Fourth Survey and Report on Nurse Wellness Released
As part of its Pulse on the Nation's Nurses Survey Series, the American Nurses Foundation and American Nurses Association has released its fourth mental health and wellness survey and report, the goal of which is to obtain data to inform decisions about how to support nurses. The survey, which included more than 7,000 nurses, identified that 56% of nurses experienced symptoms of burnout that they attributed to staffing issues, increasing numbers of patients, poor leadership, and the time needed to complete administrative duties. Although burnout was high, only one-third of respondents reported that they were currently receiving mental health support; reported barriers included a lack of time, feeling that they should be able to handle their own mental health, and cost. Overall, 65% of nurses reported feeling “a great deal of stress” related to their jobs. Reports of stress and anxiety slightly improved from previous years’ surveys; however, reports of positive emotions (eg, feeling grateful or empowered) decreased. The report outlines actions to take to address mental health and wellness, such as addressing structural aspects of the job that affect workload (eg, using technology, delegating tasks), providing flexible work options (eg, start time, shift length), improving access to evidence-based mental health resources (eg, behavioral health concierge, peer-to-peer support), and strengthening skills and abilities (eg, training on conflict resolution).
{"title":"News Briefs","authors":"","doi":"10.1002/aorn.14103","DOIUrl":"https://doi.org/10.1002/aorn.14103","url":null,"abstract":"<h2> Fourth Survey and Report on Nurse Wellness Released</h2>\u0000<p>As part of its Pulse on the Nation's Nurses Survey Series, the American Nurses Foundation and American Nurses Association has released its fourth mental health and wellness survey and report, the goal of which is to obtain data to inform decisions about how to support nurses. The survey, which included more than 7,000 nurses, identified that 56% of nurses experienced symptoms of burnout that they attributed to staffing issues, increasing numbers of patients, poor leadership, and the time needed to complete administrative duties. Although burnout was high, only one-third of respondents reported that they were currently receiving mental health support; reported barriers included a lack of time, feeling that they should be able to handle their own mental health, and cost. Overall, 65% of nurses reported feeling “a great deal of stress” related to their jobs. Reports of stress and anxiety slightly improved from previous years’ surveys; however, reports of positive emotions (eg, feeling grateful or empowered) decreased. The report outlines actions to take to address mental health and wellness, such as addressing structural aspects of the job that affect workload (eg, using technology, delegating tasks), providing flexible work options (eg, start time, shift length), improving access to evidence-based mental health resources (eg, behavioral health concierge, peer-to-peer support), and strengthening skills and abilities (eg, training on conflict resolution).</p>\u0000<p><b>Read more:</b> https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/survey-4/</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"41 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967831","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}
Periop Briefing interviewed Tabitha Hoffman, MSN, RN, RNC-OB, NPD-BC, clinical education specialist, WellSpan Apple Hill Surgical Center, York, Pennsylvania, about a project to create a specialty lead role to improve communication, teamwork, efficiency, and preparedness.
Periop Briefing 采访了宾夕法尼亚州约克市 WellSpan Apple Hill 手术中心的临床教育专家 Tabitha Hoffman（MSN、RN、RNC-OB、NPD-BC），她介绍了一个创建专科领导角色以改善沟通、团队合作、效率和准备的项目。
{"title":"Creating Specialty Leads in an Ambulatory Surgery Center to Improve Efficiency","authors":"","doi":"10.1002/aorn.14105","DOIUrl":"https://doi.org/10.1002/aorn.14105","url":null,"abstract":"<div>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/5cea128f-2516-4781-b84c-7085f4f7f656/aorn14105-gra-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/5cea128f-2516-4781-b84c-7085f4f7f656/aorn14105-gra-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/43336bf6-5678-4bbf-a50b-c2aab82be832/aorn14105-gra-0001-m.png\" title=\"image\"/></picture><p></p>\u0000</div>\u0000</figure>\u0000</div>\u0000<p><i>Periop Briefing</i> interviewed Tabitha Hoffman, MSN, RN, RNC-OB, NPD-BC, clinical education specialist, WellSpan Apple Hill Surgical Center, York, Pennsylvania, about a project to create a specialty lead role to improve communication, teamwork, efficiency, and preparedness.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"242 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967683","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}
Editor's note: All names have been changed to protect the privacy and anonymity of the individuals, teams, and facilities involved.
编者注：为保护相关个人、团队和设施的隐私和匿名性，所有姓名均已更改。
{"title":"Preventing Wrong-Side Surgery","authors":"","doi":"10.1002/aorn.14099","DOIUrl":"https://doi.org/10.1002/aorn.14099","url":null,"abstract":"<div>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/3d7c3fbd-0ce0-40d1-8b13-113ced2e58cc/aorn14099-gra-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/3d7c3fbd-0ce0-40d1-8b13-113ced2e58cc/aorn14099-gra-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/f2cc8dae-59b4-43e7-a43f-d38eb9a3a3b0/aorn14099-gra-0001-m.png\" title=\"image\"/></picture><p></p>\u0000</div>\u0000</figure>\u0000</div>\u0000<p>\u0000<i><b>Editor's note:</b> All names have been changed to protect the privacy and anonymity of the individuals, teams, and facilities involved.</i>\u0000</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"2 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967818","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}
Rebecca Vortman, Pamayla E. Darbyshire, Ray-an Talatala
Perioperative nurses can share their expertise by writing for publication in a peer-reviewed journal. Writing can help perioperative nurses grow their professional careers and advance the science of the perioperative nursing specialty. Despite the value and importance of publishing, perioperative nurses may lack confidence and fear rejection and negative feedback; increasing their knowledge and understanding of the authoring and publishing processes can assuage these fears. This education article describes concepts associated with scholarly publishing for authors and offers strategies to encourage perioperative nurses to share their practice experiences or research via peer-reviewed journals. Key steps associated with the writing and publication process are described. The article also explains the editorial and peer-review processes and provides supportive strategies for authors when a manuscript is not accepted initially.
{"title":"Sharing Perioperative Nursing Expertise Through Publication: A Guide for the Novice Author","authors":"Rebecca Vortman, Pamayla E. Darbyshire, Ray-an Talatala","doi":"10.1002/aorn.14094","DOIUrl":"https://doi.org/10.1002/aorn.14094","url":null,"abstract":"Perioperative nurses can share their expertise by writing for publication in a peer-reviewed journal. Writing can help perioperative nurses grow their professional careers and advance the science of the perioperative nursing specialty. Despite the value and importance of publishing, perioperative nurses may lack confidence and fear rejection and negative feedback; increasing their knowledge and understanding of the authoring and publishing processes can assuage these fears. This education article describes concepts associated with scholarly publishing for authors and offers strategies to encourage perioperative nurses to share their practice experiences or research via peer-reviewed journals. Key steps associated with the writing and publication process are described. The article also explains the editorial and peer-review processes and provides supportive strategies for authors when a manuscript is not accepted initially.","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"126 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967928","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}
Surgical smoke is produced when surgical energy devices, such as electrosurgical units, lasers, and high-speed powered instruments, are used on tissue. It has been reported to contain toxic compounds (eg, hydrogen cyanide, benzene), bioaerosols, viruses (eg, human immunodeficiency virus), viable cancer cells, particles, blood fragments, and bacteria. Perioperative personnel, including surgeons, nurses, anesthesia professionals, and surgical technologists, are exposed to surgical smoke and its associated hazards (eg, respiratory, carcinogenic). To help protect personnel from these hazards and decrease their potential health risks, AORN recommends that health care organizations provide an environment free of surgical smoke, which includes using smoke evacuation and filtration in addition to room ventilation.1
Figure 1. Best practices for surgical smoke evacuation and filtration.1
{"title":"Best Practices for Surgical Smoke Evacuation and Filtration","authors":"","doi":"10.1002/aorn.14106","DOIUrl":"https://doi.org/10.1002/aorn.14106","url":null,"abstract":"<div>Surgical smoke is produced when surgical energy devices, such as electrosurgical units, lasers, and high-speed powered instruments, are used on tissue. It has been reported to contain toxic compounds (eg, hydrogen cyanide, benzene), bioaerosols, viruses (eg, human immunodeficiency virus), viable cancer cells, particles, blood fragments, and bacteria. Perioperative personnel, including surgeons, nurses, anesthesia professionals, and surgical technologists, are exposed to surgical smoke and its associated hazards (eg, respiratory, carcinogenic). To help protect personnel from these hazards and decrease their potential health risks, AORN recommends that health care organizations provide an environment free of surgical smoke, which includes using smoke evacuation and filtration in addition to room ventilation.<span><sup>1</sup></span>\u0000<figure>\u0000<div><picture>\u0000<source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/17c2eb1f-67cd-4db4-9b79-fe967b0a96b6/aorn14106-fig-0001-m.jpg\"/><img alt=\"image\" data-lg-src=\"/cms/asset/17c2eb1f-67cd-4db4-9b79-fe967b0a96b6/aorn14106-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/2aa7402a-ce4a-4cba-9804-c8f59e31b924/aorn14106-fig-0001-m.png\" title=\"image\"/></picture><p><b>Figure 1.</b> Best practices for surgical smoke evacuation and filtration.<span><sup>1</sup></span></p>\u0000</div>\u0000</figure>\u0000</div>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"49 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967843","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}
AORN has identified safety risks unique to the perioperative setting and has developed ergonomic safety measures to help prevent musculoskeletal injuries and disorders. Little is known about adherence to these safety measures or the perceived barriers and facilitators to adherence. This study used a cross-sectional survey to determine the prevalence of pain and occurrence of musculoskeletal injuries and disorders. We asked perioperative staff members about their perceived barriers and facilitators to adherence with safety measures. A total of 155 perioperative nurses in one health system completed the online survey (55% response rate). Most (93%) had experienced at least one musculoskeletal injury or disorder or related pain. Years worked as a perioperative nurse and having neck pain were associated with safety measure adherence. The most reported barrier to safety measure adherence was inadequate staffing. Study findings highlight the need for increased attention to the physical workload demands in the perioperative setting.
{"title":"Factors Affecting Perioperative Nurse Adherence to Ergonomic Safety Measures","authors":"Susan Letvak, Brandi Apple, Marjorie Jenkins","doi":"10.1002/aorn.14097","DOIUrl":"https://doi.org/10.1002/aorn.14097","url":null,"abstract":"AORN has identified safety risks unique to the perioperative setting and has developed ergonomic safety measures to help prevent musculoskeletal injuries and disorders. Little is known about adherence to these safety measures or the perceived barriers and facilitators to adherence. This study used a cross-sectional survey to determine the prevalence of pain and occurrence of musculoskeletal injuries and disorders. We asked perioperative staff members about their perceived barriers and facilitators to adherence with safety measures. A total of 155 perioperative nurses in one health system completed the online survey (55% response rate). Most (93%) had experienced at least one musculoskeletal injury or disorder or related pain. Years worked as a perioperative nurse and having neck pain were associated with safety measure adherence. The most reported barrier to safety measure adherence was inadequate staffing. Study findings highlight the need for increased attention to the physical workload demands in the perioperative setting.","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"242 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139967825","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}
{"title":"Forum and House of Delegates Agenda.","authors":"","doi":"10.1002/aorn.14093","DOIUrl":"10.1002/aorn.14093","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"119 2","pages":"119"},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565389","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}
There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.
自 2000 年出版《To Err Is Human: Building a Safer Health System》以来，围手术期越来越重视避免不良事件和提供安全的患者护理。围术期不良事件仍时有发生，而且很可能报告不足。围手术期护理的跨学科性质和高成本可能会使医务人员不敢直言，因为他们害怕在报告时遭到报复和惩罚。医疗机构的领导者可以实施一种公正的文化，将重点放在改善患者护理流程和安全性上，而不是在不良事件发生后进行指责。公正文化的宗旨是实现系统与个人之间的平衡问责。实施公正文化的策略包括领导者的支持、报告政策和程序、报告系统的可及性、为员工提供信息、确定支持拥护者，以及创建良好的监督计划。领导者还应衡量和跟踪其机构在公正文化方面取得的进展。
{"title":"Creating a Just Culture in the Perioperative Setting.","authors":"Katie Hooven, Gerry Altmiller","doi":"10.1002/aorn.14074","DOIUrl":"10.1002/aorn.14074","url":null,"abstract":"<p><p>There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"119 2","pages":"152-160"},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565386","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}
{"title":"Making Your Mark Through Lifelong Learning.","authors":"Elizabeth S Pincus","doi":"10.1002/aorn.14084","DOIUrl":"10.1002/aorn.14084","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"119 2","pages":"109-110"},"PeriodicalIF":0.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565359","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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