In the era of the COVID-19 pandemic, the avoidance of aerosol generating procedures (AGPs) is paramount to reduce the risk of viral transmission to staff and other patients. Perioperative management of a new tracheostomy is challenging as routine care, such as suctioning, frequently involves AGPs. We developed and implemented an apparatus called the heat and moisture exchanger (HME) filter-protected open circuit. This enabled closed suctioning to be performed and allowed spontaneously breathing patients to be managed with an open circuit in a shared environment while reducing the risk of viral aerosolisation. We performed a prospective observational study of 20 cases, recording the incidence of desaturation (<90%), apparatus disconnection, apparatus dislodgement and apparatus replacement. The ease of use of the apparatus for recovery nursing staff and patient comfort were measured on a Likert scale. There were no incidents of desaturation. There were two circuit disconnections. Apparatus replacement with an alternate circuit was not required for any patient. Most recovery nursing staff agreed or strongly agreed that the apparatus was easy to use and that the apparatus bulk or weight did not interfere with patient care activities. Ninety-five per cent of patients reported that their breathing was comfortable prior to discharge from the Post Anaesthesia Care Unit. In conclusion, the HME filter-protected open circuit is a relatively safe, acceptable and practical device to use for spontaneously breathing patients with newly created tracheostomies in the perioperative environment.
{"title":"Post-operative use of HME filter‑protected open tracheostomy circuit during the COVID-19 pandemic","authors":"W. S. Koh, Irene Ng, Megan Downing","doi":"10.26550/2209-1092.1138","DOIUrl":"https://doi.org/10.26550/2209-1092.1138","url":null,"abstract":"In the era of the COVID-19 pandemic, the avoidance of aerosol generating procedures (AGPs) is paramount to reduce the risk of viral transmission to staff and other patients. Perioperative management of a new tracheostomy is challenging as routine care, such as suctioning, frequently involves AGPs. We developed and implemented an apparatus called the heat and moisture exchanger (HME) filter-protected open circuit. This enabled closed suctioning to be performed and allowed spontaneously breathing patients to be managed with an open circuit in a shared environment while reducing the risk of viral aerosolisation. We performed a prospective observational study of 20 cases, recording the incidence of desaturation (<90%), apparatus disconnection, apparatus dislodgement and apparatus replacement. The ease of use of the apparatus for recovery nursing staff and patient comfort were measured on a Likert scale. There were no incidents of desaturation. There were two circuit disconnections. Apparatus replacement with an alternate circuit was not required for any patient. Most recovery nursing staff agreed or strongly agreed that the apparatus was easy to use and that the apparatus bulk or weight did not interfere with patient care activities. Ninety-five per cent of patients reported that their breathing was comfortable prior to discharge from the Post Anaesthesia Care Unit. In conclusion, the HME filter-protected open circuit is a relatively safe, acceptable and practical device to use for spontaneously breathing patients with newly created tracheostomies in the perioperative environment.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42837511","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}
Louise C Grant Mrs, P. Nicholson, Bronwyn Davidson Associate Professor, Elizabeth Manias
Aim The aim of this study was to explore health professionals’ perceptions of the impact of noise on communication in the operating room. Sample and setting Health professionals working in the operating room at a tertiary, affiliated, major referral hospital in northern Australia were recruited using purposive sampling. Method Semi-structured interviews were undertaken using an exploratory qualitative design to explore health professionals’ perceptions of communication and the impact of noise in the operating room. Interviews were transcribed verbatim and analysed using thematic analysis.
{"title":"'Can you hear me?' Barriers to and facilitators of communication in the presence of noise in the operating room","authors":"Louise C Grant Mrs, P. Nicholson, Bronwyn Davidson Associate Professor, Elizabeth Manias","doi":"10.26550/2209-1092.1132","DOIUrl":"https://doi.org/10.26550/2209-1092.1132","url":null,"abstract":"Aim The aim of this study was to explore health professionals’ perceptions of the impact of noise on communication in the operating room. Sample and setting Health professionals working in the operating room at a tertiary, affiliated, major referral hospital in northern Australia were recruited using purposive sampling. Method Semi-structured interviews were undertaken using an exploratory qualitative design to explore health professionals’ perceptions of communication and the impact of noise in the operating room. Interviews were transcribed verbatim and analysed using thematic analysis.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45156657","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}
Marcia Pestana-Santos, M. J. Pereira, Adriana Pestana-Santos, E. Santos, A. Goncalves, D. Cardoso, Lurdes Lomba, Margarida Reis Santos
Recommended Citation Pestana-Santos, Marcia; Pereira, Maria Joao; Pestana-Santos, Adriana; Santos, Eduardo; Goncalves, Andreia; Cardoso, Daniela; Lomba, Lurdes; and Santos, Margarida Reis (2021) "Effectiveness of nonpharmacological interventions to manage anxiety in adolescents in the perioperative period: A systematic review and meta‐analysis," Journal of Perioperative Nursing: Vol. 34 : Iss. 3 , Article 3. Available at: https://doi.org/10.26550/2209-1092.1130
{"title":"Effectiveness of non-pharmacological interventions to manage anxiety in adolescents in the perioperative period: A systematic review and meta‑analysis","authors":"Marcia Pestana-Santos, M. J. Pereira, Adriana Pestana-Santos, E. Santos, A. Goncalves, D. Cardoso, Lurdes Lomba, Margarida Reis Santos","doi":"10.26550/2209-1092.1130","DOIUrl":"https://doi.org/10.26550/2209-1092.1130","url":null,"abstract":"Recommended Citation Pestana-Santos, Marcia; Pereira, Maria Joao; Pestana-Santos, Adriana; Santos, Eduardo; Goncalves, Andreia; Cardoso, Daniela; Lomba, Lurdes; and Santos, Margarida Reis (2021) \"Effectiveness of nonpharmacological interventions to manage anxiety in adolescents in the perioperative period: A systematic review and meta‐analysis,\" Journal of Perioperative Nursing: Vol. 34 : Iss. 3 , Article 3. Available at: https://doi.org/10.26550/2209-1092.1130","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44470715","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}
Victoria Ruth Warwick Dr, B. Gillespie, A. McMurray, Karen G Clark-Burg Professor
Objective To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’ 1 . Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data. Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate. Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler.
{"title":"Undertaking the surgical count: An observational study","authors":"Victoria Ruth Warwick Dr, B. Gillespie, A. McMurray, Karen G Clark-Burg Professor","doi":"10.26550/2209-1092.1089","DOIUrl":"https://doi.org/10.26550/2209-1092.1089","url":null,"abstract":"Objective To systematically measure and describe perioperative nurses’ surgical count practices using the Surgical Count Observational Tool, to measure conformity with standardised processes and identify barriers and enablers influencing nurses’ practices. The Surgical Count Observational Tool (SCOT) was developed using the Content Validity Index over two Delphi panel rounds and then pilot tested. Individual observations were analysed according to 14 criteria based on the 2016 Australian College of Perioperative Nurses (ACORN) standard ‘Management of accountable items used during surgery and procedures’ 1 . Count processes were observed over two consecutive weeks across six specialist perioperative teams including nurses, surgeons, anaesthetists and technicians to measure compliance with the ACORN standard. The SCOT and a field diary were then used in an observational study of 83 nursing staff, including 54 circulating nurses and 29 instrument nurses, over a period of 57 hours. Interrater reliability was calculated using Cohen’s kappa. Descriptive statistics were used to analyse observational data. Of the 1268 count practices observed, 759 were compliant with the ACORN standard, representing a 60 per cent compliance rate. Consistency and compliance rates were lower than expected. Patient, case, environmental factors and expectations of surgeons and co-workers were observed to act as barriers to best practice in perioperative nurses undertaking a surgical count, while nurse’s knowledge was observed to act as an enabler.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46489802","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":"Still more to do to improve perioperative safety and prevent patient harm","authors":"J. Duff","doi":"10.26550/2209-1092.1127","DOIUrl":"https://doi.org/10.26550/2209-1092.1127","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46180188","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 Capnography monitoring has been identified as a valuable monitoring tool to assist in the early detection of respiratory adverse events in post-operative patients in the PACU who are receiving supplemental oxygen. This integrated review of literature aims to identify the usefulness of implementing capnography monitoring in the PACU as standard practice to ensure safe patient outcomes. A search was undertaken of Scopus, Cumulative Index Nursing and Allied Health Literature (CINAHL) Complete, Health Source: Nursing and Academic Edition, Clinical Key, PubMed and MEDLINE Complete electronic databases. Articles (n=12) were selected for this review including a randomised control trial (RCT), quality improvement projects, a prospective observation study, a prospective cross-sectional study, an evidence summary and a systematic review and meta-analysis study.
在PACU接受补充氧气的术后患者中，血管造影监测已被认为是一种有价值的监测工具，有助于早期发现呼吸不良事件。本文献综述旨在确定在PACU中实施血管造影监测作为标准做法的有效性，以确保患者的安全预后。检索Scopus、Cumulative Index Nursing and Allied Health Literature (CINAHL) Complete、Health Source: Nursing and Academic Edition、Clinical Key、PubMed和MEDLINE Complete电子数据库。本综述选取了12篇文章，包括一项随机对照试验(RCT)、质量改进项目、一项前瞻性观察研究、一项前瞻性横断面研究、一项证据总结和一项系统评价和荟萃分析研究。
{"title":"Capnography monitoring in the Post Anaesthesia Care Unit (PACU)","authors":"C. Wilks, P. Foran","doi":"10.26550/2209-1092.1125","DOIUrl":"https://doi.org/10.26550/2209-1092.1125","url":null,"abstract":"Problem identification Capnography monitoring has been identified as a valuable monitoring tool to assist in the early detection of respiratory adverse events in post-operative patients in the PACU who are receiving supplemental oxygen. This integrated review of literature aims to identify the usefulness of implementing capnography monitoring in the PACU as standard practice to ensure safe patient outcomes. A search was undertaken of Scopus, Cumulative Index Nursing and Allied Health Literature (CINAHL) Complete, Health Source: Nursing and Academic Edition, Clinical Key, PubMed and MEDLINE Complete electronic databases. Articles (n=12) were selected for this review including a randomised control trial (RCT), quality improvement projects, a prospective observation study, a prospective cross-sectional study, an evidence summary and a systematic review and meta-analysis study.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44638026","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 Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture. An electronic search of the databases, EBSCOhost, Academic search ultimate, Cumulative Index Nursing and Allied Health Literature (CINAHL), Healthsource, MEDLINE and PubMed, was undertaken and yielded ten articles for inclusion. Primary research included in this review consisted of five qualitative studies, three quantitative studies and two case studies. Further literature was used to provide background into this subject and guidance on writing this paper. The selected research was critically appraised for methodological quality using JBI critical appraisal checklists for case reports, qualitative and prevalence research. A data extraction table was used to record, group, compare and inform the integrative process of thematic analysis and data synthesis, generating themes that emerged through the selected literature. will will discuss may be an organisational commitment to enhance patient advocacy by perioperative nurses allowing them to speak up on behalf of their
{"title":"Identifying barriers to patient advocacy in the promotion of a safety culture: An integrative review","authors":"Teena Shoemark, Paula Foran","doi":"10.26550/2209-1092.1126","DOIUrl":"https://doi.org/10.26550/2209-1092.1126","url":null,"abstract":"Problem identification Promoting patient safety, through patient advocacy, is an important part of the perioperative nurse role. However, identified barriers to effective patient advocacy have also reflected deficits in the characteristics of safety culture. This integrative review aims to highlight these barriers and discuss strategies for promoting patient safety within the perioperative context by presenting links between patient advocacy and safety culture. An electronic search of the databases, EBSCOhost, Academic search ultimate, Cumulative Index Nursing and Allied Health Literature (CINAHL), Healthsource, MEDLINE and PubMed, was undertaken and yielded ten articles for inclusion. Primary research included in this review consisted of five qualitative studies, three quantitative studies and two case studies. Further literature was used to provide background into this subject and guidance on writing this paper. The selected research was critically appraised for methodological quality using JBI critical appraisal checklists for case reports, qualitative and prevalence research. A data extraction table was used to record, group, compare and inform the integrative process of thematic analysis and data synthesis, generating themes that emerged through the selected literature. will will discuss may be an organisational commitment to enhance patient advocacy by perioperative nurses allowing them to speak up on behalf of their","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45312133","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}
Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr.
Dry eye disease is one of the most common pathologies of the ocular surface. In parallel with increased screen exposure, environmental changes and modern life in recent years, the prevalence and severity of dry eye have been increasing. Ergoophthalmology is the study of visual ergonomic conditions. It is concerned with injuries to the eyes caused by occupational factors and uses a multidisciplinary approach to understand the causes of occupational visionrelated and ocular diseases and to prevent and manage these conditions. Vision-related risks in the operating room are critical for patients and health care providers. There are many predisposing factors in the operating room environment – air conditioning, constant humidity, constant room temperature, intense lighting, surgical smoke, anaesthetic gases and the use of irritant chemicals and biological aerosols. In addition, surgery itself is a critical task requiring long-term mental effort and concentration which can also predispose operating room staff to dry eye disease. In this review, we discuss occupational and environmental ergoophthalmological risk factors for dry eye disease in the operating room.
{"title":"Ergoophthalmological risks associated with dry eye in the operating room","authors":"Aslı Nemli Dr., Koray Gümüş Prof.Dr., Mürüvvet Başer Prof.Dr.","doi":"10.26550/2209-1092.1115","DOIUrl":"https://doi.org/10.26550/2209-1092.1115","url":null,"abstract":"Dry eye disease is one of the most common pathologies of the ocular surface. In parallel with increased screen exposure, environmental changes and modern life in recent years, the prevalence and severity of dry eye have been increasing. Ergoophthalmology is the study of visual ergonomic conditions. It is concerned with injuries to the eyes caused by occupational factors and uses a multidisciplinary approach to understand the causes of occupational visionrelated and ocular diseases and to prevent and manage these conditions. Vision-related risks in the operating room are critical for patients and health care providers. There are many predisposing factors in the operating room environment – air conditioning, constant humidity, constant room temperature, intense lighting, surgical smoke, anaesthetic gases and the use of irritant chemicals and biological aerosols. In addition, surgery itself is a critical task requiring long-term mental effort and concentration which can also predispose operating room staff to dry eye disease. In this review, we discuss occupational and environmental ergoophthalmological risk factors for dry eye disease in the operating room.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42678584","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":"Determining the attitude of operating room nurses to radiation exposure: A descriptive study","authors":"Ayfer Ozbas, A. Turkmen, G. Dundar","doi":"10.26550/2209-1092.1112","DOIUrl":"https://doi.org/10.26550/2209-1092.1112","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43291419","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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