Canadian operating room nursing journal最新文献

Tragically, horizontal violence and bullying behaviour being master minded by nursing colleagues is firmly entrenched in many perioperative environments--just like a serious pathological bacteria. Interactive Workplace Trauma (IWPT) is ugly, mean, destructive, demoralizing and counterproductive to efficient, effective patient care and positive staff performance. Get educated and use astute observations to ensure you clearly understand what is occurring. Make sure the staff feel safe and have the appropriate, necessary protection to deal with unacceptable conduct. Deal effectively with the bullies. Remember if it is not documented, it didn't happen!

Today health care is an orchestra. Patients arrive hours before surgery and leave hours afterward. They bring manila folders full of downloaded information and question lists. They maneuver themselves through complex systems; they are instrumental in coordinating their own needs and care.

Capital Health is the largest integrated academic health district in Atlantic Canada. It provides tertiary health services to Atlantic Canadians and to 40 per cent of Nova Scotia's population. Capital Health consists of nine facilities, one of which is the Queen Elizabeth II Health Sciences Centre. The QEII is the largest adult academic health centre in Atlantic Canada, occupying 10 buildings on two sites. It employs 8500 staff and has 1075 beds. The QEII was created in 1996 with the merger of the Victoria General (VG), Halifax Infirmary (HI), Abbie J. Lane Memorial, Camp Hill Veterans' Memorial, Nova Scotia Rehabilitation Centre and the Nova Scotia Cancer Centre. There are 33 operating rooms at the HI and VG sites; together about 29,000 operations are performed there each year. The two hospitals are located about five city blocks away from each other. This article discusses how the two facilities coped after the devastation of Hurricane Juan in September 2003.

This article explores the concepts of bullying and harassment, defines the terms and their implications, and explores similarities and differences between the two. It also examines pertinent legislation and identifies strategies to raise awareness and optimise a bullying and harassment-free perioperative environment. Bullying and harassment in the workplace was the focus of this presentation at NATN Congress 2002. Challenging behaviours involving patients and careers is another topic in itself.

The author shares a personal experience, during a night shift in the OR, that changed her forever. I was defined as a nurse by that moment of trauma. I spent 9 years as a trauma specialist in a large U.S. hospital. We did gun shots and stabbings every single night. After facing the results of too many school shootings, I came back to Canada. I was tired. After that night, death was never again an idea, a poetic notion of the spirit leaving the body. It was cold, it was pulseless, it was bloody, and it has a smell all it's own. To this day I can tell if a patient is going to die on the table, I can smell it. I had faced fear and death, and survived. I was certainly not "new" anymore... nor was I naïve.

The global epidemic of severe acute respiratory syndrome (SARS) indirectly has affected all health care facilities in affected nations and has unaffected nations on alert. Health care practitioners need to be aware of infection control measures to prevent the spread of SARS. This article looks at this new disease and how it has affected the delivery of health care in Canada.

Nurses working in today's operating room environments are faced with new technologies being added as the trend toward the digitalization of ORs becomes a reality. Many hospitals across the country are currently undergoing renovations to include updated equipment. This means nurses must adapt to new systems and become familiar with the driving forces behind the trend and how it will affect their daily work. Here, the author explores why digital ORs are increasingly becoming the norm and what today's nurses need to understand in order to be effective in this emerging environment.

In a previous article by Weeks, discourse regarding nurse physician communication within acute care settings is presented and analyzed following the principles of critical discourse analysis (CDA). An understanding of what shapes nurse physician communication discourse and its role in the reproduction of the dominance of nurses by physicians is gained in this previous article. This understanding allows for further exploration of the role of discourse in the challenge of that dominance leading to suggested actions to transform health care delivery, which is the focus in this article.

Effective communication is a pivotal component of pre-operative teaching. The writer will discuss the factors that may affect client learning and the importance of the nursing process in pre-operative teaching.