Perioperative Care and Operating Room Management最新文献

{"title":"A study of the relationship between professional autonomy and professional quality of life among operating room personnel: A cross-sectional study","authors":"Fatemeh Hasanfard ,&nbsp;Camellia Torabizadeh ,&nbsp;Zahra Khademian","doi":"10.1016/j.pcorm.2024.100447","DOIUrl":"10.1016/j.pcorm.2024.100447","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare personnel's professional autonomy and professional quality of life can influence the quality of care provided to patients. However, there is scarce and contradictory information available about the relationship between these two factors. The present study aims to investigate the relationship between professional autonomy and professional quality of life among operating room personnel.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted in teaching hospitals in the south of Iran in 2023. The sample consisted of 464 operating room personnel who were selected by quota sampling. Data were collected using Dempster Professional Autonomy Scale and Stamm's Professional Quality of Life Scale. The collected data were analyzed in SPSS v. 24. Level of significance was set at 0.05.</div></div><div><h3>Results</h3><div>The participants’ professional autonomy mean score was found to be average (92.6 ± 73.32). Among the subscales of professional quality of life, the participants’ highest and lowest mean scores were for compassion satisfaction (35.3 ± 3.75) and secondary traumatic stress (31.2 ± 9.94) respectively. Also, the researchers found a significant inverse correlation between professional autonomy on the one hand and the professional quality of life subscales of burnout (<em>p</em> = 0.017, <em>r</em> = -0.111) and secondary traumatic stress (<em>p</em> = 0.005, <em>r</em> = -0.131) on the other. Moreover, there was a significant correlation between the operating room personnel's employment status on the one hand and professional autonomy (<em>p</em> = 0.004, <em>r</em> = -0.133) and burnout (<em>p</em> = 0.034, <em>r</em> = -0.099) on the other. The results also showed a significant inverse correlation between the subscale of burnout on the one hand and the variables of age (<em>p</em> = 0.021, <em>r</em> = -0.107) and work experience (<em>p</em> = 0.027, <em>r</em> = -0.103) on the other.</div></div><div><h3>Conclusion</h3><div>In view of the findings of the study, the healthcare system administrators are recommended to adopt effective policies and strategies to promote operating room personnel's professional autonomy and professional quality of life.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100447"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699498","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":"Postoperative mechanical ventilation after corrective Tetralogy of Fallot surgery in infants: Assessment of perioperative factors and radiographic severity scores","authors":"Panop Limratana ,&nbsp;Wiriya Maisat ,&nbsp;Lee Ferguson ,&nbsp;Christopher W. Baird ,&nbsp;Koichi Yuki","doi":"10.1016/j.pcorm.2024.100446","DOIUrl":"10.1016/j.pcorm.2024.100446","url":null,"abstract":"<div><div>Early recovery from surgery for congenital heart disease (CHD) is becoming a trend. Tetralogy of Fallot/pulmonary stenosis (TOF/PS) is the most common cyanotic CHD with excellent long-term outcomes. We examined potential factors associated with early extubation in 249 patients who underwent TOF/PS complete repair in a tertiary pediatric medical center from January 2015 to December 2022. Patient demographics, preoperative characteristics, intraoperative variables, postoperative outcomes, surgical type, surgical duration, cardiopulmonary bypass (CPB) time, cross-clamp time, and blood product volumes were acquired from the electronic medical records. Valve sparing repair (VSR) tends to demonstrate earlier recovery profiles than transannular patch repair (TAP) irrelevant of the presence of monocusp valve (<em>P</em> &lt; 0.0001) and the degree of right ventricular outflow pressure drop was significantly correlated with post-operative recovery profile (<em>p</em> = 0.0204). Because of intracardiac shunts and PaO₂/FiO₂ ratios being poor indicators of lung injury, Brixia scores were also used. Our data suggested that Brixia score could be an excellent alternative to evaluate post-operative lung status.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100446"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699496","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":"Compliance evaluation in post-anesthesia care units at teaching hospitals in Alborz Province, Iran","authors":"Leila Sadati ,&nbsp;Mohsen Khalilnejad ,&nbsp;Dorrin Nikbakht ,&nbsp;Sahar Karami ,&nbsp;Fatemeh Tavakoli ,&nbsp;Rana Abjar","doi":"10.1016/j.pcorm.2024.100445","DOIUrl":"10.1016/j.pcorm.2024.100445","url":null,"abstract":"<div><h3>Background</h3><div>The post-anesthesia care unit (PACU) is a critical care unit where postoperative patients are monitored and cared for until full recovery. Evaluating standards in different domains is crucial for providing quality care. This study aims to assess the compliance of design, equipment, drugs, and staff performance standards in PACUs of teaching hospitals of Alborz Province, Iran.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted between January 2023 and September 2023. Data were gathered using a 40-item checklist covering physical structure, equipment/drugs, and staff performance. For the latter, a 360-degree appraisal (self-assessment, internal evaluator, external evaluator) was done.</div></div><div><h3>Results</h3><div>Among the three standard domains, performance had the highest average compliance at 80.72 %, followed by equipment/drugs at 75.33 %. Design/structure had the lowest compliance at 54 %.</div></div><div><h3>Conclusion</h3><div>Given the lack of full compliance in PACU design, equipment, and certain aspects of patient care, healthcare managers and policymakers must prioritize improving post-anesthesia care unit infrastructure, equipment provision, and staff training. Implementing continuous education programs with effective teaching methods is crucial for enhancing care quality and preparing future healthcare professionals in these teaching hospitals.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100445"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699497","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":"Anaesthetic management of caesarean section in a primigravida with pre-eclampsia, pleural effusion, consolidation, and lung collapse – a case report","authors":"Shilpa A Naik,&nbsp;Prathvi B,&nbsp;Ranjan R K,&nbsp;Angela Abraham","doi":"10.1016/j.pcorm.2024.100443","DOIUrl":"10.1016/j.pcorm.2024.100443","url":null,"abstract":"<div><div>Pregnancy complicated with preeclampsia, pleural effusion and lung infection presents unique challenges to the anaesthesiologist. An enlarged uterus in pregnant women, particularly in the third trimester restricts diaphragmatic movement, raising pleural fluid pressure and facilitating the development of pleural effusion. We present the safe and successful conduct of an emergency lower segment cesarean section (LSCS) in a severe pre-eclamptic patient, with bilateral pleural effusions and collapse and consolidation of the lungs. This was performed under spinal anaesthesia as a valuable alternative to general anaesthesia in the setting of numerous infrastructure constraints.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100443"},"PeriodicalIF":0.0,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662594","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 effect of surgical smoke on operating room workers, attitudes towards risks, and the implementation of preventive measures","authors":"Derya Esenkaya ,&nbsp;Emine İyigün","doi":"10.1016/j.pcorm.2024.100442","DOIUrl":"10.1016/j.pcorm.2024.100442","url":null,"abstract":"<div><div>Amaç: Bu araştırma, cerrahi dumanın ameliyathane sahipleri üzerinde mevcutlukları, risklere karşı tutumlarını ve para harcamanlarını planlama amacıyla tanımlama olarak yapılmıştır. Gereç ve Yöntem: Kesitsel kalitede bu çalışma, Türkiye'de bir hastanenin ameliyathane ünitesinde Nisan-Mayıs 2022′de kayıtlı süre boyunca devam etmektedir. Araştırmanın boyutları, dahil edilme kriterlerini karşılayan 73 ameliyathane çalışanından oluşuyordu. Araştırmanın verileri Kişisel Bilgi Formu, AORN (Peri-Operatif Kayıtlı Hemşireler Derneği) rehberleri ve ilgili kaynaklarla kırsal Cerrahi Dumanın Ameliyathane Çalışanları Üzerindeki Etkileri, Risklere Yönelik Tutumlar ve Önleyici Tedbirlerin Uygulanması Anketi ile toplanmıştır. Bulgular: Ameliyathane çalışanlarının %91,8′i (<em>n</em> = 67) son beş yıl içerisinde cerrahi dumanla ilgili herhangi bir eğitime katılmadığını belirtti. Bunların %75,3′ü cerrahi dumana maruz kaldıklarını bildirdi. Ameliyathane çalışanlarının yaklaşık %50,7′si (<em>n</em> = 37) lazer dumanı tahliyesi için herhangi bir cihazın kullanılmadığını belirtirken, %39,7′si (<em>n</em> = 29) tahliye dumanı için kullanılan cihazlar hakkında bilgisinin olmadığını belirtti. Ameliyathane çalışanlarının %65,8′inin (<em>n</em> = 48) iş yerlerinde cerrahi dumanla ilgili herhangi bir protokolden haber yoktu. Cerrahi dumana maruz kalmanın sağlık üzerindeki etkilerine, maruziyete dayanıklına süt verdiklerini bildirdiler: sızıntı (%65,8), göz tahrişi (%65,8), gözlerde sulanma (%63,0), göz kuruluğu (%65,8)), uyku bozuklukları (%49,3) %), solunum problemleri (%37,0) ve baş ağrısı (%35,6). Araştırmada ameliyathane çalışanlarının elde edebilecekleri cerrahi dumandan korunmak için kişisel koruyucu önlemlerin alınması. Cerrahi maske (%100), aspirasyon sondası (%60,3), önlük (%41,1) ve gözlük (%35,6) belirlendi. Sağlık çalışanlarının cerrahi dumanın potansiyel tehlikelerine karşı tutumları değerlendirildi. Diğer sağlık çalışanlarının ameliyathane çalışanlarına göre daha fazla kaygı yaşadıkları belirlendi. Sonuç: Araştırmanın düzenine göre ameliyathane çalışanlarının sağlıklı duman tehlikelerine yönelik ilerlemeye yönelik tutumlarını geliştirecek yöntemlerin benimsenmesinin esasları. Ayrıca vakum dumanıyla ilgili tamamlayıcıları önlemek için politikalar ve kılavuzlar iletilmeli ve yöneticilerden uygun ekipman ve destek eğitimi.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100442"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662593","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":"Procedure-adjusted incidences of postoperative hospital admissions are not associated with differences in the quality of anesthesiologists’ clinical supervision or nurse anesthetists’ work habits","authors":"Franklin Dexter ,&nbsp;Bradley J. Hindman ,&nbsp;Richard H. Epstein ,&nbsp;Andrea Vannucci ,&nbsp;Rashmi N. Mueller","doi":"10.1016/j.pcorm.2024.100441","DOIUrl":"10.1016/j.pcorm.2024.100441","url":null,"abstract":"<div><h3>Background</h3><div>Anesthesia departments may benefit from automated computerized methods to monitor the clinical performance of individual anesthesia practitioners. Hospital admission (&gt;1 night stay) after ambulatory surgery may be a suitable metric, with higher incidences potentially being associated with poor clinical performance. If valid, there should be a small but statistically significant association of postoperative admission with previously validated measures of quality of intraoperative anesthesia care.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used eight fiscal years of data from one hospital with daily assessments of two different measures of quality of anesthesia clinical care. One variable was anesthesiologists’ clinical supervision evaluated by trainees, principally residents. The second independent variable was nurse anesthetists’ work habits, evaluated by anesthesiologists. These independent variables were binary, the proportions of rater-leniency-adjusted evaluations with maximum performance for all items, calculated annually. The dependent variable was the proportion of ratees’ cases (anesthesiologist or nurse anesthetist) with postoperative length of stay ≤ 1 day, adjusted for surgical suite and procedure category. Thus, for both independent and dependent variables, larger (positive logits) were “good” and smaller (negative logits) were “bad.”</div></div><div><h3>Results</h3><div>There were no significant associations for either supervision (P =0.14, N=561 anesthesiologist-years) or work habits (P =0.74, N=598 nurse anesthetist-years). Estimated signs of the slopes were for increases in the logits of the quality of clinical supervision to be associated with non-significant <u>decreases</u> in the logits of the probabilities of the patients having lengths of stay ≤1 day. Similarly, increases in the logits of nurse anesthetists’ work habits had negative-signed non-significant associations with the logits of the probabilities of the patients having lengths of stay ≤1 day.</div></div><div><h3>Conclusions</h3><div>The results show with substantial certainty that higher-performing anesthesia practitioners do not have briefer lengths of stay. Anesthesiologists and nurse anesthetists should not be compared among one another based on whether their patients have a greater than predicted risk of procedure-adjusted hospital admission after ambulatory surgery.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100441"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578130","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":"Role of Granisetron in preventing hypotension after spinal anaesthesia with Levobupivacaine in rheumatic patients undergoing elective cesarean section: A randomized controlled trial","authors":"Marwa Mahmoud AbdelRady ,&nbsp;Ghada Mohammad AboElfadl ,&nbsp;Mohamed Nassar Ibrahim ,&nbsp;Hany Ahmed Ibraheem El-Morabaa ,&nbsp;Ahmad Mohamed Aboelfadl ,&nbsp;Ahmed Aboulfotouh","doi":"10.1016/j.pcorm.2024.100439","DOIUrl":"10.1016/j.pcorm.2024.100439","url":null,"abstract":"<div><h3>Background</h3><div>Heart disease, which carries a high risk, is the main factor contributing to maternal death and morbidity during pregnancy. In this trial, we examined how well intravenous (IV) granisetron prevented bradycardia and hypotension in rheumatic patients undergoing elective cesarean delivery.</div></div><div><h3>Patients and methods</h3><div>There were 102 patients total in the study, 51 in each of the two groups. Patients in Group G received 1 mg of IV granisetron diluted to 5 ml before the start of spinal anaesthesia, while those in Group S received 5 ml of 0.9 % normal saline. It has been recorded how much atropine and vasopressor were used overall. The Apgar scores at one and five minutes were also examined.</div></div><div><h3>Results</h3><div>In Group S, the prevalence of hypotension was 60.7 %, compared to 33.3 % in Group G (<em>p</em> &lt; 0.05). As a result, patients in Group S needed considerably more ephedrine (<em>p</em> &lt; 0.05). Patients in Group G had their hemodynamic parameters well maintained for the duration of the research. The Apgar score measured the neonatal outcome at 0-, 1-, and 5 min following birth, and it was equivalent between the two study groups.</div></div><div><h3>Conclusion</h3><div>Before spinal anaesthesia, intravenous granisetron 1 mg can lower hypotension in cardiac parturients without negatively affecting the mother or the baby.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142662554","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":"Countermeasures and management schemes for improving the quality of continuing medical education in hospitals","authors":"Weiwei Zhou ,&nbsp;Fangfang Liang ,&nbsp;Jiajia Qin ,&nbsp;Hui Wei ,&nbsp;Arshad Mehmood ,&nbsp;Yourong Cao ,&nbsp;Qijia Huang ,&nbsp;Zhong Lin ,&nbsp;Yi Mo","doi":"10.1016/j.pcorm.2024.100440","DOIUrl":"10.1016/j.pcorm.2024.100440","url":null,"abstract":"<div><h3>Background</h3><div>This paper analyzes the urgency, importance, and current situation of continuing medical education in hospitals.</div></div><div><h3>Methods</h3><div>To solve the existing problems in continuing medical education, a series of countermeasures and management schemes to improve the quality of continuing medical education were put forward.</div></div><div><h3>Results</h3><div>These solutions include setting up specialized agencies in the field of continuing medical education, strengthening the construction of teaching staff, perfecting the teaching contents and methods, normative training management measures, and improving the participation willingness of the medical staff.</div></div><div><h3>Conclusion</h3><div>These countermeasures and management schemes will help the hospital improve the quality of continuing medical education, promote academic exchanges and cooperation with medical staff, improve the quality of medical services, and promote the healthy development of the medical industry.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100440"},"PeriodicalIF":0.0,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535423","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 Acero perioperative skin bundle: An intuitive perioperative pressure injury prevention bundle","authors":"Lilibeth Acero ,&nbsp;Mandy Spitzer","doi":"10.1016/j.pcorm.2024.100436","DOIUrl":"10.1016/j.pcorm.2024.100436","url":null,"abstract":"<div><div>Over 40 million major surgeries are performed each year in the US, and perioperative care areas are a high-risk environment for the development of pressure injuries (PI). A unique set of challenges for the prevention of PI is faced during the perioperative period due to prolonged immobility and positioning on a relatively hard surface. The Acero Perioperative Skin Bundle (APSB) was developed to facilitate risk assessment and application of appropriate interventions at a 500+ bed safety-net, teaching hospital. Prior to the implementation of the bundle, there was a perioperative-acquired incidence of 1.9 %, accounting for 38 % of all hospital-acquired PI. In the 24-months following implementation of the bundle the hospital has maintained a perioperative-acquired PI incidence of 0 % (p = .0001). This quality improvement report demonstrates how the implementation of standardized risk assessment and application of evidence-based interventions was cost effective and significantly reduced PI acquired in perioperative care.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100436"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of Clinical Nurse Specialist and the safety management in operating theatre during the COVID-19 pandemic: An integrative scoping review","authors":"Marco Sguanci ,&nbsp;Stefano Mancin ,&nbsp;Sara Morales Palomares ,&nbsp;Giovanni Cangelosi ,&nbsp;Mauro Parozzi ,&nbsp;Michela Piredda ,&nbsp;Maria Grazia De Marinis","doi":"10.1016/j.pcorm.2024.100437","DOIUrl":"10.1016/j.pcorm.2024.100437","url":null,"abstract":"<div><h3>Background</h3><div>The global health crisis caused by the COVID-19 pandemic has prompted discussions regarding the best approach to safely manage COVID-19 positive patients in the operating room.</div></div><div><h3>Objective</h3><div>This study aimed to highlight the importance of \"standardised clinical practice\" and the role of the \"Clinical Nurse Specialist\" in treating COVID-19 positive patients in the operating room. Methods: A scoping review based on Arksey and O'Malley's methodology was conducted. Searches were conducted in Cochrane Library, PubMed, Embase, CINAHL, Scopus, and Web of Science for studies on perioperative management and the Clinical Nurse Specialist's role in COVID-19 surgeries. Manual searches included reference lists and Google Scholar. Two reviewers independently screened, selected, and included articles, assessing the risk of bias and methodological quality.</div></div><div><h3>Results</h3><div>From 278 identified records, 24 studies were included. Two key aspects emerged: clinical safety procedures and the Clinical Nurse Specialist's role in the perioperative setting. Standardised practice in the operating room is crucial, and the Clinical Nurse Specialist has significant potential in managing COVID-19 patients.</div></div><div><h3>Conclusions</h3><div>Healthcare organizations should prioritize standardized practices for surgical assistance of COVID-19 patients. While global implementation of the Clinical Nurse Specialist is limited, their inclusion in perioperative settings could enhance care efficiency.</div></div>","PeriodicalId":53468,"journal":{"name":"Perioperative Care and Operating Room Management","volume":"37 ","pages":"Article 100437"},"PeriodicalIF":0.0,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}