The role of Clinical Nurse Specialist and the safety management in operating theatre during the COVID-19 pandemic: An integrative scoping review

Q2 Nursing Perioperative Care and Operating Room Management Pub Date : 2024-10-05 DOI:10.1016/j.pcorm.2024.100437

Marco Sguanci , Stefano Mancin , Sara Morales Palomares , Giovanni Cangelosi , Mauro Parozzi , Michela Piredda , Maria Grazia De Marinis

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Abstract

Background

The global health crisis caused by the COVID-19 pandemic has prompted discussions regarding the best approach to safely manage COVID-19 positive patients in the operating room.

Objective

This study aimed to highlight the importance of "standardised clinical practice" and the role of the "Clinical Nurse Specialist" in treating COVID-19 positive patients in the operating room. Methods: A scoping review based on Arksey and O'Malley's methodology was conducted. Searches were conducted in Cochrane Library, PubMed, Embase, CINAHL, Scopus, and Web of Science for studies on perioperative management and the Clinical Nurse Specialist's role in COVID-19 surgeries. Manual searches included reference lists and Google Scholar. Two reviewers independently screened, selected, and included articles, assessing the risk of bias and methodological quality.

Results

From 278 identified records, 24 studies were included. Two key aspects emerged: clinical safety procedures and the Clinical Nurse Specialist's role in the perioperative setting. Standardised practice in the operating room is crucial, and the Clinical Nurse Specialist has significant potential in managing COVID-19 patients.

Conclusions

Healthcare organizations should prioritize standardized practices for surgical assistance of COVID-19 patients. While global implementation of the Clinical Nurse Specialist is limited, their inclusion in perioperative settings could enhance care efficiency.

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在 COVID-19 大流行期间，临床专科护士的作用和手术室的安全管理：综合范围审查

背景 COVID-19 大流行引发的全球健康危机促使人们讨论在手术室安全管理 COVID-19 阳性患者的最佳方法。研究方法根据Arksey和O'Malley的方法进行了范围界定综述。在 Cochrane Library、PubMed、Embase、CINAHL、Scopus 和 Web of Science 中检索有关围手术期管理和临床专科护士在 COVID-19 手术中的作用的研究。人工检索包括参考文献列表和谷歌学术。两名审稿人对文章进行了独立筛选、甄别和收录，并对偏倚风险和方法学质量进行了评估。出现了两个关键方面：临床安全程序和临床专科护士在围手术期环境中的作用。结论医疗机构应优先考虑 COVID-19 患者手术援助的标准化实践。虽然临床专科护士在全球范围内的应用有限，但将其纳入围手术期环境可提高护理效率。

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来源期刊

Perioperative Care and Operating Room Management Nursing-Medical and Surgical Nursing

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

56 days

期刊介绍： The objective of this new online journal is to serve as a multidisciplinary, peer-reviewed source of information related to the administrative, economic, operational, safety, and quality aspects of the ambulatory and in-patient operating room and interventional procedural processes. The journal will provide high-quality information and research findings on operational and system-based approaches to ensure safe, coordinated, and high-value periprocedural care. With the current focus on value in health care it is essential that there is a venue for researchers to publish articles on quality improvement process initiatives, process flow modeling, information management, efficient design, cost improvement, use of novel technologies, and management.