In this chapter, team leadership is discussed. The behaviour of a team leader has a direct impact on his team members' performance, productivity, satisfaction and turnover. We examine the qualities of team leaders who motivate, outlining some proven techniques to inspire the team members. We also consider the team leader's individual attributes and competencies necessary to inspire the right motivation for team members to undertake a particular task or workload.
{"title":"The art of motivation","authors":"P. Wellington, N. Foster","doi":"10.1049/PBMT025E_ch7","DOIUrl":"https://doi.org/10.1049/PBMT025E_ch7","url":null,"abstract":"In this chapter, team leadership is discussed. The behaviour of a team leader has a direct impact on his team members' performance, productivity, satisfaction and turnover. We examine the qualities of team leaders who motivate, outlining some proven techniques to inspire the team members. We also consider the team leader's individual attributes and competencies necessary to inspire the right motivation for team members to undertake a particular task or workload.","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"57810265","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}
Pub Date : 2008-10-01DOI: 10.1097/01.ORN.0000338412.76056.50
Victoria A. Kark
{"title":"Improved results for liver trauma victims","authors":"Victoria A. Kark","doi":"10.1097/01.ORN.0000338412.76056.50","DOIUrl":"https://doi.org/10.1097/01.ORN.0000338412.76056.50","url":null,"abstract":"","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"39 1","pages":"25–26"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82055612","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}
Pub Date : 2008-10-01DOI: 10.1097/01.ORN.0000338418.14175.86
C. Rousseau
WWatching or hearing a child suffering in pain are difficult situations nurses encounter. Aside from challenging our judgment for professional treatment, a child’s pain also triggers overwhelming emotions of empathy and sympathy. The combination of the two can be difficult to manage. Implementing evidence-based practices and establishing protocols for effective anesthetic emergence and postoperative pain relief can help us more calmly—but no less empathetically—handle children in pain safely and effectively. I had just begun a new position as a clinical director at Magnolia Regional Health Surgery Center, Corinth, MS, and my office was located around the corner from the PACU. I was struck by the crying and struggling of pediatric patients as they emerged from anesthesia in the PACU. It’s every caregiver’s intent to provide stress-free and pain-free care to patients, and judging by the patients’ reactions, it was time for our methods to be reevaluated. An investigation of how to more effectively treat pediatric patients in the PACU was undertaken. Our main objective was to ensure that the children were cooperative for treatment, experienced a quick recovery, and had minimal adverse effects from medications administered.
{"title":"A small dose of comfort","authors":"C. Rousseau","doi":"10.1097/01.ORN.0000338418.14175.86","DOIUrl":"https://doi.org/10.1097/01.ORN.0000338418.14175.86","url":null,"abstract":"WWatching or hearing a child suffering in pain are difficult situations nurses encounter. Aside from challenging our judgment for professional treatment, a child’s pain also triggers overwhelming emotions of empathy and sympathy. The combination of the two can be difficult to manage. Implementing evidence-based practices and establishing protocols for effective anesthetic emergence and postoperative pain relief can help us more calmly—but no less empathetically—handle children in pain safely and effectively. I had just begun a new position as a clinical director at Magnolia Regional Health Surgery Center, Corinth, MS, and my office was located around the corner from the PACU. I was struck by the crying and struggling of pediatric patients as they emerged from anesthesia in the PACU. It’s every caregiver’s intent to provide stress-free and pain-free care to patients, and judging by the patients’ reactions, it was time for our methods to be reevaluated. An investigation of how to more effectively treat pediatric patients in the PACU was undertaken. Our main objective was to ensure that the children were cooperative for treatment, experienced a quick recovery, and had minimal adverse effects from medications administered.","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"30 1","pages":"44–47"},"PeriodicalIF":0.0,"publicationDate":"2008-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87979101","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}
Pub Date : 2008-09-01DOI: 10.1097/01.orn.0000335522.52808.d1
Heidi L. Garguilo
{"title":"Unsightly reimbursement","authors":"Heidi L. Garguilo","doi":"10.1097/01.orn.0000335522.52808.d1","DOIUrl":"https://doi.org/10.1097/01.orn.0000335522.52808.d1","url":null,"abstract":"","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"4 1","pages":"26–34"},"PeriodicalIF":0.0,"publicationDate":"2008-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81873281","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}
Pub Date : 2008-03-01DOI: 10.1097/01.MIN.0000330324.28957.F8
A. Taylor, R. McGrath
1934, Alfred Blalock, a pioneer in the field of cardiac surgery, was the first American surgeon to successfully repair an aortic injury. Thoracic trauma was still in its infancy when treatment guidelines were established during World War II.1 In 1957, Klassen became the first surgeon to successfully repair a traumatic blunt aortic injury (BAI).2 Until that time, prominent medical journals advised surgeons to avoid blunt chest trauma surgery. Since then, however, advances in trauma and cardiac surgery, surgical intensive care unit (SICU) resuscitation, critical care, and perioperative nursing have improved the care and recovery of the chest trauma patient.2 Statistics Trauma is the leading cause of all deaths, morbidity, hospitalizations, and disability from the first year of life through middle age, and results in over 100,000 deaths annually.3 According to the 2006 National Trauma Data Bank report (NTDB), motor vehicle collisions (MVC) accounted for 41.3% of all injured patients, falls comprised 27.2%, and firearm injuries caused 5.6% of trauma injuries between 2001 and 2005.4 Chest trauma accounts for 25% to 50% of all traumatic injuries and is a leading cause of death in all age groups; MVCs account for 70% to 80% of all chest trauma injuries. Aortic injury is the second most common cause of death in blunt trauma patients,2 and an estimated 8,000 deaths per year are caused by BAI.5 chest trauma patient Team management of the
{"title":"Team management of the chest trauma patient","authors":"A. Taylor, R. McGrath","doi":"10.1097/01.MIN.0000330324.28957.F8","DOIUrl":"https://doi.org/10.1097/01.MIN.0000330324.28957.F8","url":null,"abstract":"1934, Alfred Blalock, a pioneer in the field of cardiac surgery, was the first American surgeon to successfully repair an aortic injury. Thoracic trauma was still in its infancy when treatment guidelines were established during World War II.1 In 1957, Klassen became the first surgeon to successfully repair a traumatic blunt aortic injury (BAI).2 Until that time, prominent medical journals advised surgeons to avoid blunt chest trauma surgery. Since then, however, advances in trauma and cardiac surgery, surgical intensive care unit (SICU) resuscitation, critical care, and perioperative nursing have improved the care and recovery of the chest trauma patient.2 Statistics Trauma is the leading cause of all deaths, morbidity, hospitalizations, and disability from the first year of life through middle age, and results in over 100,000 deaths annually.3 According to the 2006 National Trauma Data Bank report (NTDB), motor vehicle collisions (MVC) accounted for 41.3% of all injured patients, falls comprised 27.2%, and firearm injuries caused 5.6% of trauma injuries between 2001 and 2005.4 Chest trauma accounts for 25% to 50% of all traumatic injuries and is a leading cause of death in all age groups; MVCs account for 70% to 80% of all chest trauma injuries. Aortic injury is the second most common cause of death in blunt trauma patients,2 and an estimated 8,000 deaths per year are caused by BAI.5 chest trauma patient Team management of the","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"52 1","pages":"32–37"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89207960","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}
Pub Date : 2008-03-01DOI: 10.1097/01.ORN.0000313206.77831.CB
D. Ford
There are many efforts focusing on patient safety and eliminating preventable surgical complications. The Joint Commission identifies National Patient Safety Goals each year.1 The Institute for Healthcare Improvement (IHI) initiated a 5 Million Lives Campaign in an effort to “protect patients from 5 million incidents of medical harm” over a 2-year period.2 The goal of the Surgical Care Improvement Project (SCIP) is to reduce surgical complications.3 One criteria in the SCIP is prevention of infections through implementation of SCIP #7, which notes that colorectal surgery patients receive “immediate postoperative normothermia.”4 According to the IHI, the national average of surgical site infections for “clean” cases is 2% to 3%, but 40% to 60% of these infections are identified as preventable when evidence-based care is implemented.2 One component is “immediate postoperative normothermia for colorectal surgery patients.”2 Two specialty nursing organizations have developed guidelines for the prevention of perioperative hypothermia. The American Society of PeriAnesthesia Nurses published a clinical practice guideline for the prevention of unplanned perioperative hypothermia. It was developed to provide a guide for the “prevention, care, and management of the adult surgical patient with unplanned perioperative hypothermia.”5 This comprehensive guideline includes management considerations in the perioperative, intraoperative, and postoperative settings. The Association of periOperative Registered Nurses also published Recommended Practices for the Prevention of Unplanned Perioperative Hypothermia. This describes an “optimal level of practice” and serves as a guide for the perioperative RN to prevent unplanned perioperative hypothermia in surgical patients.6 Every patient is at risk for complications when core body temperature decreases during a surgical procedure.7 These complications can be very costly. Hypothermia of only 1.5 °C below normal body temperature can result in several complications at a cost of $2,500 to $7,000 per surgical patient.5
{"title":"Preventing unplanned hypothermia A key component to patient safety","authors":"D. Ford","doi":"10.1097/01.ORN.0000313206.77831.CB","DOIUrl":"https://doi.org/10.1097/01.ORN.0000313206.77831.CB","url":null,"abstract":"There are many efforts focusing on patient safety and eliminating preventable surgical complications. The Joint Commission identifies National Patient Safety Goals each year.1 The Institute for Healthcare Improvement (IHI) initiated a 5 Million Lives Campaign in an effort to “protect patients from 5 million incidents of medical harm” over a 2-year period.2 The goal of the Surgical Care Improvement Project (SCIP) is to reduce surgical complications.3 One criteria in the SCIP is prevention of infections through implementation of SCIP #7, which notes that colorectal surgery patients receive “immediate postoperative normothermia.”4 According to the IHI, the national average of surgical site infections for “clean” cases is 2% to 3%, but 40% to 60% of these infections are identified as preventable when evidence-based care is implemented.2 One component is “immediate postoperative normothermia for colorectal surgery patients.”2 Two specialty nursing organizations have developed guidelines for the prevention of perioperative hypothermia. The American Society of PeriAnesthesia Nurses published a clinical practice guideline for the prevention of unplanned perioperative hypothermia. It was developed to provide a guide for the “prevention, care, and management of the adult surgical patient with unplanned perioperative hypothermia.”5 This comprehensive guideline includes management considerations in the perioperative, intraoperative, and postoperative settings. The Association of periOperative Registered Nurses also published Recommended Practices for the Prevention of Unplanned Perioperative Hypothermia. This describes an “optimal level of practice” and serves as a guide for the perioperative RN to prevent unplanned perioperative hypothermia in surgical patients.6 Every patient is at risk for complications when core body temperature decreases during a surgical procedure.7 These complications can be very costly. Hypothermia of only 1.5 °C below normal body temperature can result in several complications at a cost of $2,500 to $7,000 per surgical patient.5","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"40 1","pages":"28–31"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83638175","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}
Pub Date : 2008-03-01DOI: 10.1097/01.ORN.0000313209.62584.D2
Wendy Tabor
This article is the last in a three-part series examining the growing trend of minimally invasive procedures.
本文是探讨微创手术发展趋势的三部分系列文章的最后一篇。
{"title":"Laparoscopic nephrectomy 101","authors":"Wendy Tabor","doi":"10.1097/01.ORN.0000313209.62584.D2","DOIUrl":"https://doi.org/10.1097/01.ORN.0000313209.62584.D2","url":null,"abstract":"This article is the last in a three-part series examining the growing trend of minimally invasive procedures.","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"12 1","pages":"39–44"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90478472","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}
Pub Date : 2008-02-01DOI: 10.1097/01.ORN.0000310514.93401.EE
L. Forsythe, Debra S Persaud, M. Swanson, Cynthia Stierman
{"title":"Smoothing the process of hand‐off communication","authors":"L. Forsythe, Debra S Persaud, M. Swanson, Cynthia Stierman","doi":"10.1097/01.ORN.0000310514.93401.EE","DOIUrl":"https://doi.org/10.1097/01.ORN.0000310514.93401.EE","url":null,"abstract":"","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"1 1","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84138058","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}
Pub Date : 2008-01-01DOI: 10.1097/01.ORN.0000305167.24290.AF
Donald S. Rank
{"title":"Patient positioning an OR team effort","authors":"Donald S. Rank","doi":"10.1097/01.ORN.0000305167.24290.AF","DOIUrl":"https://doi.org/10.1097/01.ORN.0000305167.24290.AF","url":null,"abstract":"","PeriodicalId":76746,"journal":{"name":"Today's OR nurse","volume":"16 2 1","pages":"21–23"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83745259","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}
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