Carollyn Williams, R. Melville, Elinor Radke, Sonia Griffiths
ACORN provided an expert consultancy team known as the Perioperative Clinical Advisory Team (PCAT) to undertake the required work for the key deliverables that were aimed at ensuring a standard of care that will be safe for the patients undergoing surgical procedures provided by Morobe Provincial Health Authority. [...]the governance, operational flows and ORS efficiency are aLL muLtidiscipLinary and require coLLaboration from aLL teams with Leadership from both nursing and medicine to succeed. [...]the primary educational focus was nursing with other deliverables aimed at the muLtidiscipLinary teams. Key deliverables Four key deliverables were identified: 1.Development of a monitoring and evaLuation framework incLuding a governance structure and risk management plan. 2. The PNGPSP incorporates appendices that apply to: * Pre-operative patient checklist * Surgical hand scrubbing procedures (three- and fiveminute) * Surgical hand rubbing procedure * Accountable items count sheet * Papua New Guinea Surgical Safety Checklist * ORS and CSU environmental cleaning audit * Perioperative patient journey audit forms (measured against the standards) * Perioperative safety guidelines (relating to positioning the patient, diathermy safety, pneumatic tourniquet safety, sharps handling and disposal, and specimen coflection) * WHO recommendations for staffing CSU The count sheet and surgical safety checklist can be utilised across all perioperative environments in PNG, therefore, enabling a safe, consistent approach to perioperative documentation.
{"title":"ACORN Papua New Guinea ANGAU Memorial Hospital redevelopment clinical support program (Part 1)","authors":"Carollyn Williams, R. Melville, Elinor Radke, Sonia Griffiths","doi":"10.26550/2209-1092.1207","DOIUrl":"https://doi.org/10.26550/2209-1092.1207","url":null,"abstract":"ACORN provided an expert consultancy team known as the Perioperative Clinical Advisory Team (PCAT) to undertake the required work for the key deliverables that were aimed at ensuring a standard of care that will be safe for the patients undergoing surgical procedures provided by Morobe Provincial Health Authority. [...]the governance, operational flows and ORS efficiency are aLL muLtidiscipLinary and require coLLaboration from aLL teams with Leadership from both nursing and medicine to succeed. [...]the primary educational focus was nursing with other deliverables aimed at the muLtidiscipLinary teams. Key deliverables Four key deliverables were identified: 1.Development of a monitoring and evaLuation framework incLuding a governance structure and risk management plan. 2. The PNGPSP incorporates appendices that apply to: * Pre-operative patient checklist * Surgical hand scrubbing procedures (three- and fiveminute) * Surgical hand rubbing procedure * Accountable items count sheet * Papua New Guinea Surgical Safety Checklist * ORS and CSU environmental cleaning audit * Perioperative patient journey audit forms (measured against the standards) * Perioperative safety guidelines (relating to positioning the patient, diathermy safety, pneumatic tourniquet safety, sharps handling and disposal, and specimen coflection) * WHO recommendations for staffing CSU The count sheet and surgical safety checklist can be utilised across all perioperative environments in PNG, therefore, enabling a safe, consistent approach to perioperative documentation.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44401830","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}
Melanie J Ferguson, Cassandra Sampson, J. Duff, T. Green
Background: Simulation methodology and frameworks were used to build teamwork and a safety culture, and to establish efficient clinical services within the procedure centre of a newly constructed, stand-alone, fully digital greenfield hospital. Rapid ramp up of surgical services required significant recruitment, and onboarding necessitated training of nursing and other perioperative support staff. Methods: A two-day, immersive integrated simulation activity was carried out with the interprofessional onboarding staff participating in their usual roles. During the simulation, staff had the opportunity to apply newly acquired skills and knowledge to all stages of a patient's clinical journey through the procedure centre, including use of the integrated electronic medical record (ieMR) and non-technicaL skills. Results: Department processes and workflows were rehearsed in real time before the procedure centre opened to patients. A safe environment was created for staff with formal prebriefing and debriefing delivered at the commencement and conclusion of the simulation activity. Discussion: The integrated simulations reduced uncertainty and streamlined service delivery for staff who participated in the training, with simulations also used to foster interprofessional team training for clinical workflows. The simulation process allowed interprofessional teams (e.g. nurses, support staff, surgeons) to interact with one another prior to the facility opening.
{"title":"Integrated simulations to build teamwork, safety culture and efficient clinical services: A case study","authors":"Melanie J Ferguson, Cassandra Sampson, J. Duff, T. Green","doi":"10.26550/2209-1092.1168","DOIUrl":"https://doi.org/10.26550/2209-1092.1168","url":null,"abstract":"Background: Simulation methodology and frameworks were used to build teamwork and a safety culture, and to establish efficient clinical services within the procedure centre of a newly constructed, stand-alone, fully digital greenfield hospital. Rapid ramp up of surgical services required significant recruitment, and onboarding necessitated training of nursing and other perioperative support staff. Methods: A two-day, immersive integrated simulation activity was carried out with the interprofessional onboarding staff participating in their usual roles. During the simulation, staff had the opportunity to apply newly acquired skills and knowledge to all stages of a patient's clinical journey through the procedure centre, including use of the integrated electronic medical record (ieMR) and non-technicaL skills. Results: Department processes and workflows were rehearsed in real time before the procedure centre opened to patients. A safe environment was created for staff with formal prebriefing and debriefing delivered at the commencement and conclusion of the simulation activity. Discussion: The integrated simulations reduced uncertainty and streamlined service delivery for staff who participated in the training, with simulations also used to foster interprofessional team training for clinical workflows. The simulation process allowed interprofessional teams (e.g. nurses, support staff, surgeons) to interact with one another prior to the facility opening.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46422455","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}
Lindsay Bowles, Whitney Heet, Jerieka Waterbeck, Lori Chastain, M. Monroe, Claire C Davies
Objective: To examine the effect of the Baptist Health Lexington Urology ERAS Protocol (BHLEX-UEP) on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy. Methods: A quasi-experiment (N=303) was conducted in a 434-bed Magnet® re-designated community hospital in the south-eastern United States of America (USA). Data on all adult patients who underwent prostatectomy or nephrectomy surgery were retrieved over a 19-month period. Group differences related to morphine equivalents consumed, mean pain score on the day of surgery, and length of stay were examined between patients who experienced the traditional recovery protocol (n=133) and those experiencing the BHLEX-UEP (n=170). Results: Significant differences for the three variables of interest were found between the groups. Conclusions: Results of this study indicate that the use of the BHLEX-UEP for patients undergoing prostatectomy or nephrectomy could lead to a decrease in opioid consumption and patients’ pain and a shorter length of stay in hospital.
{"title":"The effect of an enhanced recovery after surgery protocol on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy","authors":"Lindsay Bowles, Whitney Heet, Jerieka Waterbeck, Lori Chastain, M. Monroe, Claire C Davies","doi":"10.26550/2209-1092.1177","DOIUrl":"https://doi.org/10.26550/2209-1092.1177","url":null,"abstract":"Objective: To examine the effect of the Baptist Health Lexington Urology ERAS Protocol (BHLEX-UEP) on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy. Methods: A quasi-experiment (N=303) was conducted in a 434-bed Magnet® re-designated community hospital in the south-eastern United States of America (USA). Data on all adult patients who underwent prostatectomy or nephrectomy surgery were retrieved over a 19-month period. Group differences related to morphine equivalents consumed, mean pain score on the day of surgery, and length of stay were examined between patients who experienced the traditional recovery protocol (n=133) and those experiencing the BHLEX-UEP (n=170). Results: Significant differences for the three variables of interest were found between the groups. Conclusions: Results of this study indicate that the use of the BHLEX-UEP for patients undergoing prostatectomy or nephrectomy could lead to a decrease in opioid consumption and patients’ pain and a shorter length of stay in hospital.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45162450","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":"What does integrated care look like in a perioperative service?","authors":"J. Duff","doi":"10.26550/2209-1092.1201","DOIUrl":"https://doi.org/10.26550/2209-1092.1201","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46602519","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}
Introduction: Excessive noise in the operating room has been a topic of interest since the early 70s. It has been recognised that excessive noise can affect cognitive behavior and impair memory function which can be a health and safety issue. Though different approaches have been explored there remains a deficit in research into the application of noise modification programs within the operating room to combat the issue of noise pollution. This project aimed to identify if a discussion about appropriate noise levels and the use of a safe phrase at ‘time out’ would reduce noise levels in the operating room. Method: Several different approaches were used throughout this study, including a questionnaire to collect data before and after the project and two observational tools, one used to collect baseline data and the second used throughout the four-week trial period. Results: The evidence gained from this project showed an overall improvement with noise during the surgical process reduced by 26 per cent. This was done by dicsussing appropriate noise levels at ‘time out’ and allowing staff to speak up using the non-judgmental safe words ‘below ten thousand’. Conclusion: This study aimed to see whether discussing appropriate noise levels at ‘time out’ could help reduce current noise levels within the operating room as, seen in other studies, reducing noise can be a challenge. Though small, the overall results of this study had a positive impact on reducing noise levels. It is, however, recommended that continued reinforcement and education about the issues surrounding noise are required.
{"title":"Excessive noise in the operating room: Can it be improved?","authors":"Judith Ellen Bodin","doi":"10.26550/2209-1092.1194","DOIUrl":"https://doi.org/10.26550/2209-1092.1194","url":null,"abstract":"Introduction: Excessive noise in the operating room has been a topic of interest since the early 70s. It has been recognised that excessive noise can affect cognitive behavior and impair memory function which can be a health and safety issue. Though different approaches have been explored there remains a deficit in research into the application of noise modification programs within the operating room to combat the issue of noise pollution. This project aimed to identify if a discussion about appropriate noise levels and the use of a safe phrase at ‘time out’ would reduce noise levels in the operating room. Method: Several different approaches were used throughout this study, including a questionnaire to collect data before and after the project and two observational tools, one used to collect baseline data and the second used throughout the four-week trial period. Results: The evidence gained from this project showed an overall improvement with noise during the surgical process reduced by 26 per cent. This was done by dicsussing appropriate noise levels at ‘time out’ and allowing staff to speak up using the non-judgmental safe words ‘below ten thousand’. Conclusion: This study aimed to see whether discussing appropriate noise levels at ‘time out’ could help reduce current noise levels within the operating room as, seen in other studies, reducing noise can be a challenge. Though small, the overall results of this study had a positive impact on reducing noise levels. It is, however, recommended that continued reinforcement and education about the issues surrounding noise are required.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46984174","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: Post-anaesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anaesthesia. Concomitantly, the effectiveness of post-operative care is highly dependent on the accurate analysis, synthesis of patient data and quality of diagnostic decisions through clinical reasoning. Given the dynamic processes required to come to a diagnosis, uncertainty is common in clinical reasoning and expected during practice. Nevertheless, uncertainty may permeate the foundations of clinical reasoning, which can jeopardise diagnostic accuracy and consequently the quality and safety of health care. Literature search: The objectives of this review are to identify available evidence related to uncertainty in post-anaesthesia nursing clinical reasoning and to analyse the results from the perspective of the Model of Uncertainty in Complex Healthcare Settings (MUCH-S). A comprehensive search strategy using CINAHL (EBSCO), Cochrane Library (EBSCO), Medline (PubMed), ProQuest and Google Scholar databases was used to find published and unpublished relevant studies. Studies published in English and Portuguese were included. There was no temporal restriction, nor geographical or cultural limitation for the studies included. Data evaluation synthesis: All papers were reviewed by the authors to extract key information about purpose, sample and setting, research design and method, key findings and limitations. The literature search identified a total of 248 studies, 22 of which were retrieved for full reading. A total of four articles were included in this review. Implications for practice: Three main themes were identified: nurses’ intuition to reason, feelings of uncertainty related to lack of nursing knowledge and clinical (in)experience to deal with uncertainty. These findings are encompassed within the MUCH-S taxonomy: personal, scientific and practical. This review offers post-anaesthesia nurses’ greater levels of understanding of this phenomenon and may support more informed and reflexive clinical reasoning.
{"title":"Uncertainty in post-anaesthesia nursing clinical reasoning: An integrative review in the light of the model of uncertainty in complex health care settings","authors":"Lara Daniela Matos Cunha, Marcia Pestana-Santos, Lurdes Lomba, Margarida Reis Santos","doi":"10.26550/2209-1092.1182","DOIUrl":"https://doi.org/10.26550/2209-1092.1182","url":null,"abstract":"Problem identification: Post-anaesthesia nursing plays an important role in the early detection and treatment of clinical deterioration after surgery and/or anaesthesia. Concomitantly, the effectiveness of post-operative care is highly dependent on the accurate analysis, synthesis of patient data and quality of diagnostic decisions through clinical reasoning. Given the dynamic processes required to come to a diagnosis, uncertainty is common in clinical reasoning and expected during practice. Nevertheless, uncertainty may permeate the foundations of clinical reasoning, which can jeopardise diagnostic accuracy and consequently the quality and safety of health care. Literature search: The objectives of this review are to identify available evidence related to uncertainty in post-anaesthesia nursing clinical reasoning and to analyse the results from the perspective of the Model of Uncertainty in Complex Healthcare Settings (MUCH-S). A comprehensive search strategy using CINAHL (EBSCO), Cochrane Library (EBSCO), Medline (PubMed), ProQuest and Google Scholar databases was used to find published and unpublished relevant studies. Studies published in English and Portuguese were included. There was no temporal restriction, nor geographical or cultural limitation for the studies included. Data evaluation synthesis: All papers were reviewed by the authors to extract key information about purpose, sample and setting, research design and method, key findings and limitations. The literature search identified a total of 248 studies, 22 of which were retrieved for full reading. A total of four articles were included in this review. Implications for practice: Three main themes were identified: nurses’ intuition to reason, feelings of uncertainty related to lack of nursing knowledge and clinical (in)experience to deal with uncertainty. These findings are encompassed within the MUCH-S taxonomy: personal, scientific and practical. This review offers post-anaesthesia nurses’ greater levels of understanding of this phenomenon and may support more informed and reflexive clinical reasoning.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43417532","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}
Inadvertent perioperative hypothermia (IPH) is an uncomfortable, dangerous and costly but preventable complication of surgery. For perioperative nurses to treat this condition, they must first have an accurate means of detecting it. In making clinical decisions based on patients’ temperature, an important vital sign, nurses must understand how different thermometers work and be competent in their use. It is vital that patients have accurate core body temperature recorded when admitted to the Post Anaesthesia Care Unit (PACU). Infrared tympanic thermometers are a non-invasive tool regularly used by PACU nurses and provide a quick and easily obtained measurement that is a reflection of core body temperature. Despite this, uncertainty remains about the accuracy of tympanic thermometer readings and their ability to accurately estimate core temperature, leading to questions being raised about their acceptability in clinical use. This discussion paper will evaluate the use of tympanic thermometers within the PACU and identify their benefits, limitations and alternatives, as well as the competency requirements of the nurse. Clinical trials give varying results and more research is needed into both the use of tympanic thermometers in the PACU and the competence of the user.
{"title":"Understanding the use of tympanic thermometry in the Post Anaesthesia Care Unit: A discussion paper","authors":"James Halford, P. Foran","doi":"10.26550/2209-1092.1198","DOIUrl":"https://doi.org/10.26550/2209-1092.1198","url":null,"abstract":"Inadvertent perioperative hypothermia (IPH) is an uncomfortable, dangerous and costly but preventable complication of surgery. For perioperative nurses to treat this condition, they must first have an accurate means of detecting it. In making clinical decisions based on patients’ temperature, an important vital sign, nurses must understand how different thermometers work and be competent in their use. It is vital that patients have accurate core body temperature recorded when admitted to the Post Anaesthesia Care Unit (PACU). Infrared tympanic thermometers are a non-invasive tool regularly used by PACU nurses and provide a quick and easily obtained measurement that is a reflection of core body temperature. Despite this, uncertainty remains about the accuracy of tympanic thermometer readings and their ability to accurately estimate core temperature, leading to questions being raised about their acceptability in clinical use. This discussion paper will evaluate the use of tympanic thermometers within the PACU and identify their benefits, limitations and alternatives, as well as the competency requirements of the nurse. Clinical trials give varying results and more research is needed into both the use of tympanic thermometers in the PACU and the competence of the user.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41985236","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}
Md. Parvez Mosharaf, Khorshed Alam, N. Ralph, J. Gow
Aims: In this systematic review, the primary aim is to investigate the hospital cost burden attributed to post-operative delirium (POD). A secondary aim is to examine how patient length of stay (LOS) in hospital varies across the selected studies. Background: POD is a common occurrence after major surgery and leads to serious medical complications. It is associated with increased morbidity and double the risk of mortality from surgery compared to non-delirious patients. POD increases patient LOS in hospital and increases the economic burden on patients and the health system. Design: A systematic review was conducted. Method: Published articles in English over the period 2010 to 2020 were searched using the PubMed and MEDLINE databases. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. The study quality and risks of bias of included studies were assessed using the Newcastle–Ottawa Quality Assessment Scale (NOS). Results: A total of 2539 published records were initially screened and ultimately ten studies were found to be relevant to the review criteria. Six studies were from the United States of America (USA) and the others from South Korea, Australia, and Canada. The additional costs for patients with POD ranged from a minimum of US$1551 to a maximum of US$23 698 compared to non-delirious patients. Costs were higher in the USA than other countries. Studies reported most surgical patients experiencing POD were aged 70 years or older which dramatically increases the risk of its occurrence and increases LOS and hospital related costs. The difference in LOS between POD and non-delirious patients ranged from 0.8 to 7.3 days and this increased significantly if POD patients were in intensive care. Conclusions: Increased LOS and increased hospital costs are strongly associated with POD after major surgery.
{"title":"Hospital costs of post-operative delirium: A systematic review","authors":"Md. Parvez Mosharaf, Khorshed Alam, N. Ralph, J. Gow","doi":"10.26550/2209-1092.1165","DOIUrl":"https://doi.org/10.26550/2209-1092.1165","url":null,"abstract":"Aims: In this systematic review, the primary aim is to investigate the hospital cost burden attributed to post-operative delirium (POD). A secondary aim is to examine how patient length of stay (LOS) in hospital varies across the selected studies. Background: POD is a common occurrence after major surgery and leads to serious medical complications. It is associated with increased morbidity and double the risk of mortality from surgery compared to non-delirious patients. POD increases patient LOS in hospital and increases the economic burden on patients and the health system. Design: A systematic review was conducted. Method: Published articles in English over the period 2010 to 2020 were searched using the PubMed and MEDLINE databases. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. The study quality and risks of bias of included studies were assessed using the Newcastle–Ottawa Quality Assessment Scale (NOS). Results: A total of 2539 published records were initially screened and ultimately ten studies were found to be relevant to the review criteria. Six studies were from the United States of America (USA) and the others from South Korea, Australia, and Canada. The additional costs for patients with POD ranged from a minimum of US$1551 to a maximum of US$23 698 compared to non-delirious patients. Costs were higher in the USA than other countries. Studies reported most surgical patients experiencing POD were aged 70 years or older which dramatically increases the risk of its occurrence and increases LOS and hospital related costs. The difference in LOS between POD and non-delirious patients ranged from 0.8 to 7.3 days and this increased significantly if POD patients were in intensive care. Conclusions: Increased LOS and increased hospital costs are strongly associated with POD after major surgery.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45246060","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}
Mehdi Hasanshahi, M. Rakhshan, A. Fereidouni, Seyed Alireza Moayedi, C. Torabizadeh
{"title":"Development and psychometric evaluation of a questionnaire for measuring distraction due to mobile phone use in operating rooms","authors":"Mehdi Hasanshahi, M. Rakhshan, A. Fereidouni, Seyed Alireza Moayedi, C. Torabizadeh","doi":"10.26550/2209-1092.1162","DOIUrl":"https://doi.org/10.26550/2209-1092.1162","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41456588","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 perioperative environment has seen the implementation of the perioperative nurse surgical assistant as an advanced practice nursing role for the instrument nurse; however, there is currently no recognised equivalent role for the anaesthesia nurse. Anaesthesia nurses complete post-graduate qualifications and learn advanced clinical skills, and yet the authoritative body for perioperative nurses, the Australian College of Perioperative Nurses, does not define a specific role for advanced practice nursing in anaesthesia. Career advancement for the anaesthesia nurse focuses on education and management roles which are a distinct deviation from advanced clinical practice. A new role should be developed to allow the advanced practice nurse in anaesthesia to be recognised and their skills used in Australian operating rooms.
{"title":"Where are the practising nurse anaesthetists in Australia? Exploring an advanced practice role for anaesthesia nurses","authors":"Lucy Michaels, P. Foran","doi":"10.26550/2209-1092.1183","DOIUrl":"https://doi.org/10.26550/2209-1092.1183","url":null,"abstract":"The perioperative environment has seen the implementation of the perioperative nurse surgical assistant as an advanced practice nursing role for the instrument nurse; however, there is currently no recognised equivalent role for the anaesthesia nurse. Anaesthesia nurses complete post-graduate qualifications and learn advanced clinical skills, and yet the authoritative body for perioperative nurses, the Australian College of Perioperative Nurses, does not define a specific role for advanced practice nursing in anaesthesia. Career advancement for the anaesthesia nurse focuses on education and management roles which are a distinct deviation from advanced clinical practice. A new role should be developed to allow the advanced practice nurse in anaesthesia to be recognised and their skills used in Australian operating rooms.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44976159","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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