{"title":"A personal perspective on separating families before surgery","authors":"C. Steward","doi":"10.26550/2209-1092.1009","DOIUrl":"https://doi.org/10.26550/2209-1092.1009","url":null,"abstract":"Once in a while, something happens to us that makes us question our faith in the caring ethos which is so integral to our role as clinicians.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133161200","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}
Despite the acknowledgement of the hazards of surgical plume, compliance with smoke evacuation is not routine. This review examines the current literature on factors influencing compliance with smoke evacuation. Factors identified included the design of the smoke evacuation device, surgeon refusal, education and managerial support. Strong leadership, education and policy enforcement from a local facility level are required to improve surgical plume evacuation compliance. More research in this field would help to further strengthen these findings.
{"title":"Factors affecting surgical plume evacuation compliance","authors":"Stephanie C. Holmes","doi":"10.26550/2209-1092.1010","DOIUrl":"https://doi.org/10.26550/2209-1092.1010","url":null,"abstract":"Despite the acknowledgement of the hazards of surgical plume, compliance with smoke evacuation is not routine. This review examines the current literature on factors influencing compliance with smoke evacuation. Factors identified included the design of the smoke evacuation device, surgeon refusal, education and managerial support. Strong leadership, education and policy enforcement from a local facility level are required to improve surgical plume evacuation compliance. More research in this field would help to further strengthen these findings.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"2017 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130437579","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}
Noise in the operating theatre environment has remained a persistent and unresolved problem. The problem currently lacks an effective solution. In order to partially resolve this issue, the authors created a behavioural noise reduction tool called 'Below ten thousand'.
{"title":"'Below ten thousand': An effective behavioural noise reduction strategy?","authors":"Pete Smith, J. Gibbs","doi":"10.26550/2209-1092.1006","DOIUrl":"https://doi.org/10.26550/2209-1092.1006","url":null,"abstract":"Noise in the operating theatre environment has remained a persistent and unresolved problem. The problem currently lacks an effective solution. In order to partially resolve this issue, the authors created a behavioural noise reduction tool called 'Below ten thousand'.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123343238","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}
My great idea was to start a perioperative nursing journal club in my workplace, a small four-theatre complex in a busy rural public hospital in NSW. It failed. As clinicians, we are usually more than happy to share our successes, but less ready to share our failures. The purpose of this paper is to share the experience of this failure, the mistakes I made, and the lessons I learned. It will discuss learning from our mistakes, the reality of evidence-based practice, journal clubs: barriers and requirements for success, and my own experience and reflections on attempting to start a perioperative nursing journal club.
{"title":"A failed perioperative nursing journal club: Reflections on mistakes made, and lessons learned","authors":"Jennifer H Austin","doi":"10.26550/2209-1092.1003","DOIUrl":"https://doi.org/10.26550/2209-1092.1003","url":null,"abstract":"My great idea was to start a perioperative nursing journal club in my workplace, a small four-theatre complex in a busy rural public hospital in NSW. It failed. As clinicians, we are usually more than happy to share our successes, but less ready to share our failures. The purpose of this paper is to share the experience of this failure, the mistakes I made, and the lessons I learned. It will discuss learning from our mistakes, the reality of evidence-based practice, journal clubs: barriers and requirements for success, and my own experience and reflections on attempting to start a perioperative nursing journal club.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125446419","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}
J. Duff, M. Butler, M. Davies, Robyn Williams, Jannelle Carlile
Evidence-based practice has been demonstrated to positively impact patient outcomes; unfortunately, there are many factors that hinder the use of research evidence by healthcare clinicians. Our previous study reported a multisite survey assessing Australian perioperative nurses knowledge, practice, attitude, and perceived barriers to evidence use. This subsequent analysis used univariate and multivariate binary logistic regression with odds ratios (OR) and 95% confidence intervals (CI) to compare individual nurse and organisational characteristics with high evidencebased practice (EBP) use. Two individual nurse characteristics found to be related to EBP were postgraduate qualifications (OR 1.69, 95% CI 1.07–2.6, p=0.02) and previous research experience (OR 1.9, 95% CI 1.6–2.4, p=0.01). Organisational characteristics related to EBP included access to the internet (OR 2.04, 95% CI 1.3–3.0, p=0.001) and access to ongoing EBP education (OR 1.6, 95% CI 1.1–2.5, p=0.01). Previous research experience (OR 1.6, 95% CI 1.0–2.3, p=0.01) was the only independent predictor of EBP. Given our finding, we suggest that considerably greater effort be made to facilitate nurses involvement in research studies in the perioperative setting.
循证实践已被证明对患者预后有积极影响;不幸的是，有许多因素阻碍了医疗保健临床医生使用研究证据。我们之前的研究报告了一项多地点调查，评估了澳大利亚围手术期护士的知识、实践、态度和对证据使用的感知障碍。随后的分析使用单变量和多变量二元逻辑回归，优势比(OR)和95%置信区间(CI)来比较护士个人和高循证实践(EBP)使用的组织特征。与EBP相关的两个护士个体特征是研究生学历(OR 1.69, 95% CI 1.07-2.6, p=0.02)和以前的研究经历(OR 1.9, 95% CI 1.6-2.4, p=0.01)。与EBP相关的组织特征包括访问互联网(OR为2.04,95% CI为1.3-3.0,p=0.001)和接受持续的EBP教育(OR为1.6,95% CI为1.1-2.5,p=0.01)。既往研究经验(OR 1.6, 95% CI 1.0-2.3, p=0.01)是EBP的唯一独立预测因子。鉴于我们的发现，我们建议做出更大的努力来促进护士参与围手术期的研究。
{"title":"Factors that predict evidence use by Australian perioperative nurses","authors":"J. Duff, M. Butler, M. Davies, Robyn Williams, Jannelle Carlile","doi":"10.26550/2209-1092.1004","DOIUrl":"https://doi.org/10.26550/2209-1092.1004","url":null,"abstract":"Evidence-based practice has been demonstrated to positively \u0000impact patient outcomes; unfortunately, there are many factors \u0000that hinder the use of research evidence by healthcare clinicians. \u0000Our previous study reported a multisite survey assessing \u0000Australian perioperative nurses knowledge, practice, attitude, and \u0000perceived barriers to evidence use. This subsequent analysis used \u0000univariate and multivariate binary logistic regression with odds \u0000ratios (OR) and 95% confidence intervals (CI) to compare individual \u0000nurse and organisational characteristics with high evidencebased \u0000practice (EBP) use. Two individual nurse characteristics \u0000found to be related to EBP were postgraduate qualifications (OR \u00001.69, 95% CI 1.07–2.6, p=0.02) and previous research experience \u0000(OR 1.9, 95% CI 1.6–2.4, p=0.01). Organisational characteristics \u0000related to EBP included access to the internet (OR 2.04, 95% CI \u00001.3–3.0, p=0.001) and access to ongoing EBP education (OR 1.6, \u000095% CI 1.1–2.5, p=0.01). Previous research experience (OR 1.6, 95% \u0000CI 1.0–2.3, p=0.01) was the only independent predictor of EBP. \u0000Given our finding, we suggest that considerably greater effort be \u0000made to facilitate nurses involvement in research studies in the \u0000perioperative setting.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121278098","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}
The aim of this study was to identify which items should be included in a pre-operative checklist based on recommendations by nurse experts in order to promote patient safety and effective communication in the perioperative environment. Method: Thirty-five nurses participated in this e-Delphi study, which was conducted online via SurveyMonkey . Each survey presented participants with a list of potential items for inclusion in a pre-operative checklist. Participants were asked to identify items they felt should be included in the checklist with the option to include comments. Comments were de-identified and shared with other participants to allow confidential interaction. The surveys were analysed for consensus, determined as agreement between at least 70% of participants. Results: Three survey rounds were completed. Forty-six items achieved consensus for inclusion in a pre-operative checklist. Conclusion: The 46 items which achieved consensus were condensed to a list of 25 items categorised as: 1. Patient and procedure verification; 2. Preparation; and 3. Assessments. The findings of this study provide an evidence base for development of pre-operative checklists, to promote patient safety and effective communication in the perioperative environment.
{"title":"The collaborative development of a pre-operative checklist: An e-Delphi study","authors":"K. Murphy, K. Walker, J. Duff, Robyn Williams","doi":"10.26550/2209-1092.1002","DOIUrl":"https://doi.org/10.26550/2209-1092.1002","url":null,"abstract":"The aim of this study was to identify which items should be included in a pre-operative checklist based on recommendations by nurse experts in order to promote patient safety and effective communication in the perioperative environment. Method: Thirty-five nurses participated in this e-Delphi study, which was conducted online via SurveyMonkey . Each survey presented participants with a list of potential items for inclusion in a pre-operative checklist. Participants were asked to identify items they felt should be included in the checklist with the option to include comments. Comments were de-identified and shared with other participants to allow confidential interaction. The surveys were analysed for consensus, determined as agreement between at least 70% of participants. Results: Three survey rounds were completed. Forty-six items achieved consensus for inclusion in a pre-operative checklist. Conclusion: The 46 items which achieved consensus were condensed to a list of 25 items categorised as: 1. Patient and procedure verification; 2. Preparation; and 3. Assessments. The findings of this study provide an evidence base for development of pre-operative checklists, to promote patient safety and effective communication in the perioperative environment.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127650094","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}
The Australian population is ageing which, in turn, will lead to an increased demand for surgical health services. So too the perioperative nurse matures, with over 50 per cent of the current Australian perioperative nursing workforce being older than 51 years; 41 per cent are between 51 and 60 years, and 15 per cent are older than 60 years of age.
{"title":"The value of guided operating theatre experience for undergraduate nurses","authors":"P. Foran","doi":"10.26550/2209-1092.1000","DOIUrl":"https://doi.org/10.26550/2209-1092.1000","url":null,"abstract":"The Australian population is ageing which, in turn, will lead to an increased demand for surgical health services. So too the perioperative nurse matures, with over 50 per cent of the current Australian perioperative nursing workforce being older than 51 years; 41 per cent are between 51 and 60 years, and 15 per cent are older than 60 years of age.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129296360","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}
Kimberley Coleman, Bernice Redley, B. Wood, T. Bucknall, M. Botti
Aim: The purpose of this study was to explore clinician experiences of adopting quality improvement tools to standardise interprofessional (anaesthetist-to-nurse) handover communication when patients arrive in the post-anaesthetic care unit (PACU). Method: In this study, factors that impacted PACU nurses' adoption of the quality improvement tools were explored using pre- and postimplementation, semi-structured focus group interviews. Interview data was analysed using the PARiHS1 (context, evidence and facilitation) framework as a deductive analysis tool. Results: PACU nurses recognised that PACU handover from anaesthetists to PACU nurses was suboptimal and described the tools as useful for their practice. However, PACU nurses frequently cited fear of anaesthetists' reactions as reasons not to insist on the use of the handover improvement tools. PACU nurses at Hospital 2 identified lacking "authority" (Hospital 2 FG 2) in the OR as hindering their willingness to use the tools against these behaviours. In comparison, visible support from leadership at Hospital 1 was described as encouraging nurses to be "assertive" (Hospital 1 FG 2) and take charge of their patients' care. Conclusion: PACU nurses perceived the handover tools were useful and helped them identify gaps in handover practice; however, PACU nurses described difficult relationships as hindering communication effectiveness and discouraging their adoption of the tools. However, strong leadership and organisational support of change emerged as essential to mitigate the effects of these difficult relationships.
{"title":"Interprofessional interactions influence nurses' adoption of handover improvement","authors":"Kimberley Coleman, Bernice Redley, B. Wood, T. Bucknall, M. Botti","doi":"10.26550/JPN.281.01","DOIUrl":"https://doi.org/10.26550/JPN.281.01","url":null,"abstract":"Aim: The purpose of this study was to explore clinician experiences of adopting quality improvement tools to standardise interprofessional (anaesthetist-to-nurse) handover communication when patients arrive in the post-anaesthetic care unit (PACU). Method: In this study, factors that impacted PACU nurses' adoption of the quality improvement tools were explored using pre- and postimplementation, semi-structured focus group interviews. Interview data was analysed using the PARiHS1 (context, evidence and facilitation) framework as a deductive analysis tool. Results: PACU nurses recognised that PACU handover from anaesthetists to PACU nurses was suboptimal and described the tools as useful for their practice. However, PACU nurses frequently cited fear of anaesthetists' reactions as reasons not to insist on the use of the handover improvement tools. PACU nurses at Hospital 2 identified lacking \"authority\" (Hospital 2 FG 2) in the OR as hindering their willingness to use the tools against these behaviours. In comparison, visible support from leadership at Hospital 1 was described as encouraging nurses to be \"assertive\" (Hospital 1 FG 2) and take charge of their patients' care. Conclusion: PACU nurses perceived the handover tools were useful and helped them identify gaps in handover practice; however, PACU nurses described difficult relationships as hindering communication effectiveness and discouraging their adoption of the tools. However, strong leadership and organisational support of change emerged as essential to mitigate the effects of these difficult relationships.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126825880","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}
Patricia Kitney, Raymond Tam, P. Bennett, Dianne Buttigieg, D. Bramley, W. Wang
A structured approach to communication between health care professionals contains introduction/identification; situation; background; assessment and request/recommendation (ISBAR). ISBAR was introduced into the post-anaesthetic care unit (PACU) of a large Victorian health service in 2013. The aim of this study was to measure the effect of an education program on ISBAR compliance. Method: A pre/post-test design using a 14-item audit tool was used to measure compliance to ISBAR before and after an education intervention in two acute hospitals in Melbourne, Victoria. The intervention consisted of one 30-minute education session to anaesthetists, and two 30-minute education sessions to PACU nurses, combined with visual cues using ISBAR wall posters. Results: In Hospital A, significant improvement from pre- to post-audit was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p Implication for practice: The results from this study cohort suggest an augmented education program may produce mixed results for ISBAR compliance. More than education and visual tools may be required to improve PACU ISBAR compliance.
{"title":"Handover between anaesthetists and post anaesthetic care unit nursing staff using ISBAR principles: a quality improvement study","authors":"Patricia Kitney, Raymond Tam, P. Bennett, Dianne Buttigieg, D. Bramley, W. Wang","doi":"10.26550/2209-1092.1001","DOIUrl":"https://doi.org/10.26550/2209-1092.1001","url":null,"abstract":"A structured approach to communication between health care professionals contains introduction/identification; situation; background; assessment and request/recommendation (ISBAR). ISBAR was introduced into the post-anaesthetic care unit (PACU) of a large Victorian health service in 2013. The aim of this study was to measure the effect of an education program on ISBAR compliance. Method: A pre/post-test design using a 14-item audit tool was used to measure compliance to ISBAR before and after an education intervention in two acute hospitals in Melbourne, Victoria. The intervention consisted of one 30-minute education session to anaesthetists, and two 30-minute education sessions to PACU nurses, combined with visual cues using ISBAR wall posters. Results: In Hospital A, significant improvement from pre- to post-audit was found in the items of cardiovascular assessment (χ2 (1) = 4.06, p Implication for practice: The results from this study cohort suggest an augmented education program may produce mixed results for ISBAR compliance. More than education and visual tools may be required to improve PACU ISBAR compliance.","PeriodicalId":127501,"journal":{"name":"ACORN: the journal of perioperative nursing in Australia","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120923554","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：