Perioperative Nursing Research Articles

Addressing burnout and compassion fatigue in perioperative nursing: An urgent call to action

Addressing burnout and compassion fatigue in perioperative nursing: An urgent call to action

Risk Assessment of Perioperative Nursing and Its Clinical Effectiveness in Patients Undergoing Interventional Surgery for Liver Cancer: A Discussion

Objective: To explore the impact of perioperative nursing risk assessment on complications, hospitalization time and satisfaction of patients undergoing interventional surgery for liver cancer. Methods: Retrospective analysis of clinical data of 159 patients who underwent interventional surgery for liver cancer in Tianjin Beichen Hospital from March 2018 to March 2020. They were divided into conventional nursing group (control group) and nursing risk assessment group (observation group) according to different nursing methods. The control group was given conventional care, the observation group provided nursing risk assessment on the basis of conventional care, carried out targeted care, and explored the impact of different nursing methods on postoperative complications, hospitalization time, and patient satisfaction. Results: The incidence of gastrointestinal reactions, pain and sleep disturbance in the observation group were significantly lower than those in the control group (P<0.05), especially for mild adverse reactions, and the patient’s hospitalization time was shortened (P<0.05) , improved patient satisfaction (P<0.05), but did not significantly improve fever (P>0.05). Conclusion: Perioperative nursing risk assessment can effectively reduce the postoperative complications of patients with liver cancer interventional therapy, shorten the hospital stay, and improve their nursing satisfaction. It is worthy of in-depth clinical promotion.

Surgical plume and its associated hazards to perioperative staff: A review of current standards for practice and risk management

Surgical plume poses a risk to perioperative nurses and the perioperative team as a whole, as well as the operative patient. Surgical plume contains various hazardous components which pose multiple health risks to the perioperative staff who are exposed to it. Further research is required in order to definitively understand the risks to perioperative staff from long-term exposure to surgical plume and to advance current policies and procedures. The current practice standard on surgical plume management from the Australian College of Perioperative Nurses (ACORN) sets out methods of reducing these risks. However, this standard’s utility in practice and barriers to its implementation lead to ongoing unnecessary plume exposure. Through adhering to current practice standards and educating perioperative nurses, the risks posed by surgical plume can be mitigated. Thorough education on this topic will empower nurses to advocate for their safety and the safety of their patients, leading to the reduction of surgical plume exposure.

Introduction to Antibiotic Stewardship Principles for the Perioperative Nurse.

Since 1942, health care personnel have administered antibiotics in the United States to prevent and treat a variety of infections, including surgical site infections. Bacteria can mutate and develop resistance after frequent and repeated antibiotic exposure, thus limiting the antibiotic's effectiveness. Because antibiotic resistance can be passed from one bacterium to another, antibiotics are the only class of medications where use in one patient may negatively affect clinical outcomes in another. Antibiotic stewardship (AS) focuses on appropriate antibiotic selection, dosing, route, and duration of therapy; it seeks to minimize unplanned consequences, such as resistance and toxicity. Although there is a lack of literature on AS specific to perioperative nurses, general nursing practice includes AS activities (eg, assessing patient allergies, adhering to antibiotic administration recommendations). Perioperative nurses should participate in AS activities and use evidence-based strategies to communicate effectively with health care team members when advocating for appropriate antibiotic use.

Best Practices and a Business Case for Surgical Site Infection Prevention.

Surgical site infections (SSIs) can be costly and result in prolonged hospital stays; readmissions; and additional diagnostic tests, therapeutic antibiotic treatments, and surgical procedures. Evidence-based practices for preventing SSIs include environmental cleaning; instrument cleaning, decontamination, and sterilization; preoperative bathing; preoperative Staphylococcus aureus decolonization; intraoperative antimicrobial prophylaxis; hand hygiene; and surgical hand antisepsis. Strong partnerships among infection prevention personnel, perioperative nurses, surgeons, and anesthesia professionals may enhance perioperative infection prevention. Facility and physician-specific SSI rates should be reported to physicians and frontline personnel in a timely, accessible manner. Together with costs associated with SSIs, these data help determine the success of an infection prevention program. Leaders can develop a comprehensive business case proposal for perioperative infection prevention programs. The proposal should describe the need for the program and anticipated return on investment; it also should focus on the goal of decreasing SSIs by establishing metrics for assessing outcomes and addressing barriers.

Person Centered Perioperative Nursing Scale: The Study of Adaptation to Turkish, Validity and Reliability

Amaç: Bu araştırma; Birey Merkezli Perioperatif Hemşirelik Ölçeği’ni Türkçe geçerlik ve güvenirliğini test etmek amacıyla gerçekleştirildi. 
 Yöntem: Metodolojik tipte gerçekleştirilen araştırma, İstanbul ilinde bulunan dört kamu hastanesinin ameliyathane ünitesinde Ekim 2021-Kasım 2021 tarihleri arasında yürütüldü. Araştırmanın çalışma evreninden olasılıksız rastlantısal örneklem yöntemiyle seçilen ve dahil edilme kriterlerini karşılayan 256 ameliyathane hemşiresine ulaşıldı. Veriler, ‘Hemşire Sosyodemografik ve Mesleki Tanıtım Formu’ ve ‘Birey Merkezli Perioperatif Hemşirelik Ölçeği’ kullanılarak toplandı. Geçerlik analizinde kapsam, yüzey ve yapı geçerliği; güvenirlik analizinde madde analizi, iki yarıya bölme, Cronbach alpha ve Omega katsayıları kullanıldı. 
 Bulgular: Ölçeğin çeviri-geri çeviri yöntemi kullanılarak dil uyarlaması sağlandı. Kapsam Geçerlik İndeksi 0.97 bulundu. Kaiser-Meyer-Olkin değeri 0.85; Bartlett’s değeri x2=2062.99, p

Addressing Workplace Incivility Among Perioperative Nursing Team Members.

AORN JournalVolume 117, Issue 5 p. 273-273 AORN White Paper Overview Addressing Workplace Incivility Among Perioperative Nursing Team Members First published: 27 April 2023 https://doi.org/10.1002/aorn.13921Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL No abstract is available for this article. Volume117, Issue5Special Focus Issue: Infection PreventionMay 2023Pages 273-273 RelatedInformation

Determination of skill and knowledge requirements of an instrument nurse working in major vascular surgery for the development of a virtual reality training tool

BackgroundAn open abdominal aortic aneurysm (AAA) repair is a complex high-risk procedure, with limited opportunities for an instrument nurse to gain experience and develop the necessary skills to assist the surgeon in caring for the patient during surgery. The aim of the study was to inform the content for a virtual reality (VR) training tool to develop the skills of an instrument nurse when working in major vascular surgery. MethodsAn exploratory, descriptive qualitative design using focus groups and semistructured interviews was selected for this study to explore and understand the perceptions of consultant vascular surgeons and expert vascular instrument nurses about the skills required by an instrument nurse when caring for a patient undergoing major vascular surgery. Expert vascular instrument nurses (n = 9) and consultant vascular surgeon (n = 4) were recruited via the Australian College of Perioperative Nurses (ACORN) and the Australian and New Zealand Society for Vascular Surgery (ANZSVS), respectively. ResultsData were analyzed using thematic analysis (Braun & Clarke, 2012). Four themes emerged from the data analysis. These were: preparation for surgery, essential psychomotor skills, nontechnical skills, and the virtual reality training tool design and content. ConclusionExpert vascular instrument nurses and consultant vascular surgeons provided a detailed compilation of the knowledge and skills required by an instrument nurse which will inform the content and design of the proposed virtual reality training tool. Whilst this study is based on open AAA repair, it also provides a valuable insight into what surgeons and nurses consider important for an instrument nurse when assisting with a surgical procedure.

Missed Perioperative Nursing Care and Its Relationship with Nurses’ Perception of Professional Values: A Cross-Sectional Study

Missed nursing care (MNC) is considered an indicator of poorer care quality. While studies have previously examined factors that result in MNC activities and adverse events, the role of professional values in this context has not yet been explored. This study aimed to evaluate missed perioperative nursing care (MPNC) and its relationship with nurses’ perception of professional values. This cross-sectional study was carried out from June 2021 to July 2022 in public hospitals of East Azerbaijan province. Using stratified random sampling, 409 perioperative nurses were included in the study. Data were collected using a demographic questionnaire, an MPNC checklist, and the Nurses Professional Values ​​Scale and were analysed using SPSS20 software. MPNC with a mean of 12.3 ± 5.7 was at a moderate level. The highest rate of MPNC was in the domain of communication (mean: 0.410). Nurses’ perception of professional values ​​with a mean of 97.4 ± 13.4 was considered at a good level. Among the dimensions of professional values, with a mean of 4.159, it was seen that the dimension of caring was very important from the nurses’ viewpoint. Kendall Tau’s and Spearman’s correlation indices were used to investigate the relationship between two variables and obtained at -0.218 and -0.305, respectively. It was also shown that increasing the perception of professional values ​​ reduces the MPNC (P<0.001). It appears that by providing training programmes for the promotion and internalisation of professional values, such as self-esteem, pragmatism in care and justice among the nurses, the MNC could be reduced.

An Examination of the Career Choices of Nursing Graduates After Completing a Perioperative Elective.

In light of the perioperative nursing shortage, academic leaders at a mid-Atlantic school of nursing and leaders of three health care systems implemented an academic-practice partnership with the goal of increasing interest in this specialty. Nursing researchers used a descriptive study design to collect data from nursing alumni who participated in the perioperative elective between 2017 and 2021. They found that 25 (38%) of 65 graduates who participated in the elective entered perioperative nursing and 38 (68%) of 56 graduates who answered a question on considering future employment as a perioperative nurse indicated they would do so regardless of their current employment status. Graduates who participated in the elective and experienced a perioperative capstone placement had low anticipated turnover scores and intended to remain in a perioperative position. Academic and health care leaders should consider academic-practice partnerships as a strategy to recruit and retain perioperative nurses.

Innovative Use of Cadavers in Perioperative Nursing Orientation.

The Periop 101 program administrator at a US Navy medical center worked with personnel in the facility's simulation and bioskills laboratories to develop an innovative perioperative nurse orientation curriculum that included the use of human cadavers during simulation activities. Participants were able to practice common perioperative nursing skills (eg, surgical skin antisepsis) on human cadavers rather than simulation manikins. The orientation program comprises two three-month phases. Participants were evaluated twice during phase 1: at the six-week mark and again six weeks later at the end of the phase. Using the Lasater Clinical Judgment Rubric, the administrator scored participants on their clinical judgment skills; results showed that mean scores increased for all learners between the two evaluation sessions. Practicing skills in a safe environment allows new staff members to learn without fear of causing accidental patient harm, and the additional use of cadavers further increased simulation fidelity and learner satisfaction.

Perioperative Nursing of Puerperae with Pregnancy Associated with Cardiac Disease and Pulmonary Arterial Hypertension

Objective — To explore the perioperative nursing effect of puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension. Methods — Sixty puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension who were admitted to XX Hospital from June 2020 to July 2021 were selected as the research objects. According to hospitalization number, they were randomly divided into experimental group and control group, with 30 cases in each group. The patients in the control group were treated with routine care, and the patients in the experimental group were treated with clinical pathway nursing. The physical indicators and clinical effects of the two groups of parturients before and after nursing were compared. Results — After monitoring and nursing, the comfort score of the pregnant women in the observation group was significantly higher than that of the pregnant women in the control group, and the difference was statistically significant (P<0.05); the hospitalization expenses and length of stay of the pregnant women in the observation group were significantly less than those of the control group, the difference was statistically significant (P<0.05); after treatment, the maternal satisfaction of the observation group (83.67%) was significantly higher than that of the control group (40.82%), and the difference was statistically significant (P<0.01). Conclusion — On the basis of basic monitoring and nursing care, the implementation of clinical pathway nursing for puerperae with pregnancy associated with cardiac disease and pulmonary arterial hypertension can effectively improve the comfort and satisfaction of the patients, and improve the rehabilitation level and quality of life of the puerpera. The safety of infants is of great significance and has good clinical value in clinical application.

Associations of Surgical Team Communication With the Layout of Physical Space: A Network Analysis of the Operating Room in a Military Medical Center.

To examine how the spatial topology of the operating room (OR) within the medical center impacts surgical team communication. Understanding the complex association between surgical team communication and the OR's spatial network location is critical to patient safety. Effective surgical communication is associated with fewer adverse events and medical errors. We employed a cross-sectional, quantitative, case study, and network-centric study design. We studied the population of 204 clinicians in a large military medical center (36 perioperative nurses, 34 surgical technicians, 62 anesthesia providers, and 72 surgeons), focusing on surgical teams with cases completed within duty hours. Data were collected from December 2020 to June 2021 using an electronic survey. Spatial network analysis was done using electronic floor plans. Statistical analysis was done with descriptive statistics and linear regressions. The outcomes were general and task-specific communication, and team-level variables were aggregated from scores for all team members. Spatial effects were assessed with network centrality (degree, Laplacian, and betweenness). The individual-level survey response rate was 77% (157 of 204). Data were collected on 137 surgical teams. On a 5-point scale, general and task-specific communication ranged from 3.4 to 5.0 and 3.5 to 5.0, respectively (for both, median = 4.7). Team size ranged from 4 to 6 individuals (median = 4). Surgical suites with higher network centralities were associated with significantly lower communication scores. The OR's spatial network location has important impacts on surgical team communication. Our findings have design and workflow implications for ORs and even surgical care in combat zones.

Application of mind mapping-based health education in perioperative nursing of glioma patients undergoing awake surgery

Application of mind mapping-based health education in perioperative nursing of glioma patients undergoing awake surgery

Application of enhanced recovery after surgery in perioperative nursing of patients with choledochojejunostomy

Application of enhanced recovery after surgery in perioperative nursing of patients with choledochojejunostomy

Perioperative nursing of a patient who underwent surgical excision of adrenocortical adenoma

Perioperative nursing of a patient who underwent surgical excision of adrenocortical adenoma

At Risk Safety Behaviors of the Perioperative Nursing Team: A Direct Observational Study

The operating room setting has unique workforce hazards and extremely high ergonomic demands due to patient lifting/positioning requirements, long periods of standing, and the heavy equipment and supplies that are needed for surgical procedures. Despite worker safety policies, injuries among registered nurses are increasing. Most of the research on the ergonomic safety of nurses is conducted utilizing survey methodology, which may not provide accurate data. It is imperative to understand the at-risk safety behaviors that perioperative nurses face if we are to design interventions to prevent injury. Two perioperative nurses were directly observed during 60 different operating room surgical procedures (n = 120 different nurses). Data were collected utilizing the job safety behavioral observation process (JBSO), which is designed specifically for the operating room environment. There were 82 total at-risk behaviors observed amongst the 120 perioperative nurses. More specifically, 13 (11%) of the surgical procedures had at least one perioperative nurse observed in a position of at-risk behavior, and a total of 15 (12.5%) individual perioperative nurses performed at least one at-risk behavior. More attention must be placed on the safety of the perioperative nurse if we are to retain a healthy, productive workforce to provide the highest quality patient care.

Factors Influencing Perioperative Nurse Turnover: A Classic Grounded Theory Study.

Perioperative nurse turnover rates range from 12% to 18.8%, and approximately 75% of perioperative managers reported at least one vacancy in 2021. Perioperative leaders are challenged to mitigate nurse turnover effectively because factors contributing to a nurse's decision to leave their job are not well defined. The purpose of this qualitative study using classic grounded theory was to explore perioperative nurses' turnover decision-making processes. We used social media to recruit participants and then conducted 26 interviews to collect data. We completed comparative analysis of the data and developed the Perioperative Nurse Turnover Decision-Making Theory, which describes the influence of the dimensions of perioperative nurse well-being (ie, physical and emotional well-being, career development, work-life balance, compensation, workplace culture) on their decision to leave an OR position. Perioperative leaders should consider the nurses' decision-making process when developing and implementing interventions aimed at reducing turnover.

Health librarians as part of the perioperative care team

Chances are you may never find a librarian in the operating suite, unless as a patient, but they do play a vital role in enabling the work of perioperative nurses. A perioperative nurse’s role can encompass a variety of tasks at the pre-operative, operative and post-operative stage and includes the daily use of information resources to ensure evidence-based practice (EBP) occurs. This article explores the role of health librarians in the perioperative environment and highlights resources and services that are offered to assist perioperative nurses.

Perioperative Fast-Track Surgery Nursing Intervention for Patients with Kidney Stone Disease under Computed Tomography Imaging.

This research aims to analyze the clinical intervention effect of perioperative fast-track surgery (FTS) nursing on patients with kidney stone disease (KSD) under computed tomography (CT) imaging. One-hundred KSD patients were selected as research objects and grouped after CT examination. These objects were randomly divided into a research group (FTS nursing intervention, n = 50) and a control group (general routine nursing intervention, n = 50). The preoperative psychological status of patients was compared between the two groups, using Self-rating Anxiety Scale and Self-rating Depression Scale. The hunger and thirst situations were compared using Numerical Rating Scale; postoperative recovery time, incidence of complications, and nursing satisfaction were also compared. The high-density shadow could be clearly observed in the right kidney of the patients in the CT imaging examination. The nursing outcomes suggested that there was no notable difference in hunger between the two groups, and anxiety, depression, and thirst in the research group were highly better than those in the control group (P < 0.01). The time of the first exhaust, the time of body temperature returning to normal, the time of getting out of bed, and the length of hospital stay in the research group were all shorter than those in the control group (P < 0.05). The total postoperative satisfaction of the research group (98.00%) was greatly better than the 88.00% in the control group (P < 0.05). As the FTS concept was applied in the perioperative nursing of KSD patients under CT imaging, the preoperative and postoperative negative emotions of patients could be improved. Thereby, the postoperative recovery rate of patients was promoted, postoperative complications and patients' pain were reduced, and the postoperative quality of life of patients was also improved.