Orr
{"title":"History of the National O.R. Nurses.","authors":"Dorothy Orr","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 4","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31241313","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}
引用次数: 0
Long life to the O.R. Journal. 《手术室日记》万岁。
ORNAC journal Pub Date : 2012-12-01
Ginette Rodger
{"title":"Long life to the O.R. Journal.","authors":"Ginette Rodger","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 4","pages":"31-2"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31241315","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}
引用次数: 0
Gold fish in a bowl. 金鱼在碗里。
ORNAC journal Pub Date : 2012-12-01
Muriel G Shewchuk
{"title":"Gold fish in a bowl.","authors":"Muriel G Shewchuk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 4","pages":"33-4"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31241316","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}
引用次数: 0
Perioperative nurses' perceptions of competence: implications for migration. 围手术期护士对能力的认知:对迁移的影响。
ORNAC journal Pub Date : 2012-09-01
Brigid M Gillespie, Wendy Chaboyer, Shirley Lingard, Sharon Ball
{"title":"Perioperative nurses' perceptions of competence: implications for migration.","authors":"Brigid M Gillespie,&nbsp;Wendy Chaboyer,&nbsp;Shirley Lingard,&nbsp;Sharon Ball","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Nurses' recognition of their own level of skills and abilities (ie perceived competence) is a prerequisite for ensuring they can practice in a safe manner. The demand for competence, in the operating room, may vary between clinical environments. It is, however, unclear what competency levels migrating nurses need in order to be deemed safe.</p><p><strong>Aim: </strong>This paper describes Canadian and Australian nurses' levels of perceived perioperative competence and discusses these results in the context of nurse migration.</p><p><strong>Method: </strong>A survey was distributed to operating room nurses in six hospital sites (three in Canada and three in Australia). Perioperative competence was measured with a 40-item self-report survey which consisted of six domain subscales: foundational knowledge and skills; leadership; collaboration; proficiency; empathy; and professional development. Non-parametric tests were used to describe differences between groups based on country of origin, years of experience and specialty qualifications.</p><p><strong>Results: </strong>Canadian and Australian nurses reported their overall competency levels as high across all domains. Significant differences were found, between countries, in three of the six competency domains; foundational knowledge and skills (p < .001), collegiality (p = .023), and empathy (p < .0001).</p><p><strong>Conclusions: </strong>Describing perioperative competence cross-nationally represents the first step in generating international dialogue around educational preparation for migrating nurses. The increasing global mobility of nurses makes it imperative to further standardise, with an international perspective, knowledge and practice expectations in perioperative settings.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 3","pages":"17-8, 20-2, 24 passim"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30978731","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}
引用次数: 0
Spotlight on ORNAC members. An interview with Chris Mulford, RN, BSc (Hons) Nursing, CPN(C). Interview by Catherine Harley. 关注ORNAC成员。克里斯·马尔福德，注册护士，护理(荣誉)理学士，CPN(C)的采访。Catherine Harley采访。
ORNAC journal Pub Date : 2012-09-01
Chris Mulford
{"title":"Spotlight on ORNAC members. An interview with Chris Mulford, RN, BSc (Hons) Nursing, CPN(C). Interview by Catherine Harley.","authors":"Chris Mulford","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 3","pages":"32-3"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30978732","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}
引用次数: 0
The impact of certification on certified perioperative nurses: a qualitative descriptive survey. 认证对围手术期护士的影响:一项定性描述性调查。
ORNAC journal Pub Date : 2012-09-01
Kathryn Schroeter, Michelle M Byrne, Katharine A Klink, Matthew Beier, Natalie S McAndrew
{"title":"The impact of certification on certified perioperative nurses: a qualitative descriptive survey.","authors":"Kathryn Schroeter,&nbsp;Michelle M Byrne,&nbsp;Katharine A Klink,&nbsp;Matthew Beier,&nbsp;Natalie S McAndrew","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the practice of healthcare becomes more technologically advanced, specialized and complex, there is an increasing demand for accountability. Certification demonstrates that an individual practitioner has maintained an acceptable, or perhaps more advanced level of qualifications, knowledge, and skills in a specialty practice area. Although certification for nurses has been available for decades a detailed evaluation of its meaning and implications for practice seems to be unavailable. The purpose of this qualitative study, conducted in Chicago, Illinois and also online, was to describe the perceptions of perioperative nurses as related to the impact that certification has had on both their professional practice and on a personal level. A qualitative survey design was used for this study. A purposive sample (N = 149) was obtained from board certified perioperative specialty nurses. Thematic analysis was used to explain the nurses' perceptions. Thematic analysis involves searching through data, in this case the narrative responses to the survey, to identify any recurrent patterns. A theme is a cluster of linked categories conveying similar meanings and usually emerges through the inductive analytic process. Themes that emerged from the data were categorized into two groups--impact on professional practice and personal impact. The primary theme that emerged related to respondents' personal perspectives was pride in accomplishment or achievement and increased confidence. The theme that described professional impact was credibility. Some themes, such as knowledge, confidence, and opportunity, overlapped both groups. The nurses' perceptions, as shared in this study, revealed positive aspects related to their achievement of certification in perioperative practice. The findings of this research expand knowledge about how certification impacts on the nurses' personal and professional experiences.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 3","pages":"34-8, 40-1, 44-6"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30978733","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}
引用次数: 0
Historical trends influencing the future of perioperative nursing. 影响围手术期护理未来的历史趋势。
ORNAC journal Pub Date : 2012-06-01
Patricia Wade
{"title":"Historical trends influencing the future of perioperative nursing.","authors":"Patricia Wade","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper explores the historical trends that have shaped the perioperative nursing specialty. The educational, societal, and political influences are examined through different historical periods. After, initially, being the first recognized nursing specialty operating room nursing was later removed from the nursing education curriculum. A debate as to whether perioperative nursing was simply a technical skill or actually \"real\" nursing was beginning and it continues to this day. Today, students' lack of exposure to the operating room, unsuccessful preceptorship programs, and poor working conditions are creating major recruitment and retention challenges. Because these historical trends have led to the decline of perioperative nursing, it is crucial for modern nurses to understand the factors that are influencing our practice and to make collective efforts to positively influence the future of our specialty.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 2","pages":"22-5, 32, 34-5 passim"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30782418","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}
引用次数: 0
The perioperative nurse's role in patient-focused funding. 围手术期护士在以患者为中心的资助中的作用。
ORNAC journal Pub Date : 2012-06-01
Leanne Thain
{"title":"The perioperative nurse's role in patient-focused funding.","authors":"Leanne Thain","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>All provinces across Canada are currently struggling with long surgery wait times. British Columbia (BC) has recently implemented an improvement strategy called patient focused funding (PFF) whereby health authorities are offered additional money for completing extra surgeries. System wide change, when made without engagement by all involved parties, rarely achieves expected outcomes suggesting PFF would benefit from the participation of the entire operating room (OR) team. Perioperative nurses, in the role of patient advocate, are well suited to observe and report patient focused outcomes thereby limiting the unintended and negative consequences associated with proposed changes. This article seeks to inform Canadian perioperative nurses about PFF and explain why it is important for nurses to participate. At the time of writing, Ontario and Alberta had also announced plans to implement some form of PFE It is anticipated that, if proven successful, BC's experience will likely be duplicated in other provinces.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"30 2","pages":"14-6, 18-20"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30782417","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}
引用次数: 0
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