Journal of Perianesthesia Nursing最新文献

英文中文

Implementation and Evaluation of the SBAR Communication Model in Nursing Handover by Pediatric Surgery Nurses 小儿外科护士在护理交接中实施和评估 SBAR 沟通模式。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.021

Purpose

Situation, Background, Assessment, Recommendations (SBAR) is recommended as a standardized model to improve communication between health professionals and increase patient safety. Correct use of the SBAR model reduces communication errors, facilitates rapid decision-making, and increases patient safety. Therefore, effective use of the SBAR model among health care professionals contributes to safer patients. This study examines the implementation and evaluation of the SBAR communication model in nursing handover by pediatric surgical nurses.

Design

The study had a pretest-post-test semi-experimental design.

Methods

Data were collected between April 1 and June 30, 2022 from 24 nurses, who worked at two pediatric surgery units of a training research hospital in Turkey. Ethical approval and written informed consent were obtained prior to the study.

Findings

The mean age of the nurses was 26.00 ± 3.43 years and 75% were female. The mean score obtained from the handover rating scale was 60.33 ± 11.11 (18 to 70). The pretest and post-test scores obtained from the SBAR communication model questionnaire were 60.00 ± 20.64 (20 to 90) and 92.50 ± 9.89 (60 to 100), respectively. 66.7% of the nurses answered no to the statement “Using the SBAR communication model did not contribute positively to the handover.” The majority answered yes to the items other than this statement, the ratio of those who answered yes and no to the statement “The SBAR communication model caused me to waste time during the handover” was equal, and the majority completed the SBAR handover form.

Conclusions

Some of the nurses felt that the SBAR communication model made a positive contribution to shift performance, while others felt that it did not. Although half of the nurses considered the SBAR communication model to be a waste of time, it was observed that no negative events occurred during the use of the model and that the nurses were willing to use the SBAR communication model. Therefore, it is recommended that in-service training programs be organized to increase the use of the SBAR communication model and that the use of SBAR should be continuously reviewed and improved.

目的："情况、背景、评估、建议"（SBAR）被推荐为改善医疗专业人员之间沟通和提高患者安全的标准化模式。正确使用 SBAR 模型可以减少沟通错误，促进快速决策，提高患者安全。因此，医护人员有效使用 SBAR 模型有助于提高患者安全。本研究探讨了儿科手术护士在护理交接中实施和评估 SBAR 沟通模式的情况：研究采用前测-后测半实验设计：数据收集于2022年4月1日至6月30日，来自土耳其一家培训研究医院两个小儿外科的24名护士。研究前已获得伦理批准和书面知情同意：护士的平均年龄为 26.00 ± 3.43 岁，75% 为女性。交接班评分量表的平均得分为 60.33 ± 11.11（18 至 70 分）。SBAR 沟通模式问卷的测试前和测试后得分分别为 60.00 ± 20.64（20 至 90）和 92.50 ± 9.89（60 至 100）。66.7%的护士对 "使用 SBAR 沟通模式没有对交接工作起到积极作用 "这句话的回答是否定的。除这句话外，大多数人对其他项目的回答都是肯定的，对 "SBAR 沟通模式导致我在交接班时浪费时间 "这句话回答肯定和否定的比例相同，大多数人都填写了 SBAR 交接班表：结论：一些护士认为 SBAR 沟通模式对交接班工作起到了积极作用，而另一些护士则认为没有。虽然半数护士认为 SBAR 沟通模式浪费时间，但据观察，在使用该模式期间没有发生负面事件，而且护士们愿意使用 SBAR 沟通模式。因此，建议组织在职培训计划以增加 SBAR 沟通模式的使用，并对 SBAR 的使用进行持续审查和改进。

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引用次数: 0

Effects of Three Different Heating Devices on Patients Undergoing Surgery: A Network Meta-Analysis 三种不同加热装置对手术患者的影响：网络 Meta 分析

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.019

Purpose

Perioperative hypothermia is a common anesthesia-related complication that can result in negative outcomes. Intraoperative active heating can positively impact these outcomes. Therefore this study aimed to investigate the effectiveness of three common heating devices for controlling hypothermia, improving thermal comfort, and reducing anesthesia recovery time.

Design

Systematic review and meta-analysis.

Methods

Seven electronic literature databases were searched from the inception date of the databases to March 18, 2022. RevMan 5.4 and Stata 15.1 were used to perform meta-analyses on the obtained data, and the Cochrane Evaluation Manual was used for quality risk assessment of the included studies.

Findings

A total of 18 studies involving 1,511 patients undergoing surgery using heating devices were included. In this meta-analysis, a ranking method known as the Surface Under the Cumulative Ranking Curve (SUCRA) was used. SUCRA provides a numerical measure of the effectiveness of treatments, with higher values indicating superior efficacy. Findings demonstrated that the concurrent use of three heating devices led to an elevation in core body temperatures (SUCRA = 69.2%) and enhanced delayed recovery (SUCRA = 88.6%) as compared to the application of a single device. Furthermore, for thermal comfort, the employment of heating blankets proved to be the most effective (SUCRA = 87.8%).

Conclusions

This study showed the core body temperatures and reductions in delayed recovery were greater when three heating devices were used together as compared to use one of them alone. Heating blankets was the most effective option for improving the thermal comfort of patients. Thus, clinicians should opt for appropriate heating equipment according to the type of surgery and the characteristics and needs of patients. The choice of appropriate heating equipment will ensure surgical safety, improve patient comfort, and reduce surgical risks.

目的：围手术期体温过低是一种常见的麻醉相关并发症，可导致不良后果。术中主动加热可对这些结果产生积极影响。因此，本研究旨在调查三种常见加热设备在控制低体温、改善热舒适度和缩短麻醉恢复时间方面的有效性：设计：系统综述和荟萃分析：方法：对七个电子文献数据库进行了检索，检索时间从数据库建立之日起至 2022 年 3 月 18 日。使用RevMan 5.4和Stata 15.1对获得的数据进行荟萃分析，并使用《Cochrane评估手册》对纳入的研究进行质量风险评估：共纳入了 18 项研究，涉及 1511 名使用加热装置进行手术的患者。在这项荟萃分析中，采用了一种称为累积排名曲线下表面（Surface Under the Cumulative Ranking Curve，SUCRA）的排名方法。SUCRA 提供了一个衡量治疗效果的数值，数值越高表示疗效越好。研究结果表明，与使用单一设备相比，同时使用三种加热设备可提高核心体温（SUCRA = 69.2%），并增强延迟恢复（SUCRA = 88.6%）。此外，就热舒适度而言，使用加热毯被证明是最有效的（SUCRA = 87.8%）：这项研究表明，与单独使用一种加热设备相比，三种加热设备同时使用时，核心体温和延迟恢复的减少幅度更大。加热毯是改善患者热舒适度的最有效选择。因此，临床医生应根据手术类型、患者的特点和需求选择合适的加热设备。选择合适的加热设备可确保手术安全、提高患者舒适度并降低手术风险。

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引用次数: 0

Information for Readers 读者信息

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00422-2

引用次数: 0

2025 National Conference in Dallas 达拉斯 2025 年全国大会

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00471-4

引用次数: 0

Comments on Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety 关于传统麻醉护士教育与人工智能聊天机器人（ChatGPT）干预对术前焦虑的比较的评论

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.05.003

Hinpetch Daungsupawong PhD , Viroj Wiwanitkit MD

引用次数: 0

Perianesthesia Networking and International Engagement Inspires Change Perianesthesia 联网和国际参与激发变革

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.07.005

Joni.M. Brady DNP, RN, PMGT-BC, CAPA , Tabatha Gilbert BSN, RN, CPAN , Elaine Hughes BSN, RN, CAPA , Alicia White BSN, RN, CAPA

引用次数: 0

The Speaking Up Climate of Nurses for Patient Safety Concerns and Unprofessional Behaviors: The Effects of Teamwork and Safety Climate 护士对患者安全问题和非专业行为的直言不讳：团队合作和安全氛围的影响。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.008

Purpose

This study aims to investigate the influence of teamwork and safety climate on nurses' speaking up for patient safety concerns and unprofessional behaviors.

Design

This study incorporates a cross-sectional research design.

Methods

The study included 217 surgical nurses employed in a Turkish university hospital. The research data were collected between April and June 2023 using the Teamwork Climate, Safety Climate Survey, Speaking Up Climate for Patient Safety, and Speaking Up Climate for Professionalism instruments. The relationships between these scales were assessed using Pearson correlation analysis. The Turkish validity and reliability of the Speaking Up Climate for Patient Safety and Speaking Up Climate for Professionalism scales were verified. The research model was tested using path analysis.

Findings

The mean age of the 217 surgical nurses was 25.88 ± 5.64 years. Teamwork climate showed a positive effect on safety climate and speaking up climate about patient safety concerns and unprofessional behaviors. Safety climate showed a positive association with nurses' speaking up climate about patient safety concerns and unprofessional behaviors.

Conclusions

Teamwork climate and safety climate both positively affect the speaking up climate about patient safety concerns and unprofessional behaviors. Nurse managers who wish to promote a culture of speaking up about patient safety and unprofessional behaviors should prioritize improvements in the teamwork climate and safety climate.

目的：本研究旨在探讨团队合作和安全氛围对护士为患者安全问题和非专业行为大声疾呼的影响：本研究采用横断面研究设计：研究对象包括土耳其一所大学医院的 217 名外科护士。研究数据收集于 2023 年 4 月至 6 月间，使用的工具包括团队合作氛围、安全氛围调查、为患者安全大声疾呼氛围和为职业精神大声疾呼氛围。使用皮尔逊相关分析评估了这些量表之间的关系。对 "为患者安全而大声疾呼 "和 "为专业精神而大声疾呼 "量表的土耳其语有效性和可靠性进行了验证。使用路径分析对研究模型进行了检验：217 名外科护士的平均年龄为 25.88±5.64 岁。团队合作氛围对安全氛围和对患者安全问题及非专业行为发表意见的氛围有积极影响。安全氛围与护士就患者安全问题和非专业行为发表意见的氛围呈正相关：结论：团队合作氛围和安全氛围都会对有关患者安全问题和非专业行为的直言不讳氛围产生积极影响。护士长若想促进敢于直言患者安全问题和非专业行为的文化，应优先改善团队合作氛围和安全氛围。

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引用次数: 0

Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety: A Randomized Controlled Trial 传统麻醉护士教育与人工智能聊天机器人 (ChatGPT) 对术前焦虑干预的比较：随机对照试验。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.005

Purpose

This study aimed to evaluate the effects of an artificial intelligence (AI) chatbot (ChatGPT-3.5, OpenAI) on preoperative anxiety reduction and patient satisfaction in adult patients undergoing surgery under general anesthesia.

Design

The study used a single-blind, randomized controlled trial design.

Methods

In this study, 100 adult patients were enrolled and divided into two groups: 50 in the control group, in which patients received standard preoperative information from anesthesia nurses, and 50 in the intervention group, in which patients interacted with ChatGPT. The primary outcome, preoperative anxiety reduction, was measured using the Japanese State-Trait Anxiety Inventory (STAI) self-report questionnaire. The secondary endpoints included participant satisfaction (Q1), comprehension of the treatment process (Q2), and the perception of the AI chatbot’s responses as more relevant than those of the nurses (Q3).

Findings

Of the 85 participants who completed the study, the STAI scores in the control group remained stable, whereas those in the intervention group decreased. The mixed-effects model showed significant effects of time and group-time interaction on the STAI scores; however, no main group effect was observed. The secondary endpoints revealed mixed results; some patients found that the chatbot’s responses were more relevant, whereas others were dissatisfied or experienced difficulties.

Conclusions

The ChatGPT intervention significantly reduced preoperative anxiety compared with the control group; however, no overall difference in the STAI scores was observed. The mixed secondary endpoint results highlight the need for refining chatbot algorithms and knowledge bases to improve performance and satisfaction. AI chatbots should complement, rather than replace, human health care providers. Seamless integration and effective communication among AI chatbots, patients, and health care providers are essential for optimizing patient outcomes.

目的：本研究旨在评估人工智能（AI）聊天机器人（ChatGPT-3.5，OpenAI）对降低全身麻醉手术成年患者术前焦虑和患者满意度的影响：研究采用单盲随机对照试验设计：本研究共招募了 100 名成年患者，将其分为两组：对照组和干预组各 50 人，对照组患者接受麻醉护士提供的标准术前信息，干预组患者与 ChatGPT 进行互动。主要结果是术前焦虑减少，采用日本国家-特质焦虑量表（STAI）自我报告问卷进行测量。次要终点包括参与者满意度（Q1）、对治疗过程的理解（Q2）以及认为人工智能聊天机器人的回复比护士的回复更相关（Q3）：在完成研究的 85 名参与者中，对照组的 STAI 分数保持稳定，而干预组的 STAI 分数有所下降。混合效应模型显示，时间和组间交互作用对 STAI 分数有显著影响；但没有观察到主组效应。次要终点显示的结果不一；一些患者发现聊天机器人的回复更有意义，而另一些患者则不满意或遇到困难：结论：与对照组相比，ChatGPT 干预能明显减轻术前焦虑；但在 STAI 评分方面未观察到总体差异。次要终点结果参差不齐，这凸显了完善聊天机器人算法和知识库以提高性能和满意度的必要性。人工智能聊天机器人应该补充而不是取代人类医疗服务提供者。人工智能聊天机器人、患者和医疗服务提供者之间的无缝集成和有效沟通对于优化患者治疗效果至关重要。

{"title":"Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety: A Randomized Controlled Trial","authors":"","doi":"10.1016/j.jopan.2023.12.005","DOIUrl":"10.1016/j.jopan.2023.12.005","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effects of an artificial intelligence (AI) chatbot (ChatGPT-3.5, OpenAI) on preoperative anxiety reduction and patient satisfaction in adult patients undergoing surgery under general anesthesia.</div></div><div><h3>Design</h3><div>The study used a single-blind, randomized controlled trial design.</div></div><div><h3>Methods</h3><div>In this study, 100 adult patients were enrolled and divided into two groups: 50 in the control group, in which patients received standard preoperative information<span> from anesthesia nurses, and 50 in the intervention group, in which patients interacted with ChatGPT. The primary outcome, preoperative anxiety reduction, was measured using the Japanese State-Trait Anxiety Inventory (STAI) self-report questionnaire. The secondary endpoints included participant satisfaction (Q1), comprehension of the treatment process (Q2), and the perception of the AI chatbot’s responses as more relevant than those of the nurses (Q3).</span></div></div><div><h3>Findings</h3><div>Of the 85 participants who completed the study, the STAI scores in the control group remained stable, whereas those in the intervention group decreased. The mixed-effects model showed significant effects of time and group-time interaction on the STAI scores; however, no main group effect was observed. The secondary endpoints revealed mixed results; some patients found that the chatbot’s responses were more relevant, whereas others were dissatisfied or experienced difficulties.</div></div><div><h3>Conclusions</h3><div>The ChatGPT intervention significantly reduced preoperative anxiety compared with the control group; however, no overall difference in the STAI scores was observed. The mixed secondary endpoint results highlight the need for refining chatbot algorithms and knowledge bases to improve performance and satisfaction. AI chatbots should complement, rather than replace, human health<span> care providers. Seamless integration and effective communication among AI chatbots, patients, and health care providers are essential for optimizing patient outcomes.</span></div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 767-771"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Active Warming Before Total Knee Arthroplasty on Intraoperative Body Temperature and Comfort: A Randomized Control Trial. 全膝关节置换术前主动加温对术中体温和舒适度的影响：随机对照试验

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-09-30 DOI: 10.1016/j.jopan.2024.06.116

Hatice Özsoy, Eda Dolgun

Purpose: This study was conducted to determine the effect of active warming on intraoperative body temperature and comfort before total knee arthroplasty.

Design: This study was a randomized controlled trial designed according to the Consolidated Standards of Reporting Trials.

Methods: The study was conducted on 54 patients in a public hospital in Türkiye. In the study, patients in the intervention group were prewarmed for 30 minutes before surgery. The patients in the intervention and control groups were warmed with a warming bed during the surgery.

Findings: In this study, the first entry temperature to the operating room after anesthesia induction and the mean body temperature of the patients in the intervention group were higher than the control group. The mean comfort score of the patients in the intervention group was higher than the control group.

Conclusions: As a result of this study, we found that the combination of preoperative prewarming and intraoperative warming reduced the decrease in the patient's body temperature and increased the comfort.

目的：本研究旨在确定主动加温对全膝关节置换术前术中体温和舒适度的影响：本研究是一项随机对照试验，根据试验报告综合标准设计：研究对象为土耳其一家公立医院的 54 名患者。在研究中，干预组患者在手术前预热 30 分钟。干预组和对照组患者在手术过程中使用暖床取暖：在这项研究中，干预组患者在麻醉诱导后进入手术室的首次体温和平均体温均高于对照组。干预组患者的平均舒适度评分高于对照组：本研究结果表明，术前预热和术中加温相结合可降低患者体温的下降，提高舒适度。

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引用次数: 0

Effects of Co-administration of Fentanyl and Nitroglycerin on Hemodynamic Responses During Intubation and Extubation: A Randomized Clinical Trial. 联合应用芬太尼和硝酸甘油对插管和拔管期间血流动力学反应的影响：随机临床试验

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-09-27 DOI: 10.1016/j.jopan.2024.07.006

Javad Aminisaman, Javad Nazari, Rasoul Kavyannejad

Purpose: This study was conducted with the aim of investigating the effects of simultaneous administration of fentanyl and nitroglycerine on hemodynamic responses.

Design: This randomized controlled trial was conducted with 50 patients undergoing elective inguinal hernia surgery.

Methods: Patients were randomly divided into two groups. In one group, fentanyl (F) was administered 5 minutes before intubation and extubation. In the other group, in addition to F, sublingual nitroglycerine spray was administered 2 minutes before intubation and extubation. Systolic, diastolic, and mean blood pressure and heart rate were measured before, immediately after, and at 1, 3, and 5 minutes after both procedures.

Findings: Systolic, diastolic, and mean blood pressure and heart rate were significantly lower in the group receiving fentanyl and nitroglycerine than in the group receiving fentanyl alone. In both groups, a reduction in hemodynamic variables was observed immediately after both procedures, up to 5 minutes later, but it was significantly reduced in the group receiving simultaneous administration of the two drugs.

Conclusions: Co-administration of nitroglycerine and fentanyl significantly weakened the hemodynamic responses and reflexes induced by intubation and extubation during the anesthesia process. Preventing these unwanted complications can lead to safer anesthesia for susceptible patients.

目的：本研究旨在探讨同时使用芬太尼和硝酸甘油对血液动力学反应的影响：方法：将 50 名接受腹股沟疝气手术的患者随机分为两组：患者随机分为两组。一组在插管和拔管前 5 分钟给予芬太尼（F）。另一组除使用芬太尼外，还在插管和拔管前 2 分钟舌下含服硝酸甘油喷雾剂。在两个过程之前、之后以及之后 1、3 和 5 分钟测量收缩压、舒张压、平均血压和心率：结果：接受芬太尼和硝酸甘油治疗组的收缩压、舒张压、平均血压和心率明显低于仅接受芬太尼治疗组。在两组中，均可观察到血液动力学变量在两种手术后5分钟内立即下降，但同时服用两种药物组的血液动力学变量明显降低：结论：同时使用硝酸甘油和芬太尼可明显减弱麻醉过程中插管和拔管引起的血流动力学反应和反射。预防这些不必要的并发症可使易感患者的麻醉更安全。

{"title":"Effects of Co-administration of Fentanyl and Nitroglycerin on Hemodynamic Responses During Intubation and Extubation: A Randomized Clinical Trial.","authors":"Javad Aminisaman, Javad Nazari, Rasoul Kavyannejad","doi":"10.1016/j.jopan.2024.07.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.07.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted with the aim of investigating the effects of simultaneous administration of fentanyl and nitroglycerine on hemodynamic responses.</p><p><strong>Design: </strong>This randomized controlled trial was conducted with 50 patients undergoing elective inguinal hernia surgery.</p><p><strong>Methods: </strong>Patients were randomly divided into two groups. In one group, fentanyl (F) was administered 5 minutes before intubation and extubation. In the other group, in addition to F, sublingual nitroglycerine spray was administered 2 minutes before intubation and extubation. Systolic, diastolic, and mean blood pressure and heart rate were measured before, immediately after, and at 1, 3, and 5 minutes after both procedures.</p><p><strong>Findings: </strong>Systolic, diastolic, and mean blood pressure and heart rate were significantly lower in the group receiving fentanyl and nitroglycerine than in the group receiving fentanyl alone. In both groups, a reduction in hemodynamic variables was observed immediately after both procedures, up to 5 minutes later, but it was significantly reduced in the group receiving simultaneous administration of the two drugs.</p><p><strong>Conclusions: </strong>Co-administration of nitroglycerine and fentanyl significantly weakened the hemodynamic responses and reflexes induced by intubation and extubation during the anesthesia process. Preventing these unwanted complications can lead to safer anesthesia for susceptible patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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