Mohammed Bahran Shegafi, M. Leamy, Geraldine A. Lee
{"title":"What do extended cardiac surgical team members in the Kingdom of Saudi Arabia think about their jobs, and what would improve them? A qualitative study","authors":"Mohammed Bahran Shegafi, M. Leamy, Geraldine A. Lee","doi":"10.26550/2209-1092.1211","DOIUrl":"https://doi.org/10.26550/2209-1092.1211","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46561388","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":"Leading with emotional intelligence in perioperative nursing: An integrative review","authors":"Elise Rhodes, P. Foran","doi":"10.26550/2209-1092.1224","DOIUrl":"https://doi.org/10.26550/2209-1092.1224","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41391685","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":"It’s time for the perioperative community to recommit to the WHO Surgical Safety Checklist","authors":"J. Duff","doi":"10.26550/2209-1092.1222","DOIUrl":"https://doi.org/10.26550/2209-1092.1222","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48725079","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}
Amanda J Snape, J. Duff, Oya Gumuskaya, K. Inder, A. Hutton
• Because majority of RFOs occurred in setting of a correct count, routine X-ray (using high-resolution radiographic equipment in a dedicated imaging area, not a portable X-ray intra-op) in all patients is a very important safety process. Nature of practice and high number of complex cases that involve multiple specialties and large blood loss means staff and support systems might be more sensitised to the risk associated with procedures and might contribute to increased vigilance and avoidance of RFO.
{"title":"Strategies to prevent inadvertent retained surgical items: An integrative review","authors":"Amanda J Snape, J. Duff, Oya Gumuskaya, K. Inder, A. Hutton","doi":"10.26550/2209-1092.1196","DOIUrl":"https://doi.org/10.26550/2209-1092.1196","url":null,"abstract":"• Because majority of RFOs occurred in setting of a correct count, routine X-ray (using high-resolution radiographic equipment in a dedicated imaging area, not a portable X-ray intra-op) in all patients is a very important safety process. Nature of practice and high number of complex cases that involve multiple specialties and large blood loss means staff and support systems might be more sensitised to the risk associated with procedures and might contribute to increased vigilance and avoidance of RFO.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46670959","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}
E. Mathias, M. Pai, V. Kumar, V. Guddattu, A‐C Bramhagen
Aim: This study aimed to investigate mothers’ levels of satisfaction with distraction as a post-operative pain management intervention for their child. Background: Although the number of studies on paediatric pain management has increased over time, research into non-pharmacological post-operative pain management remains inadequate, indicating that more research is required. Design: A posttest-only control group design was adopted to measure mothers’ levels of satisfaction with distraction as a non-pharmacological post-operative pain management intervention for their child. Methods: The study included 160 mothers and their children undergoing elective surgery in a paediatric surgical unit. Mothers and children were randomly allocated to intervention and control groups (80 intervention, 80 control). The children in the intervention group received age-appropriate distraction interventions for three post-operative days along with the usual care. Children in the control group received only usual care. Data on parental satisfaction with pain management interventions was assessed on the day of discharge using a parental satisfaction questionnaire. Results: In the intervention group 48 mothers (60%) were ‘very satisfied’ and 22 mothers (40%) were ‘moderately satisfied’ with pain management interventions for their child. In the control group 27 mothers (34%) were ‘very satisfied’ and 53 (66%) were ‘moderately satisfied. The mean and standard deviation of mother’s satisfaction in the intervention group and control group was 42 ±5.23 and 34 ± 6.64 respectively. The present study identified that there was a significant difference in the level of mother’s satisfaction between the intervention and control groups (p<.05). Conclusion: The level of satisfaction with pain management intervention for their child was higher for mothers in the intervention group that the control group. The distraction intervention provided for the children during the post-operative period improved the mothers’ satisfaction level.
{"title":"Mothers’ satisfaction with distraction as a postoperative pain management intervention for their child: An interventional study","authors":"E. Mathias, M. Pai, V. Kumar, V. Guddattu, A‐C Bramhagen","doi":"10.26550/2209-1092.1206","DOIUrl":"https://doi.org/10.26550/2209-1092.1206","url":null,"abstract":"Aim: This study aimed to investigate mothers’ levels of satisfaction with distraction as a post-operative pain management intervention for their child. Background: Although the number of studies on paediatric pain management has increased over time, research into non-pharmacological post-operative pain management remains inadequate, indicating that more research is required. Design: A posttest-only control group design was adopted to measure mothers’ levels of satisfaction with distraction as a non-pharmacological post-operative pain management intervention for their child. Methods: The study included 160 mothers and their children undergoing elective surgery in a paediatric surgical unit. Mothers and children were randomly allocated to intervention and control groups (80 intervention, 80 control). The children in the intervention group received age-appropriate distraction interventions for three post-operative days along with the usual care. Children in the control group received only usual care. Data on parental satisfaction with pain management interventions was assessed on the day of discharge using a parental satisfaction questionnaire. Results: In the intervention group 48 mothers (60%) were ‘very satisfied’ and 22 mothers (40%) were ‘moderately satisfied’ with pain management interventions for their child. In the control group 27 mothers (34%) were ‘very satisfied’ and 53 (66%) were ‘moderately satisfied. The mean and standard deviation of mother’s satisfaction in the intervention group and control group was 42 ±5.23 and 34 ± 6.64 respectively. The present study identified that there was a significant difference in the level of mother’s satisfaction between the intervention and control groups (p<.05). Conclusion: The level of satisfaction with pain management intervention for their child was higher for mothers in the intervention group that the control group. The distraction intervention provided for the children during the post-operative period improved the mothers’ satisfaction level.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46847189","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":"One step forward or two steps back?","authors":"Toni Hains","doi":"10.26550/2209-1092.1216","DOIUrl":"https://doi.org/10.26550/2209-1092.1216","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41942044","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}
R. Law, D. W. L. Wan, S. Cleary, W. Stelmach, K. Mori, Zhen Zheng
{"title":"Measuring surgical patient engagement: A scoping review","authors":"R. Law, D. W. L. Wan, S. Cleary, W. Stelmach, K. Mori, Zhen Zheng","doi":"10.26550/2209-1092.1197","DOIUrl":"https://doi.org/10.26550/2209-1092.1197","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44019202","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}
[...]it has a significant impact on the workplace and adversely affects workers physical and mental weiibeing. The layout and management of the environment can significantly contribute to risk.4 For example, poorly manned and secured access points, isolated or obscured workstations, permissive admission policies, inadequate family communication processes and a lack of duress alarms may increase the risk.2 I would encourage perioperative nurse leaders to conduct a risk assessment in their departments and instigate any necessary safety improvements. Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis.
{"title":"Occupational violence against staff in the perioperative environment","authors":"J. Duff","doi":"10.26550/2209-1092.1213","DOIUrl":"https://doi.org/10.26550/2209-1092.1213","url":null,"abstract":"[...]it has a significant impact on the workplace and adversely affects workers physical and mental weiibeing. The layout and management of the environment can significantly contribute to risk.4 For example, poorly manned and secured access points, isolated or obscured workstations, permissive admission policies, inadequate family communication processes and a lack of duress alarms may increase the risk.2 I would encourage perioperative nurse leaders to conduct a risk assessment in their departments and instigate any necessary safety improvements. Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43233949","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}
Studies have shown that approximately one third of operating room communications fail. This has a negative impact on patient safety, with half of all adverse events being attributed to communication failures. However, human factors have the capacity to protect patients. Aviation’s human factors strategies provide guidance for staff and are beneficial in the operating room. Currently, no intervention is universally applied to improve operating room communication and team performance. Closed loop communication, though poorly utilised, has been demonstrated to counteract communication errors, therefore protecting patient safety. In 2018, calls were made to take advantage of theatre caps to display staff member’s name and/or aid staff identification and communication. Further research into this initiative with larger participant numbers in a variety of specialities, especially emergency situations, and with greater scrutiny of infection prevention and control guidelines should be considered.
{"title":"Improving perioperative communication: Can labelled theatre caps play a role?","authors":"Maree Yates, P. Foran","doi":"10.26550/2209-1092.1212","DOIUrl":"https://doi.org/10.26550/2209-1092.1212","url":null,"abstract":"Studies have shown that approximately one third of operating room communications fail. This has a negative impact on patient safety, with half of all adverse events being attributed to communication failures. However, human factors have the capacity to protect patients. Aviation’s human factors strategies provide guidance for staff and are beneficial in the operating room. Currently, no intervention is universally applied to improve operating room communication and team performance. Closed loop communication, though poorly utilised, has been demonstrated to counteract communication errors, therefore protecting patient safety. In 2018, calls were made to take advantage of theatre caps to display staff member’s name and/or aid staff identification and communication. Further research into this initiative with larger participant numbers in a variety of specialities, especially emergency situations, and with greater scrutiny of infection prevention and control guidelines should be considered.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45410948","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}
Background: Post-operative nausea and vomiting (PONV) is the secondmost common post-operative complication. Prolonged pre-operative fasting is common in Australia despite guidelines recommending reduced fasting to improve patient outcomes, such as PONV. Commercially prepared preoperative oral carbohydrate (OC) drinks may be used to reduce fasting time. In this study commercial products were replaced with honey, an inexpensive and common food item. Design: Partially blinded, four parallel arms randomised controlled noninferiority trial compared pre-operative OC loading with overnight fasting. Methods: Adult elective laparoscopic cholecystectomy and thyroidectomy patients having two or more risk factors for PONV were allocated into intervention and control groups by simple randomisation. The intervention group ingested 60g of honey in 100 ml of water at least two hours before surgery as pre-operative OC loading to reduce PONV. Participants and assessors to the group assignment were blinded to the study outcomes. Early PONV (0–6 hours) was measured with Rhodes index of nausea, vomiting and retching (R-INVR) and a numeric rating scale (NRS). Results: The four groups (N = 142) were control and intervention groups of thyroidectomy patients (n = 72: C = 37, I = 35), and control and intervention groups of laparoscopic cholecystectomy patients (n = 70: C = 37, I = 33) and had similar distributions of variables. The estimated effect size was 140 with a 95 percent confidence interval. The PONV incidence (Pearson χ2 = 4.54; df = 1; p = 0.03) and severity were significantly lower in the laparoscopic cholecystectomy intervention group (R-INVR: Mann–Whitney U = 446.5; p = 0.01; NRS: Mann–Whitney U = 444.5; p = 0.01) and results were not conclusive in the thyroidectomy group (NRS: Mann–Whitney U = 629.5; p = 0.95; R-INVR: Mann–Whitney U = 629.5; p = 0.76). Conclusion: Honey could be recommended as an inexpensive pre-operative OC to reduce PONV in adult patients receiving general anaesthesia.
背景:术后恶心呕吐(PONV)是第二大常见的术后并发症。尽管指南建议减少禁食以改善患者的预后,如PONV,但延长术前禁食在澳大利亚很常见。商业制备的术前口服碳水化合物(OC)饮料可用于减少禁食时间。在这项研究中,商业产品被蜂蜜取代,蜂蜜是一种便宜而常见的食品。设计:部分盲法,四平行臂随机对照非效性试验,比较术前OC负荷与夜间禁食。方法:采用简单随机法将有两种或两种以上PONV危险因素的成人选择性腹腔镜胆囊切除术和甲状腺切除术患者分为干预组和对照组。干预组在手术前至少2小时摄入60g蜂蜜100ml水中作为术前OC负荷,以减少PONV。小组分配的参与者和评估者对研究结果不知情。用罗兹恶心、呕吐和干呕指数(R-INVR)和数字评定量表(NRS)测量早期PONV(0-6小时)。结果:四组(N = 142)分别为甲状腺切除术患者的对照组和干预组(N = 72: C = 37, I = 35)和腹腔镜胆囊切除术患者的对照组和干预组(N = 70: C = 37, I = 33),变量分布相似。估计效应值为140,置信区间为95%。PONV发病率(Pearson χ2 = 4.54;Df = 1;p = 0.03),严重程度显著低于腹腔镜胆囊切除术干预组(R-INVR: Mann-Whitney U = 446.5;P = 0.01;NRS: Mann-Whitney U = 444.5;p = 0.01),甲状腺切除术组结果不确定(NRS: Mann-Whitney U = 629.5;P = 0.95;R-INVR: Mann-Whitney U = 629.5;P = 0.76)。结论:在接受全身麻醉的成人患者中,蜂蜜可以作为一种廉价的术前OC来降低PONV。
{"title":"Prevention of post-operative nausea and vomiting with honey as a pre-operative oral carbohydrate: A randomised controlled pilot trial","authors":"Oya Gumuskaya, I. Cavdar, Çiğdem Akyol Beyoğlu","doi":"10.26550/2209-1092.1186","DOIUrl":"https://doi.org/10.26550/2209-1092.1186","url":null,"abstract":"Background: Post-operative nausea and vomiting (PONV) is the secondmost common post-operative complication. Prolonged pre-operative fasting is common in Australia despite guidelines recommending reduced fasting to improve patient outcomes, such as PONV. Commercially prepared preoperative oral carbohydrate (OC) drinks may be used to reduce fasting time. In this study commercial products were replaced with honey, an inexpensive and common food item. Design: Partially blinded, four parallel arms randomised controlled noninferiority trial compared pre-operative OC loading with overnight fasting. Methods: Adult elective laparoscopic cholecystectomy and thyroidectomy patients having two or more risk factors for PONV were allocated into intervention and control groups by simple randomisation. The intervention group ingested 60g of honey in 100 ml of water at least two hours before surgery as pre-operative OC loading to reduce PONV. Participants and assessors to the group assignment were blinded to the study outcomes. Early PONV (0–6 hours) was measured with Rhodes index of nausea, vomiting and retching (R-INVR) and a numeric rating scale (NRS). Results: The four groups (N = 142) were control and intervention groups of thyroidectomy patients (n = 72: C = 37, I = 35), and control and intervention groups of laparoscopic cholecystectomy patients (n = 70: C = 37, I = 33) and had similar distributions of variables. The estimated effect size was 140 with a 95 percent confidence interval. The PONV incidence (Pearson χ2 = 4.54; df = 1; p = 0.03) and severity were significantly lower in the laparoscopic cholecystectomy intervention group (R-INVR: Mann–Whitney U = 446.5; p = 0.01; NRS: Mann–Whitney U = 444.5; p = 0.01) and results were not conclusive in the thyroidectomy group (NRS: Mann–Whitney U = 629.5; p = 0.95; R-INVR: Mann–Whitney U = 629.5; p = 0.76). Conclusion: Honey could be recommended as an inexpensive pre-operative OC to reduce PONV in adult patients receiving general anaesthesia.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43716259","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}