Perioperative nursing is a highly specialised area within the nursing profession that relies on high levels of theoretical knowledge, clinical skill and critical thinking to maintain patient safety before, during and after surgical procedures. However, attrition rates and the impending retirement of experienced perioperative nurses have created a need to address the transition of novice nurses into this complex and multi-skilled environment.
{"title":"Bridging the gap: Preparing and nurturing novice perioperative nurses","authors":"Nick Nijkamp, Pauline Calleja, Ashlyn Sahay","doi":"10.26550/2209-1092.1279","DOIUrl":"https://doi.org/10.26550/2209-1092.1279","url":null,"abstract":"Perioperative nursing is a highly specialised area within the nursing profession that relies on high levels of theoretical knowledge, clinical skill and critical thinking to maintain patient safety before, during and after surgical procedures. However, attrition rates and the impending retirement of experienced perioperative nurses have created a need to address the transition of novice nurses into this complex and multi-skilled environment.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136356717","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}
Problem identification: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) may be the next evolution in minimally invasive gynaecological surgery. vNOTES is a modernised vaginal approach to accessing the peritoneal cavity that combines the benefits of laparoscopic and traditional vaginal surgery techniques. While much has been written about the technicalities of this procedure, the aim of this review is to look at vNOTES through a perioperative nursing lens, focusing on providing greater understanding and knowledge for perioperative nurses.
{"title":"Procedural considerations of hysterectomy by vNOTES (vaginal natural orifice transluminal endoscopic surgery): A literature review","authors":"Maritza Harvey, Paula Foran","doi":"10.26550/2209-1092.1282","DOIUrl":"https://doi.org/10.26550/2209-1092.1282","url":null,"abstract":"Problem identification: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) may be the next evolution in minimally invasive gynaecological surgery. vNOTES is a modernised vaginal approach to accessing the peritoneal cavity that combines the benefits of laparoscopic and traditional vaginal surgery techniques. While much has been written about the technicalities of this procedure, the aim of this review is to look at vNOTES through a perioperative nursing lens, focusing on providing greater understanding and knowledge for perioperative nurses.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"199 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135015587","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}
Joshua M Wiesel, Bernadette R Findlay, Li Ching Ooi, Jennifer A Stevens, Renata Hadzic
Peripheral nerve catheters are commonly used to provide analgaesia and improve patient outcomes. Catheter dislodgment, displacement or leakage can result in premature cessation of analgaesic effect. There are currently no published guidelines for how to secure peripheral nerve catheters.
{"title":"Peripheral nerve catheter securement: A narrative literature review","authors":"Joshua M Wiesel, Bernadette R Findlay, Li Ching Ooi, Jennifer A Stevens, Renata Hadzic","doi":"10.26550/2209-1092.1271","DOIUrl":"https://doi.org/10.26550/2209-1092.1271","url":null,"abstract":"Peripheral nerve catheters are commonly used to provide analgaesia and improve patient outcomes. Catheter dislodgment, displacement or leakage can result in premature cessation of analgaesic effect. There are currently no published guidelines for how to secure peripheral nerve catheters.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135015408","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}
Perioperative hypothermia occurs when a patient’s core temperature drops below 36 °C during their surgical journey. Research spanning more than thirty years highlights the negative effects of hypothermia on clinical outcomes and patient comfort.
{"title":"Busting persistent myths about perioperative hypothermia","authors":"Jed Duff","doi":"10.26550/2209-1092.1281","DOIUrl":"https://doi.org/10.26550/2209-1092.1281","url":null,"abstract":"Perioperative hypothermia occurs when a patient’s core temperature drops below 36 °C during their surgical journey. Research spanning more than thirty years highlights the negative effects of hypothermia on clinical outcomes and patient comfort.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135980401","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}
Blood management is a vital component of a patient’s journey in the perioperative environment. There is a call to incorporate intra-operative cell salvage (ICS) into blood management protocols across hospitals in Australia where invasive and major surgeries have the potential to result in massive blood loss. Donated blood (allogeneic blood), despite its highly valued use in major blood loss events, poses risks and potential complications making cell salvage an attractive viable option in hip and knee arthroplasty. ICS is the process of returning the patient’s own blood (autologous blood) back into its systemic circulation. Autologous blood is collected from blood lost by the patient during surgery and has proven to have fewer complications and more benefits when compared to donated blood. Currently, ICS is still not widely used in many hospitals in Australia and its associated costs continue to be a deterrent to hospitals integrating it into their blood management services. Despite this, many studies have proven that ICS may not just be superior to donated blood in many ways, it may also prove to be cost-efficient when one looks at the compounding results of better patient outcomes.
{"title":"Liquid gold: A discussion of the significance of using intra-operative cell salvage in hip and knee arthroplasty","authors":"Irene Hilario, Paula Foran","doi":"10.26550/2209-1092.1280","DOIUrl":"https://doi.org/10.26550/2209-1092.1280","url":null,"abstract":"Blood management is a vital component of a patient’s journey in the perioperative environment. There is a call to incorporate intra-operative cell salvage (ICS) into blood management protocols across hospitals in Australia where invasive and major surgeries have the potential to result in massive blood loss. Donated blood (allogeneic blood), despite its highly valued use in major blood loss events, poses risks and potential complications making cell salvage an attractive viable option in hip and knee arthroplasty. ICS is the process of returning the patient’s own blood (autologous blood) back into its systemic circulation. Autologous blood is collected from blood lost by the patient during surgery and has proven to have fewer complications and more benefits when compared to donated blood. Currently, ICS is still not widely used in many hospitals in Australia and its associated costs continue to be a deterrent to hospitals integrating it into their blood management services. Despite this, many studies have proven that ICS may not just be superior to donated blood in many ways, it may also prove to be cost-efficient when one looks at the compounding results of better patient outcomes.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44338168","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}
Objectives: To investigate pre-operative anxiety of patients at district hospitals in Ashanti Region, Ghana. Method: A descriptive survey was conducted with patients who were being prepared to undergo various surgical operations at ten hospitals. The questionnaire included the Hamilton Anxiety Rating Scale (HAM-A) and questions about factors that may contribute to patients’ anxiety prior to surgery. Results: Most of the 210 respondents reported anxiety with 189 (90%) reporting some anxiety before the surgical operation (20.57/30 , ±10.07), range 0–26). Respondents reported moderate anxious mood (2.14, ±1.45), tension prior to surgery (2.00, ±1.35) and insomnia on the day before the procedure (2.00, ±1.32). It was identified that the type of surgical procedure (3.43, ±1.36), fear of complications (3.42, ±1.33) and possible post-operative pain (3.38, ±1.20) were the most common concerns contributing to pre-operative anxiety. There was a positive association between type of surgery (p < 0.004), post-operative pain (p < 0.005) and concerns for family (p < 0.002) and anxiety. Conclusion: Most respondents had some level of pre-operative anxiety associated with the type of surgical procedure, possible complications and post-operative pain.
{"title":"Pre-operative anxiety of patients in district hospitals in Ashanti Region, Ghana","authors":"Sawan Dankyi, M. Bimerew, Jennifer-Anne Chipps","doi":"10.26550/2209-1092.1242","DOIUrl":"https://doi.org/10.26550/2209-1092.1242","url":null,"abstract":"Objectives: To investigate pre-operative anxiety of patients at district hospitals in Ashanti Region, Ghana. Method: A descriptive survey was conducted with patients who were being prepared to undergo various surgical operations at ten hospitals. The questionnaire included the Hamilton Anxiety Rating Scale (HAM-A) and questions about factors that may contribute to patients’ anxiety prior to surgery. Results: Most of the 210 respondents reported anxiety with 189 (90%) reporting some anxiety before the surgical operation (20.57/30 , ±10.07), range 0–26). Respondents reported moderate anxious mood (2.14, ±1.45), tension prior to surgery (2.00, ±1.35) and insomnia on the day before the procedure (2.00, ±1.32). It was identified that the type of surgical procedure (3.43, ±1.36), fear of complications (3.42, ±1.33) and possible post-operative pain (3.38, ±1.20) were the most common concerns contributing to pre-operative anxiety. There was a positive association between type of surgery (p < 0.004), post-operative pain (p < 0.005) and concerns for family (p < 0.002) and anxiety. Conclusion: Most respondents had some level of pre-operative anxiety associated with the type of surgical procedure, possible complications and post-operative pain.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45379039","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":"Exploring the feasibility of using virtual reality as a nonpharmacological intervention to alleviate patient fear of needles during medical treatment: A study protocol","authors":"Craig J Gilbertson, T. Rasekaba, I. Blackberry","doi":"10.26550/2209-1092.1268","DOIUrl":"https://doi.org/10.26550/2209-1092.1268","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46216631","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}
Sameera Liaqat Adam Albalushi, F. Khraim, Atef M. M. Al-Tawafsheh, Daniel Forgrave
{"title":"Effect of pre-operative education on post-operative pain management among adult patients undergoing elective surgery: An integrative review","authors":"Sameera Liaqat Adam Albalushi, F. Khraim, Atef M. M. Al-Tawafsheh, Daniel Forgrave","doi":"10.26550/2209-1092.1246","DOIUrl":"https://doi.org/10.26550/2209-1092.1246","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41600655","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}
Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a ‘mismatch’ in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence-based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area.
{"title":"Evidence-based practice in perioperative nursing: Barriers and facilitators to compliance","authors":"Benita Ramage, Paula Foran","doi":"10.26550/2209-1092.1265","DOIUrl":"https://doi.org/10.26550/2209-1092.1265","url":null,"abstract":"Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care. Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes a ‘mismatch’ in the clinical environment when nurses revert to the use of tradition-based practices rather than providing care that has been based on best evidence that would be safer for their patients. The reasons for this are complex and involve, in part, a lack understanding of research and evidence, and a lack of time. As higher education and a deeper understanding of and appreciation for research and evidence has been shown to enhance the uptake of evidence-based perioperative practice, good nursing leadership, encouragement and resources are needed to spearhead education in this vital area. This discussion paper will present some of the barriers and facilitators to the provision of evidence-based care in the clinical environment. However, while researching this topic revealed a significant quantity of low-level research that provided similar findings, there was a paucity of rigorous high-level research. This indicates the need for further research in this vital area.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42186835","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":"Effectiveness of virtual reality interventions to reduce pre-operative anxiety in adult surgical patients in the pre-operative period: Systematic review and meta-analysis","authors":"A. Mbewe, Z. Smith","doi":"10.26550/2209-1092.1230","DOIUrl":"https://doi.org/10.26550/2209-1092.1230","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46466849","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}
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