Journal of Perianesthesia Nursing最新文献

Purpose: Identify the process of teaching students to become standardized patients in clinical labs and simulation. This article documents the benefits of utilizing nursing students as standardized patients.

Design: A convenience sample of nursing students from a faith-based, private, liberal arts, holistic nursing program participated in this study. Students who successfully completed the junior-level medical-surgical nursing course enrolled in an elective standardized patient course and served as student standardized patients, while junior-level students enrolled in the medical-surgical nursing course participated as nurses in required high-fidelity simulation experiences.

Methods: Nursing students in various stages of their nursing curriculum enrolled in an elective standardized patient course acting as standardized patients. Students learned the International Nursing Association for Clinical Simulations and Learning best standards and worked with faculty to prepare themselves for a specific scenario. Students studied the case scenario and worked with the simulation instructors/facilitators to execute the given simulation for participants. American Society of Perianesthesia Nursing standards were followed. Junior-level nursing students served in the nurse role during the simulation.

Findings: No negative findings; only increased knowledge base, substantiate own learning, and increase in critical thinking.

Conclusions: Use of Student Standardized Patients enhances the learning experience for all participants and better prepares a professionally ready clinician.

Purpose: The purpose of this study was to evaluate the effect of using a stress ball on day surgery patients' anxiety, pain, and analgesic consumption.

Design: Prospective, randomized controlled clinical trial.

Methods: The study was conducted with a total of 66 day surgery patients-33 in the intervention group and 33 in the control group-at a state hospital located in western Turkey. Data were collected using an information form, the Visual Analog Scale, the State-Trait Anxiety Inventory, and an analgesic usage chart. Patients in the intervention group were given a stress ball 30 minutes before surgery, and they were monitored in terms of preoperative anxiety as well as postoperative pain and analgesic consumption over the course of 1 week.

Findings: Of the participants, 66.7% of the experimental group and 77.7% of the control group reported having moderate-to-high levels of stress overall. In the preoperative period, anxiety levels in the intervention group were significantly lower than those in the control group (P < .001). No significant difference was found between the intervention group, who used stress balls, and the control group in terms of mean pain scores on the first postoperative day (P > .05). However, by the seventh day, the pain levels in the intervention group were significantly lower compared with the control group (P < .001). Additionally, by the end of the 7-day period, the total amount of analgesic consumed by the intervention group was significantly lower than that of the control group (P < .001).

Conclusions: The use of a stress ball was found to reduce preoperative anxiety, assist in managing postoperative pain, and decrease analgesic consumption. Therefore, it is recommended that the use of stress balls be encouraged in both the preoperative and postoperative periods for day surgery patients.

Purpose: The primary outcome of this study was to evaluate the impact of watching short videos in the pre-procedural preparation unit on the modified Yale Preoperative Anxiety Scale (mYPAS) anxiety scores immediately before entering the procedure room in pediatric patients undergoing procedures in the pediatric endoscopy unit. Recovery time was recorded as the secondary outcome.

Design: Pediatric procedural anxiety is a significant challenge in nonoperating room anesthesia settings, where traditional pharmacological interventions may not be suitable. The use of digital content, particularly short videos on social media, has emerged as a promising tool for reducing anxiety. However, the effectiveness of such interventions in reducing preoperative anxiety and improving recovery time in pediatric patients undergoing endoscopic procedures remains understudied.

Methods: A total of 80 pediatric patients scheduled for endoscopic procedures were randomly assigned to either a video group or a control group. The mYPAS score was used to assess anxiety at four time intervals. Recovery time was assessed using the Modified Aldrete Score.

Findings: mYPAS was used to assess anxiety levels at the following time points: upon entry to the waiting room (T1), immediately before the transfer to the procedure room (T2), upon entry to the procedure room (T3), and during anesthesia induction (T4). Data analysis showed no significant difference in mYPAS scores between the groups at T1 (P = .969). However, at T2, T3, and T4, the video group showed significantly lower anxiety levels (P < .001). At T2, mYPAS scores in the video group fell below the threshold of 30, indicating reduced anxiety. Recovery times were shorter in the video group compared to the control group (P < .001).

Conclusions: This study demonstrates that the use of short videos on social media effectively reduces preoperative anxiety and improves recovery time in pediatric patients undergoing endoscopic procedures. These findings support the use of digital content as a nonpharmacological intervention in pediatric procedural anxiety management.

Purpose: The present study aimed to investigate the mediating role of teamwork attitudes on the relationship between the perception of clinical stressors and preoperative nursing care competence in nursing students.

Design: A correlational design.

Methods: The sample consisted of 620 nursing students. The data were collected via the Nursing Students' Clinical Stressor Perceptions Scale, the Teamwork Attitudes Questionnaire, and The Perceived Preoperative Nursing Care Competence Scale for Nursing students. Process Macro Model 4 was conducted to verify the mediating role.

Findings: The study found a mediating role of teamwork attitudes on the relationship between clinical stressors and preoperative nursing care competence. The perception of clinical stressors was significantly positively correlated with teamwork attitudes and preoperative nursing care competence. The significant standardized indirect effect of teamwork attitudes on preoperative nursing care competence verified a partial mediating role.

Conclusions: This study concluded that teamwork attitudes partially mediated the effect of perception of clinical stressors and preoperative nursing care competence.

Purpose: To compare the incidence of puncture site leakage and postoperative analgesia between single-lumen central venous catheter (CVC) and continuous peripheral nerve block (CPNB) catheter for continuous fascia iliaca compartment block analgesia in elderly patients with hip fractures.

Design: A prospective, randomized, parallel-group controlled trial.

Methods: Sixty-four elderly participants (aged 60-75 years, American Society of Anesthesiologists class I-III) scheduled for intramedullary nail internal fixation (PFNA) of femoral intertrochanteric fractures were randomly allocated to two groups: CVC group and Continuous Peripheral Nerver Block catheter (CPNB group). In all patients, the continuous block catheter was inserted into the fascia iliaca compartment above the inguinal ligament under the guidance of ultrasound, and the postoperative analgesic pump was used. Patients in both groups underwent treatment with an ultrasound-guided in-plane approach to the fascia iliaca space via the inguinal ligament, along with the use of a postoperative analgesia pump. The degree of leakage from the two types of catheters was assessed 48 hours postoperatively, with the severity of leakage at the puncture site being qualitatively and quantitatively evaluated based on the color change of a medical-surgical film containing iodophor Secondary outcomes included the time required for puncture and catheterization, visual analog scale pain scores at 6, 24, and 48 hours postoperatively, the success rate of lower limb nerve block, and the incidence of adverse reactions to nerve block.

Findings: In comparison with the CPNB group, the CVC group exhibited a significantly lower incidence of puncture site leakage (96.8% vs 16.1%, P < .001) and a smaller leakage area (19.30 ± 4.64 cm² vs 0.61 ± 0.46 cm², P < .001). However, no significant differences were observed in postoperative analgesic efficacy or other secondary outcomes between the two groups.

Conclusions: In elderly patients with hip fractures, using CVCs for postoperative analgesia is associated with a reduced incidence and extent of leakage at the puncture site during continuous fascia iliaca compartment block.

Purpose: This study aimed to develop and validate a measurement tool to assess attitudes toward mobilization in surgical patients.

Design: In this methodological study, the Mobilization Attitude Scale for Surgical Patients (MASSP) was developed, and its psychometric properties were tested.

Methods: The items for the MASSP were developed based on evidence from the literature and presented to nine experts for evaluation. The scale was administered through face-to-face surveys with patients receiving treatment in the surgical clinics of a university hospital in Turkey. The psychometric properties of the scale, including structural validity, content validity, and internal consistency reliability, were tested. Data from 482 patients were analyzed. Exploratory factor analysis and confirmatory factor analysis were conducted on the collected data.

Findings: The newly developed scale resulted in a structure comprising 36 items and three factors: Avoidance of Mobilization, Readiness for Mobilization, and Motivation for Recovery. In the MASSP, factor 1 (α = 0.932), factor 2 (α = 0.890), and factor 3 (α = 0.822) accounted for 48.704% of the total variance. The entire 36-item acceptability questionnaire demonstrated good internal consistency (α = 0.940). The MASSP was determined to be a valid and applicable measurement tool, confirmed in a Turkish sample of acceptable size.

Conclusions: The findings indicate that the MASSP has acceptable content and structural validity and is reliable for measuring surgical patients' attitudes toward mobilization. Further research in different cultures and geographical regions can enhance the scale's development and strengthen its validity.

Purpose: Early mobility interventions are increasingly recognized as a critical component of postoperative care for cardiac surgery patients. These interventions aim to improve functional recovery, reduce complications, and optimize resource utilization. However, the effectiveness of early mobility programs on outcomes such as the 6-minute walk distance (6-MWD), hospital and intensive care units (ICU) length of stay, and in-hospital mortality remains unclear.

Design: Systematic review and meta-analysis.

Methods: This review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-analyses 2020 guidelines to evaluate the effectiveness of early mobility interventions in cardiac surgery patients. Relevant studies were identified from PubMed, Scopus, Web of Science, and EMBASE databases. Random-effects meta-analyses were performed to pool standardized mean differences (SMD) or odds ratios with 95% confidence intervals (CIs) for 6-MWD, length of hospital and ICU stay, and in-hospital mortality. Heterogeneity was assessed using the I² statistic.

Findings: Twenty studies including 2,523 participants were analyzed. Early mobility interventions significantly improved 6-MWD (SMD: 1.22; 95% CI: 0.62 to 1.82; P < .001) and reduced hospital (SMD: -0.55; 95% CI: -0.85 to -0.24; P < .001) and ICU (SMD: -0.48; 95% CI: -0.93 to -0.03; P = .036) length of stay. Substantial heterogeneity was observed across studies (I² > 85%). No significant reduction in in-hospital mortality was found (odds ratios: 0.56; 95% CI: 0.13 to 2.42; P = .437).

Conclusions: Early mobility interventions improve functional recovery and reduce hospital and ICU stays in cardiac surgery patients. These findings support the integration of structured mobility programs into postoperative care to optimize outcomes, though further research is needed to address heterogeneity and long-term impacts.

Purpose: This study was conducted to determine the relationship between patient safety attitudes of operating room nurses and their attitudes toward the prevention of pressure injuries.

Design: The study is a descriptive regression study.

Methods: The study data were collected from 102 nurses working in the operating room of a private hospital between September 2 and October 10, 2024. The sample size, which was known before the study, was determined by power analysis. Data were collected using a personal information form, a patient safety attitude scale, and a pressure ulcer prevention attitude scale. Descriptive statistics (frequencies, percentages, means, and standard deviations) were used to analyze the data. Mann-Whitney U test and Kruskal-Wallis test were used to compare groups. The correlational relationship between the patient safety attitude scale and the pressure injury prevention attitude scale was evaluated by Pearson correlation analysis. The predictors of all subdimensions of the nurses' attitudes toward pressure injury prevention scale were evaluated by stepwise multiple linear regression analysis.

Findings: The mean age of the operating room nurses (56.9%) who participated in the study was between 20 and 30 years, 63.7% were female, 77.5% had a bachelor's degree, 39.2% had worked for less than 5 years, and 92.2% were scrub nurses. A high school education and less than 5 years of experience were found to be negative predictors of attitudes toward pressure injury prevention. Working conditions, job satisfaction, and teamwork subdimensions of the patient safety attitude scale were found to be significant predictors of attitudes toward pressure injury prevention.

Conclusions: The findings of the study revealed that operating room nurses' attitudes toward patient safety and the prevention of pressure injuries were significantly related to variables such as educational level, professional experience, job satisfaction, teamwork, and safety climate.

Purpose: To strengthen cooperation, teamwork, and interprofessional relationships among anesthesia care team members and other key stakeholders involved in the operative experience through a shared education program that fosters professional growth, engagement, and camaraderie.

Design: An interdisciplinary task force developed and implemented quarterly educational sessions for the anesthesia care team, progressively expanding participation to include the preadmissions clinic (2023) and Preoperative and PACU staff (2024). These sessions featured journal presentations and discussions in informal, inclusive settings to promote scholarship, engagement, and relationship building.

Methods: Organized by an academic medical center's Anesthesia Care Team Optimization Committee, this initiative engaged certified registered nurse anesthetists, anesthesiologists, student nurse anesthetists, anesthesiology residents, and other perioperative staff. The sessions were held after work at local venues and emphasized shared learning experiences and team cohesion across disciplines. Topics were selected by participants from scholarly journal articles, allowing participants to apply newly acquired knowledge to real-world scenarios.

Findings: In spring 2025, a Qualtrics survey was distributed to 2023 to 2024 Anesthesia Steering Committee meeting attendees. Of 100 invited, 62 responded, primarily certified registered nurse anesthetists (45%) and student nurse anesthetists (24%). Most had over 10 years of experience. While 62% attended 0 to 2 meetings, respondents reported a strong positive impact: 88% noted improved team culture and synergy, 80% felt more engaged, and 96% would recommend Anesthesia Steering Committee meetings. Among those responding to practice-related items, 57% reported changes, including adoption of Enhanced Recovery After Surgery protocols, improved handoffs, expanded use of noninvasive monitoring, and increased interdisciplinary communication. A common barrier was difficulty hearing in the meeting setting.

Conclusions: The shared education program has demonstrated its value in fostering teamwork, enhancing professional development, and promoting a culture of continuous learning and engagement across all departments involved in the operative experience. This model provides a scalable framework for other health care teams aiming to improve interprofessional collaboration and patient outcomes.

Purpose: To develop a valid and reliable scale to assess student nurses' self-efficacy in body temperature management in surgical patients, the Body Temperature Management Self-Efficacy Scale (BTM-SES) was used.

Design: An instrument development and validation study.

Methods: The data of this methodological study were collected between November 2024 and January 2025 in two faculties providing nursing education in the Central Anatolia region of Turkey. The study had a multistage design in accordance with the Consensus-based Standards for the Selection of Health Measurement INstrument checklist. In the first stage, an item pool is created based on a literature review. In Stage 2, the pool aimed to assess content validity, and psychometric properties were evaluated through exploratory factorial analysis. Subsequently, construct validity was tested by confirmatory factor analysis, and reliability and time invariance were simultaneously tested by retest.

Findings: A total of 390 nursing students taking surgical disease nursing courses participated in the study. The content validity index score for the scale items was 0.84. Exploratory factor analysis revealed a three-dimensional factor structure (controlling, recording, informing, evaluating, and prevention) with a cumulative variance contribution rate of 58.03%; the final scale included 21 items. Cronbach's α coefficient of the scale was 0.93. The fit indices for the classes were acceptable.

Conclusions: BTM-SES is a 21-item valid and reliable assessment tool to measure student nurses' self-efficacy in body temperature management in surgical patients. BTM-SES can be used in clinical and educational research.