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The Nurse's Role in Achieving Optimal Perioperative Outcomes Through Patient Blood Management: A Clinical Review. 护士在通过患者血液管理实现最佳围手术期结果中的作用：临床回顾。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14397
Sherri Ozawa, Joshua Ozawa-Morriello, Rebecca Rock, MaryAnn Sromoski, Tiffany Hall, Arnel Boke Kilicli, Bronwyn Louise Pearse

This article provides a comprehensive discussion about how perioperative nurses can contribute to achieving the best perioperative outcomes through patient blood management (PBM). Patient blood management is a multidisciplinary, patient-centered approach to managing and preserving a patient's own blood and includes anemia management, coagulation optimization, and blood loss minimization to improve outcomes. This interdisciplinary strategy is endorsed by the World Health Organization and is particularly applicable to surgical settings. Their 2021 policy brief highlights the urgent need for PBM because of its effect on patient safety and health. Nurses play an influential role in implementing PBM by providing patient and clinician education; performing preoperative, intraoperative, and postoperative risk assessments and monitoring; and implementing general blood conservation strategies. With a comprehensive understanding of PBM and active involvement in the implementation of PBM strategies, nurses can promote positive clinical outcomes, reduce complications, and enhance patient recovery.

本文全面讨论了围手术期护士如何通过患者血液管理（PBM）实现最佳围手术期结果。患者血液管理是一种多学科、以患者为中心的方法，用于管理和保存患者自身的血液，包括贫血管理、凝血优化和最大限度地减少失血，以改善结果。这一跨学科战略得到了世界卫生组织的认可，特别适用于外科环境。他们的2021年政策简报强调了PBM的迫切需要，因为它对患者安全和健康有影响。护士通过对患者和临床医生进行教育，在实施PBM中发挥重要作用；进行术前、术中、术后风险评估和监测；实施一般的血液保护策略。全面了解PBM并积极参与PBM策略的实施，护士可以促进积极的临床结果，减少并发症，促进患者康复。
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引用次数: 0
Effecting Change to Reduce Surgical Site Infections. 有效改变以减少手术部位感染。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14405
M Imelda Wright
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引用次数: 0
2025 Conference Poster Collection: Infection Prevention. 2025年会议海报收集：感染预防。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14403
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引用次数: 0
A Simulation Laboratory for the Entire Perioperative Team. 全围手术期团队模拟实验室。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14402
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引用次数: 0
Prioritizing Care in the OR: A Qualitative Study. 手术室优先护理：一项定性研究。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14398
Brigid M Gillespie, Eva Bavin, Emma Harbeck, Wendy Chaboyer

The OR is a time-pressured and high-risk environment in which nurses prioritize patient care tasks. The factors influencing perioperative nurses' ability to prioritize care activities are not well understood. This descriptive qualitative study aimed to describe the contextual factors that influence perioperative nurses' care priorities. Twelve semi-structured perioperative nurse interviews were conducted via an online platform. Thematic analysis yielded three themes including enhancing patient focus: prioritizing care based on patient characteristics; efficient collaboration: working harmoniously to achieve goals; and strategic preparation and decision-making: minute-by-minute planning. The priorities of surgeons and nurses are different and surgeons' priorities may prevent nurses from undertaking routine patient care activities that affect safety, such as the surgical count. This may lead to missed nursing care and potentially threaten patient safety. Strategies that promote a culture of safety, such as improving communication among team members may help nurses prioritize care activities.

手术室是一个时间紧张和高风险的环境，护士优先考虑病人护理任务。影响围手术期护士优先护理活动能力的因素尚不清楚。本描述性定性研究旨在描述影响围手术期护士护理优先级的环境因素。通过在线平台对12名半结构化围手术期护士进行访谈。专题分析产生了三个主题，包括加强对患者的关注：根据患者特征优先考虑护理；高效协作：和谐协作，实现目标；战略准备和决策：分分秒秒的计划。外科医生和护士的优先级是不同的，外科医生的优先级可能会阻止护士进行影响安全的常规患者护理活动，例如手术计数。这可能会导致错过护理，并潜在地威胁到患者的安全。促进安全文化的策略，如改善团队成员之间的沟通，可以帮助护士优先考虑护理活动。
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引用次数: 0
Lighting the Pathway as Change Agents. 作为变革推动者照亮道路。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14407
Darlene B Murdock
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引用次数: 0
Ways to Reduce Perioperative Risks in Bariatric Care. 降低减肥护理围手术期风险的方法。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14400
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引用次数: 0
Clinical Issues - September 2025. 临床问题- 2025年9月。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14406
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引用次数: 0
Guideline for Autologous Tissue Management. 自体组织管理指南。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-09-01 DOI: 10.1002/aorn.14401
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引用次数: 0
Reducing Postoperative Opioid Use in Bariatric Surgery Patients. 减少减肥手术患者术后阿片类药物的使用。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-08-01 DOI: 10.1002/aorn.14386
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引用次数: 0
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