Knowledge translation for nursing care for patients with Risk of perioperative positioning injury: A case report

IF 1.4 4区医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2022-09-24 DOI:10.1111/2047-3095.12398

Luciana Bjorklund-Lima PhD, Maria Müller-Staub PhD, MNS, EdN, RN, Eneida Rejane Rabelo-Silva PhD, RN

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Abstract

Purpose

The aim was to apply the Advanced Nursing Process and demonstrating procedures of surgical positioning, as well as to show the participating the Nursing Outcomes Classification findings in order to translate the knowledge on specific preventive perioperative positioning into practice, the review of clinical protocols and nursing care plan.

Methods

The methods used include case report about knowledge translation by applying training modalities, review and adaptation of clinical protocols and examination of nursing care plans.

Findings

One hundred and nine healthcare providers attended the training, including nurses and nursing technicians working in the surgical center and the outpatient surgical center of the hospital chosen for this study. The surgical positioning protocols were revised based on the evidence described in the literature and the main surgical guidelines. The review of care registered in the institution's electronic system for the nursing prescription stage of the diagnosis Risk of perioperative positioning injury was based on the review on evidence on risk factors, the main guidelines in the area and the interventions suggested by Nursing Intervention Classification. The electronic system had registered 14 cares for this diagnosis, and after the review, one care was excluded and eight new cares were included, totaling 21 cares.

Conclusion

Nursing teams play a prominent role in positioning patients for surgery, protecting them in a moment of extreme vulnerability, thus making knowledge about the fundamental elements of surgical positioning essential. This emphasizes the importance of training, and of reviewing protocols and records of procedures that promote safety to patients and care teams.

Implication for nursing practice

The translation of knowledge about the Advanced Nursing Process in the perioperative area contributes to the refinement of classifications and standardization of language in this scenario, subsidizing an evidence-based clinical practice.

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围手术期定位损伤风险患者护理知识翻译：一例报告。

目的：目的是应用高级护理流程和手术定位演示程序，并展示参与护理结果分类的结果，以便将特定预防性围手术期定位的知识转化为实践，审查临床方案和护理计划。方法：使用的方法包括应用培训模式进行知识翻译的案例报告、临床方案的审查和调整以及护理计划的审查。研究结果：109名医疗保健提供者参加了培训，其中包括在本研究所选医院的外科中心和门诊外科中心工作的护士和护理技术人员。根据文献中描述的证据和主要手术指南对手术定位方案进行了修订。在该机构的电子系统中登记的诊断护理处方阶段的护理审查围手术期定位损伤风险是基于对风险因素证据、该领域的主要指南和护理干预分类建议的干预措施的审查。电子系统为这一诊断登记了14次护理，审查后，排除了一次护理，包括了8次新的护理，共计21次护理。结论：护理团队在为患者进行手术定位方面发挥着重要作用，在极度脆弱的时刻为他们提供保护，因此了解手术定位的基本要素至关重要。这强调了培训的重要性，以及审查促进患者和护理团队安全的规程和程序记录的重要性。对护理实践的启示：围手术期高级护理流程知识的翻译有助于在这种情况下细化分类和语言标准化，为循证临床实践提供资助。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.