Intra-operative awareness is very rare yet represents a serious complication of general anaesthesia. The ongoing consequences of such an event may cause significant distress and long-term effects such as insomnia, depression, anxiety and post-traumatic stress disorder (PTSD). To provide safer anaesthesia, it is critical to identify contributing factors related to both the patient and the anaesthesia to prevent intra-operative awareness in at-risk patients. It is also vital to provide education to Post Anaesthesia Care Unit (PACU) nurses and surgical ward nurses about the appropriate way to manage a situation when a patient reports intra-operative awareness following anaesthesia. General anaesthesia with neuromuscular blockade is still considered the highest risk factor for intra-operative awareness. Depth of anaesthesia monitoring has come under the spotlight to try and address this complication; however, there is yet to be a device or technique that provides 100 per cent accuracy in measuring depth of anaesthesia. It is the collective responsibility of all perioperative staff to identify patients at high risk of intra-operative awareness, manage the intra-operative complexities and offer support and expert counselling post-operatively when intra-operative awareness is reported.
{"title":"Awareness under anaesthesia: The role of the perioperative nurse","authors":"Dawn Bull, P. Foran","doi":"10.26550/2209-1092.1184","DOIUrl":"https://doi.org/10.26550/2209-1092.1184","url":null,"abstract":"Intra-operative awareness is very rare yet represents a serious complication of general anaesthesia. The ongoing consequences of such an event may cause significant distress and long-term effects such as insomnia, depression, anxiety and post-traumatic stress disorder (PTSD). To provide safer anaesthesia, it is critical to identify contributing factors related to both the patient and the anaesthesia to prevent intra-operative awareness in at-risk patients. It is also vital to provide education to Post Anaesthesia Care Unit (PACU) nurses and surgical ward nurses about the appropriate way to manage a situation when a patient reports intra-operative awareness following anaesthesia. General anaesthesia with neuromuscular blockade is still considered the highest risk factor for intra-operative awareness. Depth of anaesthesia monitoring has come under the spotlight to try and address this complication; however, there is yet to be a device or technique that provides 100 per cent accuracy in measuring depth of anaesthesia. It is the collective responsibility of all perioperative staff to identify patients at high risk of intra-operative awareness, manage the intra-operative complexities and offer support and expert counselling post-operatively when intra-operative awareness is reported.","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":"48289720","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":"How will the nursing profession remember the Hon Greg Hunt MP?","authors":"Toni Hains","doi":"10.26550/2209-1092.1181","DOIUrl":"https://doi.org/10.26550/2209-1092.1181","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44395618","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}
Ines Martins Esteves, Marcia Silva Coelho, Hugo Neves, Marcia Pestana-Santos, Margarida Reis Santos
Aim: To evaluate the effectiveness of family-centred educational interventions on the anxiety, pain and behaviours of children and adolescents (three to 19 years old) and their parents’ anxiety during the perioperative journey. Design: Systematic review of effectiveness and meta-analysis. Data sources: MEDLINE, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, SciELO and Sources of unpublished studies OpenGrey, Open Access Theses and Dissertations, and RCAAP – Portugal were systematically searched from January 2007 to April 2021 for available articles in English, Spanish and Portuguese. Review methods: This review followed the methodology for systematic reviews of effectiveness from Joanna Briggs Institute (JBI). Included studies were critically appraised using JBI Critical Appraisal Checklist for Randomised Controlled Trials and JBI Critical Appraisal Checklist for Quasi-Experimental Studies. Data was synthesised through meta-analysis, using a random-effects model in the Stata Statistical Software 16.0, and narrative synthesis. Two independent reviewers performed the selection process, critical analysis, and data extraction. Results: Twenty-eight studies (26 randomised controlled trials (RCTs) and two quasi-randomised controlled trials) were included with a total of 2516 families. In a meta-analysis of ten RCTs with 761 participants, pre-operative anxiety management was more effective in children and adolescents who received educational interventions (SMD = -1.02; SE = 0.36; 95% CI [-1.73; -0.32]). At the induction of anaesthesia, children and adolescents were significantly less anxious (SMD = -1.54; SE = 0.62; 95% CI [-2.72; -0.36]) and demonstrated better compliance than controls (SMD = -1.40; SE = 0.67; 95% CI [-2.72; -0.09]). Post-operative pain (SMD = -0.43; SE = 0.33; 95% CI [-1.05; 0.19]) and pre-operative parental anxiety (SMD = -0.94; SE = 1.00; 95% CI [-2.87; 0.99]) were reduced in favour of the educational interventions. Conclusion: Family-centred educational interventions probably lead to a considerable reduction of paediatric and parental anxiety and improve paediatric behaviours at induction of anaesthesia. The evidence is very uncertain regarding the effectiveness of these interventions on post-operative paediatric maladaptive behaviours and pain intensity or parental anxiety levels at the induction of anaesthesia. Authors Ines Martins Esteves Nursing School of Porto, Portugal Marcia Silva Coelho Nursing School of Porto, Portugal Hugo Neves Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal Marcia Pestana-Santos Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal Margarida Reis Santos Nursing School of Porto; CINTESIS – Center for Health Technology and Services Research, Portugal Corresponding author Ines Martins Esteves Nursing School of Porto, Portugal inesmartinsesteves@gmail.com Peer-reviewed article
目的:评价以家庭为中心的教育干预对围手术期儿童和青少年(3 ~ 19岁)焦虑、疼痛和行为及其父母焦虑的影响。设计:系统评价有效性和荟萃分析。数据来源:MEDLINE, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, SciELO和未发表研究的来源:OpenGrey，开放获取论文和学位论文，RCAAP - Portugal从2007年1月到2021年4月系统地检索了英语，西班牙语和葡萄牙语的可用文章。综述方法:本综述采用乔安娜布里格斯研究所(JBI)的有效性系统评价方法。使用JBI随机对照试验关键评价清单和JBI准实验研究关键评价清单对纳入的研究进行严格评价。数据通过meta分析综合，使用Stata统计软件16.0中的随机效应模型和叙事综合。两位独立的审稿人进行了选择过程、批判性分析和数据提取。结果:纳入28项研究(26项随机对照试验(RCTs)和2项准随机对照试验)，共2516个家庭。在一项包含761名参与者的10项随机对照试验的荟萃分析中，接受教育干预的儿童和青少年术前焦虑管理更有效(SMD = -1.02;Se = 0.36;95% ci [-1.73;-0.32])。在麻醉诱导时，儿童和青少年的焦虑显著降低(SMD = -1.54;Se = 0.62;95% ci [-2.72;-0.36])，并且表现出比对照组更好的依从性(SMD = -1.40;Se = 0.67;95% ci [-2.72;-0.09])。术后疼痛(SMD = -0.43;Se = 0.33;95% ci [-1.05;0.19])和术前父母焦虑(SMD = -0.94;Se = 1.00;95% ci [-2.87;0.99])减少了对教育干预的支持。结论:以家庭为中心的教育干预可能会大大减少儿童和家长的焦虑，并改善儿童在麻醉诱导时的行为。关于这些干预措施对术后儿童适应不良行为和麻醉诱导时疼痛强度或父母焦虑水平的有效性，证据非常不确定。作者Ines Martins Esteves护理学校，葡萄牙波尔图Marcia Silva Coelho护理学校，葡萄牙Hugo Neves健康科学研究单位:护理(UICISA: E)，科英布拉护理学校(ESEnfC)，葡萄牙Marcia Pestana-Santos健康科学研究单位:护理(UICISA: E)，科英布拉护理学校(ESEnfC)，葡萄牙波尔图Margarida Reis Santos护理学校;CINTESIS -葡萄牙卫生技术和服务研究中心通讯作者葡萄牙波尔图Ines Martins Esteves护理学校inesmartinsesteves@gmail.com同行评审文章
{"title":"Effectiveness of family-centred educational interventions in the anxiety, pain and behaviours of children/adolescents and their parents’ anxiety in the perioperative period: a systematic review and meta-analysis","authors":"Ines Martins Esteves, Marcia Silva Coelho, Hugo Neves, Marcia Pestana-Santos, Margarida Reis Santos","doi":"10.26550/2209-1092.1153","DOIUrl":"https://doi.org/10.26550/2209-1092.1153","url":null,"abstract":"Aim: To evaluate the effectiveness of family-centred educational interventions on the anxiety, pain and behaviours of children and adolescents (three to 19 years old) and their parents’ anxiety during the perioperative journey. Design: Systematic review of effectiveness and meta-analysis. Data sources: MEDLINE, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, SciELO and Sources of unpublished studies OpenGrey, Open Access Theses and Dissertations, and RCAAP – Portugal were systematically searched from January 2007 to April 2021 for available articles in English, Spanish and Portuguese. Review methods: This review followed the methodology for systematic reviews of effectiveness from Joanna Briggs Institute (JBI). Included studies were critically appraised using JBI Critical Appraisal Checklist for Randomised Controlled Trials and JBI Critical Appraisal Checklist for Quasi-Experimental Studies. Data was synthesised through meta-analysis, using a random-effects model in the Stata Statistical Software 16.0, and narrative synthesis. Two independent reviewers performed the selection process, critical analysis, and data extraction. Results: Twenty-eight studies (26 randomised controlled trials (RCTs) and two quasi-randomised controlled trials) were included with a total of 2516 families. In a meta-analysis of ten RCTs with 761 participants, pre-operative anxiety management was more effective in children and adolescents who received educational interventions (SMD = -1.02; SE = 0.36; 95% CI [-1.73; -0.32]). At the induction of anaesthesia, children and adolescents were significantly less anxious (SMD = -1.54; SE = 0.62; 95% CI [-2.72; -0.36]) and demonstrated better compliance than controls (SMD = -1.40; SE = 0.67; 95% CI [-2.72; -0.09]). Post-operative pain (SMD = -0.43; SE = 0.33; 95% CI [-1.05; 0.19]) and pre-operative parental anxiety (SMD = -0.94; SE = 1.00; 95% CI [-2.87; 0.99]) were reduced in favour of the educational interventions. Conclusion: Family-centred educational interventions probably lead to a considerable reduction of paediatric and parental anxiety and improve paediatric behaviours at induction of anaesthesia. The evidence is very uncertain regarding the effectiveness of these interventions on post-operative paediatric maladaptive behaviours and pain intensity or parental anxiety levels at the induction of anaesthesia. Authors Ines Martins Esteves Nursing School of Porto, Portugal Marcia Silva Coelho Nursing School of Porto, Portugal Hugo Neves Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal Marcia Pestana-Santos Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Portugal Margarida Reis Santos Nursing School of Porto; CINTESIS – Center for Health Technology and Services Research, Portugal Corresponding author Ines Martins Esteves Nursing School of Porto, Portugal inesmartinsesteves@gmail.com Peer-reviewed article","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69461715","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}
Sharon Carey, Jacob Waller, Lucy Yueming Wang, S. Ferrie
Objective: This study aims to examine validity and sensitivity of two visual analogue scales (VASs), measuring thirst intensity and thirst distress, and compare them with a validated thirst discomfort scale (TDS). Methods: This is a non-interventional, prospective and cross-sectional study. Researchers recruited 161 patients from an acute surgical hospital, who were identified at time of interaction as fasting. Data was collected using a questionnaire, which included the TDS. Criterion validity and construct validity was tested for the two VASs. Sensitivity was assessed based on the amount of time fasting from solid foods or fluids. Results: Results showed the VAS for thirst intensity, the VAS for thirst distress and the average of the VAS scores correlated with the TDS (ρ=0.66, 0.81 and 0.72 respectively, all p<0.001). Conclusions: Our findings suggest that the VAS is a valid and sensitive patientreported outcome measure for thirst distress in fasting patients.
{"title":"Qualifying thirst distress in the acute hospital setting – validation of a patient-reported outcome measure.","authors":"Sharon Carey, Jacob Waller, Lucy Yueming Wang, S. Ferrie","doi":"10.26550/2209-1092.1156","DOIUrl":"https://doi.org/10.26550/2209-1092.1156","url":null,"abstract":"Objective: This study aims to examine validity and sensitivity of two visual analogue scales (VASs), measuring thirst intensity and thirst distress, and compare them with a validated thirst discomfort scale (TDS). Methods: This is a non-interventional, prospective and cross-sectional study. Researchers recruited 161 patients from an acute surgical hospital, who were identified at time of interaction as fasting. Data was collected using a questionnaire, which included the TDS. Criterion validity and construct validity was tested for the two VASs. Sensitivity was assessed based on the amount of time fasting from solid foods or fluids. Results: Results showed the VAS for thirst intensity, the VAS for thirst distress and the average of the VAS scores correlated with the TDS (ρ=0.66, 0.81 and 0.72 respectively, all p<0.001). Conclusions: Our findings suggest that the VAS is a valid and sensitive patientreported outcome measure for thirst distress in fasting patients.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46496896","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 nurses, including perianaesthesia, instrument and circulating nurses, stand for most of their shift – anywhere from one to eight hours at a time. This prolonged standing has been linked to negative effects on health, increasing the incidence of musculoskeletal disorders, such as lower back pain and neck pain, and cardiovascular diseases, such as oedema, varicose veins and venous pooling. Given the impact these workplace injuries have on nurses, and on workplaces through financial costs associated with sick leave and/or workers compensation claims, surely prevention would be better than cure. While limited research exists to categorically suggest what prevention strategies are best, several options are available for consideration. The use of anti-fatigue mats has been associated with lower incidence of back pain. It is suggested that perioperative nurses consider using sit–stand stools, if available, and compression socks at 15–20 mmHg, if standing in a static position for long periods. Proper posture while standing – described as a neutral pelvis, natural thoracic curvature, flat abdomen, aligned shoulder, hip and ankles and an erect head – can assist in preventing disorders associated with prolonged standing. A combination of stretching and strength training for perioperative staff can help improve musculoskeletal symptoms experienced due to poor posture and tension, and the introduction of microbreaks has also seen improvements in concentration and comfort while reducing fatigue and discomfort. This paper will discuss the health effects of prolonged standing and provide information about ergonomic interventions, compression socks or stockings, stretching programs and microbreaks for perioperative nursing teams to consider.
{"title":"To stand or not to stand? Implications of prolonged standing for perioperative nurses: A discussion paper","authors":"Katinka Olynick, P. Foran","doi":"10.26550/2209-1092.1167","DOIUrl":"https://doi.org/10.26550/2209-1092.1167","url":null,"abstract":"Perioperative nurses, including perianaesthesia, instrument and circulating nurses, stand for most of their shift – anywhere from one to eight hours at a time. This prolonged standing has been linked to negative effects on health, increasing the incidence of musculoskeletal disorders, such as lower back pain and neck pain, and cardiovascular diseases, such as oedema, varicose veins and venous pooling. Given the impact these workplace injuries have on nurses, and on workplaces through financial costs associated with sick leave and/or workers compensation claims, surely prevention would be better than cure. While limited research exists to categorically suggest what prevention strategies are best, several options are available for consideration. The use of anti-fatigue mats has been associated with lower incidence of back pain. It is suggested that perioperative nurses consider using sit–stand stools, if available, and compression socks at 15–20 mmHg, if standing in a static position for long periods. Proper posture while standing – described as a neutral pelvis, natural thoracic curvature, flat abdomen, aligned shoulder, hip and ankles and an erect head – can assist in preventing disorders associated with prolonged standing. A combination of stretching and strength training for perioperative staff can help improve musculoskeletal symptoms experienced due to poor posture and tension, and the introduction of microbreaks has also seen improvements in concentration and comfort while reducing fatigue and discomfort. This paper will discuss the health effects of prolonged standing and provide information about ergonomic interventions, compression socks or stockings, stretching programs and microbreaks for perioperative nursing teams to consider.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48471352","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}
Purpose: The purpose of this study was to determine environmental stressors perceived by patients in the surgical intensive care unit and their level of satisfaction with nursing care. Design: A descriptive cross-sectional study design was used in this study. Methods: This study was conducted between January 2019 and June 2019 with 120 patients who were hospitalised in the surgical intensive care unit. Data collection was via a patient information form, the Intensive Care Unit Environmental Stressor Scale (ICUESS) and the Experiences of Nursing Care Scale (ENCS) component of the Newcastle Satisfaction with Nursing Scales (NSNS). Findings: The mean ICUESS score was found to be 76.30 ±11.18. The main stressors perceived by the patients in the surgical intensive care unit were being in pain, being thirsty and sleeplessness. The ENCS mean score was 81.05 ±9.03. Conclusion: The mean score of the ICUESS of patients was moderate and the mean score of the ENCS was good. There was a statistically significant, negative and moderate correlation between the ICUESS score and the ENCS score.
{"title":"Environmental stressors perceived by patients in the surgical intensive care unit and their level of satisfaction with nursing care","authors":"Hacer Karaer, E. Ozsaker","doi":"10.26550/2209-1092.1151","DOIUrl":"https://doi.org/10.26550/2209-1092.1151","url":null,"abstract":"Purpose: The purpose of this study was to determine environmental stressors perceived by patients in the surgical intensive care unit and their level of satisfaction with nursing care. Design: A descriptive cross-sectional study design was used in this study. Methods: This study was conducted between January 2019 and June 2019 with 120 patients who were hospitalised in the surgical intensive care unit. Data collection was via a patient information form, the Intensive Care Unit Environmental Stressor Scale (ICUESS) and the Experiences of Nursing Care Scale (ENCS) component of the Newcastle Satisfaction with Nursing Scales (NSNS). Findings: The mean ICUESS score was found to be 76.30 ±11.18. The main stressors perceived by the patients in the surgical intensive care unit were being in pain, being thirsty and sleeplessness. The ENCS mean score was 81.05 ±9.03. Conclusion: The mean score of the ICUESS of patients was moderate and the mean score of the ENCS was good. There was a statistically significant, negative and moderate correlation between the ICUESS score and the ENCS score.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49368787","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}
Kaylee A Jordan, Teresa Sindoni, Reny Segal, Keat Lee, R. Krieser, P. Mezzavia, Yinwei Chen, Irene Ng
The COVID-19 pandemic presents significant concerns surrounding the risk of transmission to health care workers involved in airway management of patients with suspected or known infection. Limited evidence has been available to guide the preparation of staff, intubation environments, team structure and personal protective equipment. Our study invited Victorian hospitals to complete a survey on their airway management practices and protocols, in order to assess the degree of variability in practice and preparedness. Twenty hospitals responded in September 2020, during Victoria's second wave of COVID-19. Forty percent had dedicated COVID-19 intubation teams, aLL including consultant anaesthetists. Seventy-five percent had negatively pressured dedicated intubation rooms. ALL provided airborne precautions including N95 masks for airway and cardiac arrest management of suspected or confirmed COVID-19 positive patients, with 35 per cent providing N95 mask fit testing and 15 per cent providing powered air purifying respirators or elastomeric respirators. Thirty-five percent provided airborne precautions for cardiac arrest management of patients not suspected to be COVID-19 positive. Significant inter-hospitaL variations were reported in airway management practices, such as preoxygenation, bag-mask ventilation, medications and techniques to minimise aerosoLisation. Although some of this variation was Likely due to individual hospital infrastructure and resource Limitations, it would be ideaL to achieve a more consistent, standardised approach across Victorian hospitals. This study may highlight areas for improvement for some hospitals. These areas for improvement may include consideration of the establishment of COVID-19 intubation teams in at Least major metropolitan hospitals, N95 mask fit testing and the use of airborne precautions for cardiac arrest management during times of increased community prevalence of COVID-19.
{"title":"Variations in COVID-19 airway management and preparedness among Victorian hospitals","authors":"Kaylee A Jordan, Teresa Sindoni, Reny Segal, Keat Lee, R. Krieser, P. Mezzavia, Yinwei Chen, Irene Ng","doi":"10.26550/2209-1092.1142","DOIUrl":"https://doi.org/10.26550/2209-1092.1142","url":null,"abstract":"The COVID-19 pandemic presents significant concerns surrounding the risk of transmission to health care workers involved in airway management of patients with suspected or known infection. Limited evidence has been available to guide the preparation of staff, intubation environments, team structure and personal protective equipment. Our study invited Victorian hospitals to complete a survey on their airway management practices and protocols, in order to assess the degree of variability in practice and preparedness. Twenty hospitals responded in September 2020, during Victoria's second wave of COVID-19. Forty percent had dedicated COVID-19 intubation teams, aLL including consultant anaesthetists. Seventy-five percent had negatively pressured dedicated intubation rooms. ALL provided airborne precautions including N95 masks for airway and cardiac arrest management of suspected or confirmed COVID-19 positive patients, with 35 per cent providing N95 mask fit testing and 15 per cent providing powered air purifying respirators or elastomeric respirators. Thirty-five percent provided airborne precautions for cardiac arrest management of patients not suspected to be COVID-19 positive. Significant inter-hospitaL variations were reported in airway management practices, such as preoxygenation, bag-mask ventilation, medications and techniques to minimise aerosoLisation. Although some of this variation was Likely due to individual hospital infrastructure and resource Limitations, it would be ideaL to achieve a more consistent, standardised approach across Victorian hospitals. This study may highlight areas for improvement for some hospitals. These areas for improvement may include consideration of the establishment of COVID-19 intubation teams in at Least major metropolitan hospitals, N95 mask fit testing and the use of airborne precautions for cardiac arrest management during times of increased community prevalence of COVID-19.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45742078","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}
Metabolic syndrome (MetS) is a condition with interconnected abnormalities of the metabolic system that has been labelled by the World Health Organization as a main cause of death worldwide. Risk factors for MetS include occupational stress, disturbances to circadian rhythms, sleep disorders and changed eating habits, which are all associated with shift work. As shift work and occupational stress are common in perioperative nursing, the risk of developing MetS is increased for perioperative nurses. This discussion paper aims to bring an awareness and understanding of MetS to perioperative nurses and identifies the occupational risks in the perioperative environment that may lead to its development. It also presents some possible strategies to mitigate the risk factors or prevent this condition for perioperative nurses in the future.
{"title":"Prevention is better than cure: Understanding metabolic syndrome (MetS) and the occupational risks for perioperative nurses","authors":"D. Turnbull, P. Foran","doi":"10.26550/2209-1092.1149","DOIUrl":"https://doi.org/10.26550/2209-1092.1149","url":null,"abstract":"Metabolic syndrome (MetS) is a condition with interconnected abnormalities of the metabolic system that has been labelled by the World Health Organization as a main cause of death worldwide. Risk factors for MetS include occupational stress, disturbances to circadian rhythms, sleep disorders and changed eating habits, which are all associated with shift work. As shift work and occupational stress are common in perioperative nursing, the risk of developing MetS is increased for perioperative nurses. This discussion paper aims to bring an awareness and understanding of MetS to perioperative nurses and identifies the occupational risks in the perioperative environment that may lead to its development. It also presents some possible strategies to mitigate the risk factors or prevent this condition for perioperative nurses in the future.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43894011","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 Journal of Perioperative Nursing (JPN) continues to fulfil its mission to be the trusted source of evidence for perioperative nurses and is within reach of achieving its vision to be the world’s leading perioperative nursing journal. In this editorial, I take the opportunity to celebrate the journal’s achievements over the past two years.
{"title":"Journal of Perioperative Nursing: Fulfilling its mission and achieving its vision","authors":"J. Duff","doi":"10.26550/2209-1092.1148","DOIUrl":"https://doi.org/10.26550/2209-1092.1148","url":null,"abstract":"The Journal of Perioperative Nursing (JPN) continues to fulfil its mission to be the trusted source of evidence for perioperative nurses and is within reach of achieving its vision to be the world’s leading perioperative nursing journal. In this editorial, I take the opportunity to celebrate the journal’s achievements over the past two years.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44791885","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：