Perioperative Nursing Research Articles

Exploring wellbeing and turnover intention among perioperative nurses: A discussion paper

Exploring wellbeing and turnover intention among perioperative nurses: A discussion paper

Multifaceted implementation strategy to improve the evaluation of penicillin allergies in perioperative patients: a pre-post feasibility implementation study.

The U.S. Centers for Disease Control and Prevention encourages nurses to evaluate penicillin allergies as part of hospital-based antibiotic stewardship programs. We evaluated the feasibility of an implementation strategy to improve nurses' comprehensive documentation of penicillin allergies. We defined feasibility as the uptake and acceptability of documentation procedures. Six-month pre-post feasibility implementation study. Outpatient surgical areas of an academic medical center located in the U.S. The implementation strategy was guided by the Capability, Opportunity, Motivation Model for Behavior Change and included, building an interdisciplinary coalition to iteratively evaluate the implementation effort, educational meetings with surgical prescribers and perioperative nurses, the development and distribution of educational pocket cards, and structured communication messages in the electronic medical record. A total of 426 patients with 487 penicillin allergy records (216 records pre-implementation period, 271 records post-implementation period) were analyzed. Penicillin allergy documentation contained the following information in the pre- versus post-implementation period: symptoms of the reaction (87% vs 87%), timing/years since reaction (8% vs 26%), onset of reaction in relation to taking penicillin (0% vs 21%), how symptoms resolved (0% vs 21%), and penicillin re-exposure (3% vs 21%). Focus groups revealed nurses perceived documentation procedures as highly acceptable. Major drivers of acceptability included the perceived effectiveness of a detailed allergy history and self-efficacy in conducting a detailed allergy history. Nurses perceived the comprehensive documentation of penicillin allergy history intervention as acceptable, and uptake improved following a theory-informed implementation strategy. We offer implementation strategy components to facilitate nurses' engagement in penicillin allergy evaluation.

An extensive review of pre-operative nursing care for high-risk obstetric surgeries

Healthcare professionals have particular difficulties while performing high-risk obstetric procedures, such as hysterectomies for excessive bleeding, cesarean sections in complex pregnancies, and surgery for ectopic pregnancies. In order to guarantee the safety and wellbeing of the mother and the fetus, perioperative nursing is essential. The purpose of this review is to highlight important nurse interventions, possible side effects, and evidence-based procedures that enhance surgical outcomes in high-risk obstetric situations. The results highlight the significance of important nurse interventions, thorough patient evaluations, and multidisciplinary cooperation throughout the perioperative phase.

Relationship of the Perioperative Nurse Work Environment With a Culture of Safety and High Reliability

PurposeThe purpose of this study was to examine dimensions of the perioperative work environment and their associations with the operating room (OR) culture of safety and high-reliability characteristics. DesignA predictive correlational design using a cross-sectional survey was used. MethodsA convenience sample of perioperative nurses (N = 96) was used to evaluate strength of associations of their work environment with OR safety culture and high-reliability organizational culture. In addition, the best predictive models for OR culture of safety and high-reliability characteristics were used. FindingsFindings indicated that the five dimensions of the work environment are significant predictors of a safety culture; however, only Collegial Relationships and Nursing Foundations for Quality of Care significantly predict high reliability. ConclusionsDue to the extraordinary responsibility perioperative nurses hold to maintain safety standards for surgical patients, it is critical to fortify elements of the nurse work environment.

Perioperative Observation and Nursing of a Child with Facial Venous Malformation Treated with Interventional Embolization

<i>Background</i>: Venous malformations (VMs) are a rare disease with an incidence of only about 1/10,000 in children, but VMs can expand as the child grows, appearing more in shallow skin areas such as the neck of the head, can cause discomfort or degradation, and therefore, can seriously affect the physical and mental health of the child. There are numerous treatment options for VMs, and interventional embolosclerotherapy has become the clinically preferred treatment for VMs due to its many advantages. <i>Case Presentation</i>: We summarize the perioperative care experience of a 10-year-old child with severe right facial malformation diagnosed as facial venous malformation (VMs) who underwent interventional embolization during hospitalization. After 14 days of careful treatment and nursing by medical staff, the child was discharged successfully. <i>Discussion</i>: The key points of our perioperative care for this patient include paying attention to the mental health of the child and providing psychological support; strengthening health education and paying attention to the prevention of falls; preoperative preparation; intraoperative care; observation of the condition; pain assessment and care; strengthening discharge guidance; and doing a good job in continuous nursing. <i>Conclusion</i>: For the nursing of the child with facial venous malformations, it is necessary to pay attention not only to their physiological care but also to their psychological care to help them recover as soon as possible.

Minimally Invasive Spine Surgery for Lumbar Decompression or Disc Herniation

ABSTRACTMany people experience low back pain caused by degenerative disease of the lumbar spine; this includes spinal stenosis, spondylolisthesis, disc degeneration, and disc herniation. Conservative management of degenerative disease, which includes physical therapy, lifestyle modifications, and medications, is the initial approach. If this approach fails, a surgical procedure may be the next step. Previously, open lumbar surgery would have been the planned procedure; today, minimally invasive spine surgery gives patients another choice. Perioperative nurses should understand how minimally invasive spine surgery differs from the open procedure, the steps involved during a minimally invasive procedure, the benefits of this type of procedure, and nursing considerations for patients undergoing minimally invasive spinal procedures.

Why We Celebrate Perioperative Nurses

Why We Celebrate Perioperative Nurses

From Knowledge Transfer to Capability Development: The Future of PBL + CBL Teaching Method in Operating Room Nursing Education

Concomitant with the advancement of contemporary medical technology, the significance of perioperative nursing has been increasingly accentuated, necessitating elevated standards for the pedagogy of perioperative nursing. Presently, the PBL (problem-based learning) pedagogical approach, when integrated with CBL (case-based learning), has garnered considerable interest. An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing. Findings indicate that this integrative teaching methodology not only enhances students’ theoretical knowledge, practical competencies, and collaborative skills but also contributes to the elevation of teaching quality. In conclusion, the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education. Nevertheless, it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.

Newly Graduated Perioperative Nurses' Experiences of Transitioning to Clinical Practice: A Qualitative Explorative Secondary Analysis.

The aim of this secondary analysis was to explore newly graduated perioperative nurses' experiences of transitioning to clinical practice to gain more in-depth knowledge of this phenomenon. A qualitative explorative study of secondary data was used, and this study was reported following the Consolidated Criteria for Reporting Qualitative Research checklist. A secondary analysis of data collected between March 2019 and November 2020 via 16 semi-structured interviews with newly graduated perioperative nurses. The interviews were conducted 3 to 5 months after they graduated from five different educational institutions in Norway and entered clinical practice as perioperative nurses. A three-step phenomenological hermeneutical analysis inspired by Ricoeur's theory was applied: naïve reading, structural analysis and comprehensive understanding. We identified three themes: expectations of competence, facilitation for newly graduated perioperative nurses and the transition from being a student to a newly qualified perioperative nurse. Newly graduated perioperative nurses emphasised the critical role of supportive facilitation, manageable expectations and support from leaders and colleagues, which seemed essential for a successful transition to clinical practice. This study addresses knowledge essential for universities, universities colleges and clinical practice, specifically healthcare organisations, to understand the transition process for newly graduated perioperative nurses. This can support the establishment of improved practices to ensure patient safety via more specific education and mentoring and more accurate expectations of competence. No patient or public contribution.

Bibliometric Analysis of Studies on Surgical Smoke: Bibliometric Analysis

PurposeThe aim of this study was to examine the studies on surgical smoke by bibliometric analysis and science mapping methods. DesignBibliometric analysis and science mapping methods study. MethodsData were obtained by searching the SCOPUS database. The keywords “surgical smoke,” “operating room,” “operating room staff,” and “nurse” were used. Due to the ongoing scientific flow to the database, the search was performed on December 25, 2023 as a single day. FindingsAs a result of the research, a total of 51 studies were reached. We found 49 research articles and 2 review publications in the field of nursing and medicine. Most publications related to surgical smoke were published in 2021 (21.5% n: 11), and the journals with the highest number of publications were the Journal of Perioperative Nursing (5.9% n: 3) and AORN Journal (5.9% n: 3). The most common keyword in the studies was “surgical smoke.” "Surgical smoke" was used in common with all other keywords, the most publications on the subject were made in the United States, the most publications were made in English (92% n: 47), and the most citations were made by Barrett and Garber in 2003 with 250 citations (25.4%). ConclusionsThis study provides a comprehensive overview of the current state of research on surgical smoke, highlighting its prevalence in recent literature. The findings underscore the need for continued investigation and awareness among health care professionals. The results obtained are important in terms of understanding the current situation in the relevant literature and will provide resources for new studies to be carried out by nursing and other surgical team members in the future.

Development and Usability Assessment of Virtual Reality- and Haptic Technology-Based Educational Content for Perioperative Nursing Education

Background/Objectives: In perioperative nursing practice, nursing students can engage in direct, in-person clinical experiences in perioperative environments; however, they face limitations due to infection and contamination risks. This study aimed to develop and evaluate educational content for perioperative clinical practice for nursing students using virtual reality (VR) and haptic technology. Methods: The program, based on the Unity Engine, was created through programming and followed the system development lifecycle (SDLC) phases of analysis, design, implementation, and evaluation. This program allows nursing students to engage in perioperative practice using VR and haptic technology, overcoming previous environmental limitations and enhancing practical and immersive experiences through multi-sensory stimuli. Results: Expert evaluations indicated that the developed content was deemed suitable for educational use. Additionally, a usability assessment with 29 nursing students revealed high levels of presence, usability, and satisfaction among the participants. Conclusions: This program can serve as a foundation for future research on VR-based perioperative nursing education.

Guidelines in Practice: Sterile Technique.

Sterile technique is the collective actions taken to reduce potential contaminants in the OR and maintain a sterile field during operative or other invasive procedures. Practicing and applying the principles of sterile technique is a cornerstone of perioperative nursing and providing safe patient care. The recently updated AORN "Guideline for sterile technique" provides perioperative nurses with information on the principles of and processes associated with sterile technique. This article provides an overview of the guideline and discusses recommendations for actions to take before preparing the sterile field, while preparing and maintaining the sterile field, for limiting movement, for surgical wound classification, and for quality. It also includes a scenario describing the implementation of isolation technique (ie, clean closure) for colon procedures. Perioperative nurses should review the guideline in its entirety and apply the recommendations when practicing sterile technique.

Supporting the Well-Being of Perioperative Nurses.

Supporting the Well-Being of Perioperative Nurses.

Embracing Our Differences: Advancing Diversity, Equity, and Inclusion Through Perioperative Nursing Education.

A focus on diversity, equity, and inclusion (DEI) in a health care system is critical to ensure patient safety and improve the health outcomes of all surgical patients and communities. Some patient populations continue to experience disparities that negatively affect their burden of illness, ability to access quality care, and health-related outcomes. Unconscious (or implicit) bias among clinicians can lead to unintentional discrimination against marginalized groups. Organization and perioperative leaders should recognize the importance of developing a workplace culture committed to DEI and implement strategies to educate and empower clinicians to embrace these initiatives. When developing educational offerings on DEI for personnel, educators should use a framework and a variety of educational strategies, such as listening tours, computer-based learning, simulations, and journal and book clubs, to engage teams focused on optimizing the health and well-being of the diverse surgical populations in their communities.

An observational study on the modulation of anxiety, depression, and adverse event incidence in painless colonoscopy patients through venous access nursing.

To investigate the clinical significance of venous access nursing in modulating anxiety, depression, and adverse event incidence among patients undergoing painless colonoscopy. Sixty patients who underwent painless colonoscopy in our hospital from September 2021 to September 2022 were selected as the control group (CG, receiving routine perioperative nursing). Sixty patients who underwent painless colonoscopy in our hospital from October 2022 to August 2023 were taken as the study group (SG, receiving venous access nursing modulation). After nursing, patients in the SG exhibited lower scores of the Self-Rating Anxiety Scale and the Self-Rating Depression Scale than those in the CG (P < .05). The SG showed significantly lower mean Ottawa Bowel Preparation Score, but exhibited higher adequacy of bowel preparation compared with the CG (P < .05). The colonoscopy insertion time was (7.18 ± 1.02) minutes in the SG and (8.69 ± 1.00) minutes in the CG, and the colonoscopy withdrawal time was (4.66 ± 1.66) minutes in the SG and (5.64 ± 1.06) minutes in the CG, which showed statistically significant differences between the 2 groups (P < .05). The total incidence of adverse events did not have statistical significance between the 2 groups (P > .05). Application of venous access nursing in patients undergoing painless colonoscopy may help alleviate adverse emotions and shorten colonoscopy insertion time and colonoscopy withdrawal time, thus warranting recognition for its safety and efficacy.

Examining the Relationship Between Perceived Readiness for Hospital Discharge and Quality of Perioperative Nursing Care in Ambulatory Surgery Patients

Examining the Relationship Between Perceived Readiness for Hospital Discharge and Quality of Perioperative Nursing Care in Ambulatory Surgery Patients

Toward the Definition of a Repertoire of Technical Professional Specialist Competencies for Operating Room Nurses: An Ethnographic Study.

Registered nurses in the operating room require specialized competencies that surpass basic educational training. Existing national and international documents attempt to outline these competencies but often lack comprehensive details. To address this, a repertoire of technical and professional competencies for operating room nurses, aligned with European and National Qualifications Frameworks, is proposed. Aim: Develop a repertoire of technical and professional competencies for perioperative and perianesthesiological specialist nursing roles. Methods: An at-home ethnography design was employed, utilizing participant observation, interviews to the double, and focus groups. Convenience sampling included 46 participants from a university and a public hospital in northern Italy. Data were collected from September 2021 to June 2023 and analyzed using inductive content analysis and data triangulation. Results: Identified 17 specialized technical professional competencies for perioperative and perianesthesiological nursing, divided into 6 areas of activity. These competencies encompass 19 learning outcomes, 152 tasks, 222 knowledge elements, and 218 skills. Conclusions: This competency repertoire aids in the public recognition of qualifications and serves as a valuable tool for identifying, validating, and certifying competencies. Future research should focus on exploring the competencies of central sterilization nurses and transversal competencies.

Nurse-Patient Communication: An Examination of Student-Nurses of Post Basic Nursing Anesthesia (PBNA) and Peri-Operative Nursing (PON) of Jos University Teaching Hospital (JUTH), Plateau State, Nigeria

Effective nurse-patient communication is essential for providing high-quality healthcare and ensuring patient safety and satisfaction. Proficiency in English is crucial for nurses to effectively interact with patients, families, and other healthcare professionals. However, many nurses face challenges in using correct grammar and language, which can impact communication and care delivery. This paper explores the relevance of English proficiency in nurse-patient communication, examines the grammar challenges nurses face, and suggests potential strategies to overcome these challenges. A total of 35 student-nurses were randomly selected from the Post Basic Nursing Anesthesia (PBNA) and Peri-Operative Nursing (PON) program at JUTH. The study adopted a mixed-methods research design, combining both qualitative and quantitative data collection and analysis methods. Among other challenges, the study discovered that nurses face problems in the areas of tenses, choice of words, sentence construction, and patients’ poor grasp of English. The study suggests that language training and support, and continuous professional development, etc. can help improve the communication among nurses and with patients. The study thus concludes that proficiency in English and proper grammar usage are essential for effective nurse-patient communication, and overcoming language and grammar challenges can improve patient safety, satisfaction, and healthcare outcomes.

Impacts of Just Culture on Perioperative Nurses' Attitudes and Behaviors With Regard to Patient Safety Incident Reporting: Cross-Sectional Nationwide Survey

PurposeJust culture refers to a culture that encourages members of an organization to exchange important safety information and compensates them when they perform such information exchanges. The establishment of a just culture in hospital organizations might be an important means of enhancing patient safety incident reporting. This study aimed to investigate the impact of just culture on the attitudes and behaviors toward patient safety incident reporting in perioperative nurses. MethodsA nationwide cross-sectional survey was performed using structured questionnaires. The participants were 208 perioperative nurses in tertiary general hospitals in South Korea. Data were collected by self-reported on-line questionnaires, from August to September 2020. Data were analyzed with descriptive statistics, independent t-test, chi-square test, Fisher’s exact test, one-way ANOVA, Scheffé test, Pearson's correlation analysis, Spearman rank correlation analysis, hierarchical multiple regression, and hierarchical logistic regression using the SPSS WIN 23.0 program. ResultsHierarchical multiple regression analysis revealed that just culture explained an additional 34.5%p of the attitudes on patient safety incident reporting. Hierarchical logistic regression analysis showed that just culture was a significant predictor of behaviors regarding patient safety incident reporting (odds ratio = 2.25, p = 0.017). The final regression model accounted for 16.0% of the behaviors regarding patient safety incident reporting. ConclusionsThis study empirically shows that just culture impacted the attitudes and behaviors regarding patient safety incident reporting in perioperative nurses. This study provides an evidence about the importance of the just culture in every day nursing practice setting. Personnel and organizational efforts for improving or implementing just culture are required to ensure greater patient safety by enhancing the patient safety incident reporting of perioperative nurses in hospitals.

Work-Related Experiences and Challenges of Perioperative Nurses in Southwestern Nigeria

Background: Perioperative nursing is highly demanding due to the long hours of complex procedures, limited support, inadequate facilities, and staffing issues. These factors contribute to fatigue, frustration, and burnout. However, there is a paucity of data on challenges and experiences of perioperative nurses in Southwestern Nigeria.Purpose: This study explored work-related experiences and challenges of perioperative nurses in selected hospitals in in a south western state, Nigeria.Methods: This study adopted a qualitative phenomenological design. Twenty perioperative nurses that have spent minimum of six months in the operating theatres of the three public hospitals selected hospitals were purposively selected for the study. Data collection was done with through semi-structured interview using key informant interview guide. The qualitative data collected were transcribed verbatim, coded and analysed using content and thematic analysis.Results: The study identified two major themes: the experiences of perioperative nursing practitioners and the challenges faced in perioperative nursing practice. The findings highlighted perioperative nurses’ personal experiences, their motivational factors, and their professional aspirations. Additionally, the study uncovered several challenges, including inadequate infrastructure and equipment, obsolete theatre buildings, faulty and insufficient surgical instruments, a severe shortage of perioperative nurses, and underfunding of perioperative nursing services.Conclusion:The study concluded that perioperative nurses’ experiences were both educative and fulfilling, yet also challenging and frustrating due to the numerous obstacles they face in their professional roles. Therefore, there is a need for stakeholders to address these challenges to enable perioperative nurses to function optimally and improve outcomes for surgical patients.