{"title":"Multidisciplinary simulation training for perioperative teams: An integrative review","authors":"Michelle Hibberson, J. Lawton, D. Whitehead","doi":"10.26550/2209-1092.1111","DOIUrl":"https://doi.org/10.26550/2209-1092.1111","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47824146","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 Patients undergoing invasive procedures are highly vulnerable to adverse outcomes. From 2012 to 2013, 5.5 per cent of all inpatient admissions reported an adverse event. Perioperative nurses play an important role in providing safe patient care and acting as the patient advocate. This review of literature aims to examine the effects of perioperative staffing and patient safety. Three common staffing themes that impact the safety and quality of patient care were identified; namely, nurse-to-patient ratios, staff training and staff fatigue.
{"title":"The effects of staffing practices on safety and quality of perioperative nursing care – an integrative review","authors":"Nick Nijkamp, P. Foran","doi":"10.26550/2209-1092.1117","DOIUrl":"https://doi.org/10.26550/2209-1092.1117","url":null,"abstract":"Problem identification Patients undergoing invasive procedures are highly vulnerable to adverse outcomes. From 2012 to 2013, 5.5 per cent of all inpatient admissions reported an adverse event. Perioperative nurses play an important role in providing safe patient care and acting as the patient advocate. This review of literature aims to examine the effects of perioperative staffing and patient safety. Three common staffing themes that impact the safety and quality of patient care were identified; namely, nurse-to-patient ratios, staff training and staff fatigue.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49596937","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}
Fatigue presents as an all-pervasive challenge to anyone who is engaged in shift work. While this affects all nurses, those who work on night duty have been shown to have the greatest risk of fatigue and cognitive impairment thus potentially posing a higher safety risk to themselves, the patients under their care and the wider community as nurses make their way home driving while drowsy. Despite robust evidence revealing the positive attributes of increased working abilities from napping on night duty, and the overall agreement by nurse managers and organisations, this practice has been slow to be introduced into nursing. Research revealed that 55 per cent of nurse managers felt the greatest barrier to implementation was the lack of policy and supervision around this practice. This discussion paper challenges nurses, managers and organisations to take note of current research, ACORN guidelines and work health and safety guidelines and start to change thinking and culture by looking at napping on night duty as a ‘safety’ implementation for staff, patients and the wider community. Policies and procedures should be developed and further research should be conducted into length and type of naps and subsequent positive and/or negative effects that may be reported by staff and health care facilities.
{"title":"Asleep on the job: Can night shift napping provide greater safety for both staff and patients?","authors":"Jennifer Gamble, Paula Foran","doi":"10.26550/2209-1092.1118","DOIUrl":"https://doi.org/10.26550/2209-1092.1118","url":null,"abstract":"Fatigue presents as an all-pervasive challenge to anyone who is engaged in shift work. While this affects all nurses, those who work on night duty have been shown to have the greatest risk of fatigue and cognitive impairment thus potentially posing a higher safety risk to themselves, the patients under their care and the wider community as nurses make their way home driving while drowsy. Despite robust evidence revealing the positive attributes of increased working abilities from napping on night duty, and the overall agreement by nurse managers and organisations, this practice has been slow to be introduced into nursing. Research revealed that 55 per cent of nurse managers felt the greatest barrier to implementation was the lack of policy and supervision around this practice. This discussion paper challenges nurses, managers and organisations to take note of current research, ACORN guidelines and work health and safety guidelines and start to change thinking and culture by looking at napping on night duty as a ‘safety’ implementation for staff, patients and the wider community. Policies and procedures should be developed and further research should be conducted into length and type of naps and subsequent positive and/or negative effects that may be reported by staff and health care facilities.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44072428","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":"Smartphones in the operating room: Can perioperative nurses be trusted?","authors":"T. Armour, Elyse Coffey","doi":"10.26550/2209-1092.1114","DOIUrl":"https://doi.org/10.26550/2209-1092.1114","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44403831","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":"The effects of a telephone-based orientation program, delivered during the waiting time, on anxiety in patients undergoing coronary angiography","authors":"Maryam E Shahpari, S. Heidari, T. Sadeghi","doi":"10.26550/2209-1092.1102","DOIUrl":"https://doi.org/10.26550/2209-1092.1102","url":null,"abstract":"","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46040285","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}
P. Nicholson, L. Hamlin, J. Duff, B. Gillespie, Carollyn Williams
Aim The aim of this study was to categorise priority research topics in perioperative nursing. Methods A descriptive cross-sectional study design was used to identify research priorities in perioperative nursing. Sample and setting Members of the Australian College of Perioperative Nurses College were invited to participate in a survey, via email through the Australian College of Perioperative Nurses membership database. Results Three priority research topics were identified in this study, including patient safety, management of risk in the operating room and culture of the perioperative environment. With regards to staff well being, bullying and disruptive behaviour were rated as being important and relevant. Topics such as noise in the operating room, instrument tracking and obesity among perioperative nurses, while rated lower in the relevant and importance categories, have identified opportunities for perioperative nurses to undertake research in order to address these issues and improve patient safety and well being of healthcare professionals. Conclusion This study has identified issues that relate to patient and staff safety with many linked to the negative culture of the setting. While a number of barriers prevent the application of best practice standards in the operating suite it is clear that building research capacity is important, not only to demonstrate the positive impact of perioperative nursing on patient outcomes, but also to strengthen the evidence base of the standards and this professional group.
{"title":"Identifying research priorities for improving patient care in the perioperative environment: A descriptive cross-sectional study","authors":"P. Nicholson, L. Hamlin, J. Duff, B. Gillespie, Carollyn Williams","doi":"10.26550/2209-1092.1095","DOIUrl":"https://doi.org/10.26550/2209-1092.1095","url":null,"abstract":"Aim \u0000 \u0000The aim of this study was to categorise priority research topics in perioperative nursing. \u0000 \u0000Methods \u0000 \u0000A descriptive cross-sectional study design was used to identify research priorities in perioperative nursing. \u0000 \u0000Sample and setting \u0000 \u0000Members of the Australian College of Perioperative Nurses College were invited to participate in a survey, via email through the Australian College of Perioperative Nurses membership database. \u0000 \u0000Results \u0000 \u0000Three priority research topics were identified in this study, including patient safety, management of risk in the operating room and culture of the perioperative environment. With regards to staff well being, bullying and disruptive behaviour were rated as being important and relevant. \u0000 \u0000Topics such as noise in the operating room, instrument tracking and obesity among perioperative nurses, while rated lower in the relevant and importance categories, have identified opportunities for perioperative nurses to undertake research in order to address these issues and improve patient safety and well being of healthcare professionals. \u0000 \u0000Conclusion \u0000 \u0000This study has identified issues that relate to patient and staff safety with many linked to the negative culture of the setting. While a number of barriers prevent the application of best practice standards in the operating suite it is clear that building research capacity is important, not only to demonstrate the positive impact of perioperative nursing on patient outcomes, but also to strengthen the evidence base of the standards and this professional group.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46214220","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 widely used and acknowledged universal definition of pain developed by the International Association for the Study of Pain (IASP) in 1979 has been revised in 2020. The 2020 IASP definition states pain is ‘an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage’. The 2020 IASP definition of pain reinforces the importance for nurses to have an understanding of the pathophysiology of pain and highlights the crucial role pain assessment plays in overall pain management, which nurses are pivotal in driving and delivering.
{"title":"How does the 2020 revised definition of pain impact nursing practice?","authors":"Olivia Sonneborn, Annie Williams","doi":"10.26550/2209-1092.1104","DOIUrl":"https://doi.org/10.26550/2209-1092.1104","url":null,"abstract":"The widely used and acknowledged universal definition of pain developed by the International Association for the Study of Pain (IASP) in 1979 has been revised in 2020. The 2020 IASP definition states pain is ‘an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage’. The 2020 IASP definition of pain reinforces the importance for nurses to have an understanding of the pathophysiology of pain and highlights the crucial role pain assessment plays in overall pain management, which nurses are pivotal in driving and delivering.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42347721","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 nursing is believed to be the first specialisation to arise in nursing and tracing its beginnings is an interesting exercise. The scientific advances made during the latter part of the 19th century resulted in increased numbers of patients in hospitals. Though previously shunned by all but the poorest, hospitals now provided an environment that was safer for surgery than a patient’s home, and needed skilled nurses as a result. Florence Nightingale established a school of nursing in England teaching ‘sanitary nursing’ and ensuring probationary nurses knew about antiseptics and disinfectants. Ms Nightingale stated that it was the duty of every nurse on surgical wards to prevent infection, and until the end of the 19th century the nurses who cared for surgical patients in the wards preand postoperatively also prepared for and assisted during surgery. However, in 1899 the first dedicated operating room nurse was employed in the USA, and thereafter the role of the theatre nurse became entrenched. That role has evolved significantly since then and continues to do so.
{"title":"From theatre to perioperative: A brief history of early surgical nursing","authors":"L. Hamlin","doi":"10.26550/2209-1092.1107","DOIUrl":"https://doi.org/10.26550/2209-1092.1107","url":null,"abstract":"Perioperative nursing is believed to be the first specialisation to arise in nursing and tracing its beginnings is an interesting exercise. The scientific advances made during the latter part of the 19th century resulted in increased numbers of patients in hospitals. Though previously shunned by all but the poorest, hospitals now provided an environment that was safer for surgery than a patient’s home, and needed skilled nurses as a result. Florence Nightingale established a school of nursing in England teaching ‘sanitary nursing’ and ensuring probationary nurses knew about antiseptics and disinfectants. Ms Nightingale stated that it was the duty of every nurse on surgical wards to prevent infection, and until the end of the 19th century the nurses who cared for surgical patients in the wards preand postoperatively also prepared for and assisted during surgery. However, in 1899 the first dedicated operating room nurse was employed in the USA, and thereafter the role of the theatre nurse became entrenched. That role has evolved significantly since then and continues to do so.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254200","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: Surgical face masks have been used for over a century in the operating room (OR); firstly, as it has been believed that they may reduce surgical site infections (SSIs) in patients and, secondly, as personal protective equipment (PPE) for staff. However, recent studies have reported disparities in the efficacy of wearing surgical face masks including inconsistency in their use. This integrative review aims to investigate the effects of surgical masks in the OR, in regard to maintaining both patient and staff safety, and will discuss compliance or lack thereof in face mask usage for the entire multidisciplinary team. Literature search: Four electronic health databases were used to identify the relevant research: CINAHL, Medline, EMCare and Cochrane Library. The reference lists of retrieved articles were also manually searched and appropriate literature retrieved. Data evaluation synthesis: Inclusion and exclusion criteria were used revealing that 15 articles fully met the criteria which were critiqued (see Table 2 in Supplemental material for the literature matrix). Implications for practice: SSIs are multifactorial and no reviewed studies looked at causative considerations such as comorbidities and other variables (such as hypothermia) which could all contribute to this post-operative complication. However, there is evidence to suggest that surgical face masks are useful in decreasing the biological load in the theatre environment. They are also a vital piece of PPE that should be worn to protect the perioperative team from blood and bodily fluid splatter that commonly occur.
{"title":"The effectiveness and compliance of surgical face mask wearing in the operating suite environment: An integrated review","authors":"N. Ogo, P. Foran","doi":"10.26550/2209-1092.1105","DOIUrl":"https://doi.org/10.26550/2209-1092.1105","url":null,"abstract":"Problem identification: Surgical face masks have been used for over a century in the operating room (OR); firstly, as it has been believed that they may reduce surgical site infections (SSIs) in patients and, secondly, as personal protective equipment (PPE) for staff. However, recent studies have reported disparities in the efficacy of wearing surgical face masks including inconsistency in their use. This integrative review aims to investigate the effects of surgical masks in the OR, in regard to maintaining both patient and staff safety, and will discuss compliance or lack thereof in face mask usage for the entire multidisciplinary team. Literature search: Four electronic health databases were used to identify the relevant research: CINAHL, Medline, EMCare and Cochrane Library. The reference lists of retrieved articles were also manually searched and appropriate literature retrieved. Data evaluation synthesis: Inclusion and exclusion criteria were used revealing that 15 articles fully met the criteria which were critiqued (see Table 2 in Supplemental material for the literature matrix). Implications for practice: SSIs are multifactorial and no reviewed studies looked at causative considerations such as comorbidities and other variables (such as hypothermia) which could all contribute to this post-operative complication. However, there is evidence to suggest that surgical face masks are useful in decreasing the biological load in the theatre environment. They are also a vital piece of PPE that should be worn to protect the perioperative team from blood and bodily fluid splatter that commonly occur.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49231271","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}
Aim: The study aimed to investigate the acceptability, feasibility, use and impact of a workplace stretching program for preventing musculoskeletal disorders in perioperative staff. Method: This was a hybrid effectiveness–implementation study using mixed methods. Data was collected preand post-program to evaluate its impact on musculoskeletal disorders, discomfort, sick leave, incidents and compensation claims. A post-program survey and participant interviews were used to ascertain the programs acceptability, feasibility and use. Results: A total of 42 staff participated in the study. Following the program, there was a 60 per cent reduction in the odds of a musculoskeletal-related incident (OR 0.4, 95% CI 0.1, 8.0 p = 0.01) when compared with the rest of the hospital. The odds of a workers compensation claim reduced by 50 per cent (OR 0.5, 95% CI 0.1, 1.5, p = 0.8) and there was a 20 per cent decrease in the odds of a musculoskeletal disorder (OR 0.8, 95% CI 0.1, 7.0, p = 0.8) or sick leave (OR 0.8, 95% CI 0.1, 6.1, p = 0.8). There was no significant change in musculoskeletal discomfort scores preand post-program (+0.2, 95% CI -7.0, 7.3, p = 0.9). Greater than 70 per cent of participants felt that the program was acceptable and feasible with over 85 per cent agreeing that it was a good fit and matched department needs. Interviews with participants identified positive physical, psychological and cultural benefits. The most common shortcoming reported by staff was not having the opportunity to use the program enough. Conclusion: Given the positive results and the fact that the program requires minimal resources, it is recommended that other perioperative departments consider implementing a similar program to complement existing work health and safety initiatives.
目的:探讨围手术期工作场所拉伸方案预防肌肉骨骼疾病的可接受性、可行性、使用及影响。方法:采用混合方法进行效果-实施混合研究。数据收集前后的计划，以评估其对肌肉骨骼疾病，不适，病假，事故和索赔的影响。通过节目后调查和参与者访谈来确定节目的可接受性、可行性和使用情况。结果:共有42名员工参与了研究。在这个项目之后，与医院的其他部分相比，肌肉骨骼相关事件的几率降低了60% (OR 0.4, 95% CI 0.1, 8.0 p = 0.01)。工人索赔的几率降低了50% (OR 0.5, 95% CI 0.1, 1.5, p = 0.8)，肌肉骨骼疾病(OR 0.8, 95% CI 0.1, 7.0, p = 0.8)或病假(OR 0.8, 95% CI 0.1, 6.1, p = 0.8)的几率降低了20%。计划前后肌肉骨骼不适评分无显著变化(+0.2,95% CI -7.0, 7.3, p = 0.9)。超过70%的参与者认为该计划是可以接受和可行的，超过85%的人认为该计划非常适合并符合部门的需求。对参与者的采访发现了积极的身体、心理和文化益处。员工报告的最常见的缺点是没有足够的机会使用该程序。结论:鉴于积极的结果和该方案所需资源最少的事实，建议其他围手术期部门考虑实施类似的方案，以补充现有的工作健康和安全措施。
{"title":"A workplace stretching program for the prevention of musculoskeletal disorders in perioperative staff: A mixed methods implementation study","authors":"Alison King, Joanne Campbell, Carole James, Jed Duff","doi":"10.26550/2209-1092.1100","DOIUrl":"https://doi.org/10.26550/2209-1092.1100","url":null,"abstract":"Aim: The study aimed to investigate the acceptability, feasibility, use and impact of a workplace stretching program for preventing musculoskeletal disorders in perioperative staff. Method: This was a hybrid effectiveness–implementation study using mixed methods. Data was collected preand post-program to evaluate its impact on musculoskeletal disorders, discomfort, sick leave, incidents and compensation claims. A post-program survey and participant interviews were used to ascertain the programs acceptability, feasibility and use. Results: A total of 42 staff participated in the study. Following the program, there was a 60 per cent reduction in the odds of a musculoskeletal-related incident (OR 0.4, 95% CI 0.1, 8.0 p = 0.01) when compared with the rest of the hospital. The odds of a workers compensation claim reduced by 50 per cent (OR 0.5, 95% CI 0.1, 1.5, p = 0.8) and there was a 20 per cent decrease in the odds of a musculoskeletal disorder (OR 0.8, 95% CI 0.1, 7.0, p = 0.8) or sick leave (OR 0.8, 95% CI 0.1, 6.1, p = 0.8). There was no significant change in musculoskeletal discomfort scores preand post-program (+0.2, 95% CI -7.0, 7.3, p = 0.9). Greater than 70 per cent of participants felt that the program was acceptable and feasible with over 85 per cent agreeing that it was a good fit and matched department needs. Interviews with participants identified positive physical, psychological and cultural benefits. The most common shortcoming reported by staff was not having the opportunity to use the program enough. Conclusion: Given the positive results and the fact that the program requires minimal resources, it is recommended that other perioperative departments consider implementing a similar program to complement existing work health and safety initiatives.","PeriodicalId":37332,"journal":{"name":"Journal of Perioperative Nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41332612","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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