Preoperative Nursing Care Research Articles

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.

Effect of a preoperative evidence-based care education on postoperative recovery of cardiac surgery patients: A quasi-experimental study.

Preoperative nursing care affects many factors such as reducing the length of hospital stay of the patients in the perioperative period, the rate of postoperative complications, the duration of the operation, decrease of postoperative pain level and early mobilization. We aimed to determine the effect of preoperative evidence-based care education that given to cardiac surgery clinical nurses on the postoperative recovery of patients. The research was planned as quasi-experimental. Eighty-six patients who underwent cardiovascular surgery were divided into control and intervention groups. First, the ongoing preoperative care practices and patient recovery outcomes of the clinic were recorded for the control group data. Second, education was provided for the clinical nurses about the preoperative evidence-based care list, and a pilot application was implemented. Finally, the evidence-based care list was applied by the nurses to the intervention group, and its effects on patient outcomes were evaluated. The data were collected using the preoperative evidence-based care list, descriptive information form, intraoperative information form and postoperative patient evaluation form. The evidence-based care list was applied to the patients in the intervention group, with 100% adherence by the nurses. All pain level measurements in the intervention group were significantly lower in all measurements (p = .00). The body temperature measurements (two measurements) of the intervention group were higher (p = .00). The postoperative hospital stays of the control group and the intervention group were 11.21 ± 8.41 and 9.50 ± 3.61 days. The presented preoperative evidence-based care list can be used safely in nursing practices for patients. It provides effective normothermia, reduces the level of pain, shortens the hospital stay and reduces the number of postoperative complications. By applying a preoperative evidence-based care to patients undergoing cardiac surgery, pain levels, hospital stays and the number of complications decrease, and it is possible to maintain normothermia. An evidence-based care can be used to ensure rapid postoperative recovery for patients undergoing cardiac surgery.

Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: a cross-sectional study

BackgroundTo enhance patient satisfaction, nurses engaged in preoperative care must possess a comprehensive understanding of the most up-to-date evidence. However, there is a notable dearth of relevant information regarding the current status of preoperative care satisfaction and its impact, despite a significant rise in the number of patients seeking surgical intervention with complex medical requirements.ObjectiveTo assess patient satisfaction with preoperative nursing care and its associated factors in surgical procedures of, 2023.MethodsA cross-sectional study was conducted, and the data was collected from the randomly selected 468 patients who had undergone surgery during the study period. The collected data was entered into Epidata version 3.1 and analyzed using SPSS version 25 software.ResultsThe complete participation and response of 468 participants resulted in a response rate of 100%. Overall patient satisfaction with preoperative nursing care was 79.5%. Sex (Adjusted odds ratio (AOR): 1.14 (95% confidence interval (CI): 0.21–2.91)), payment status for treatment (AOR: 1.45 (95% CI: 0.66–2.97)), preoperative fear and anxiety (AOR: 1.01, 95% CI: 0.49–2.13)), patient expectations (AOR: 3.39, 95% CI: 2.17–7.11)), and preoperative education (AOR: 1.148, 95% CI: 0.54–2.86)) exhibited significant associations with patient satisfaction with preoperative nursing care.ConclusionIt is important to exercise caution when interpreting the level of preoperative nursing care satisfaction in this study. The significance of preoperative nursing care satisfaction lies in its reflection of healthcare quality, as even minor deficiencies in preoperative care can potentially lead to life-threatening complications, including mortality. Therefore, prioritizing the improvement of healthcare quality is essential to enhance patient satisfaction.

Factors Affecting Nursing and Midwifery Students Knowledge Regarding Preoperative Nursing Care.

Preoperative competence is a crucial aspect of nursing and midwifery students' education to improve the quality of care and patient safety. It assists nursing and midwifery students in maintaining and enhancing their practice by determining strength and areas that should be developed. This study aims to assess the level of nursing and midwifery students' knowledge regarding preoperative nursing care and determine the most influencing demographic variables. A descriptive cross-sectional design using an online self-administered questionnaire was utilised among 202 nursing and midwifery students selected by simple random sampling. The Perceived Preoperative Nursing Care Competence Scale for Nursing students (PPreCC-NS) was used to assess the perceived preoperative nursing care competence of nursing and midwifery students. Descriptive statistics were obtained, and multiple regression was used for data analysis. The overall level of perceived preoperative nursing care competence was adequate 99.09 (SD = 10.81). The highest mean score was recorded for ability to fulfil legal responsibilities and adherence to ethical principles (M = 23.6, SD = 2.53). The lowest mean score was obtained for research and professional development (M = 17.6, SD = 2.60). The regression analysis showed that place of residency explained significantly about 4.53% of the variance in the nursing and midwifery students' knowledge regarding preoperative nursing care, and it was the strongest predictor (B = 0.218, p = 0.002). The perceived level of preoperative nursing care among nursing and midwifery students was found to be adequate and associated with place of residence. Future research should be conducted to explore factors affecting nursing and midwifery students' preoperative competence in different cultures and contexts.

Psychometric Proprieties of the Arabic Version of the Perceived Preoperative Nursing Care Competence Scale for Nursing Students (PPreCC-NS)

Background: Enhancing the quality of patient treatment and safety relies heavily on nursing students’ preoperative competence, making it an essential component of their education. The Perceived Preoperative Nursing Care Competence Scale for Nursing Students (PPreCC-NS) has been created in English to assess the preoperative competence of nursing students. Hence, translation and evaluation of the psychometric proprieties of the PPreCC-NS scale in the Arabic context are pivotal. Purpose: To examine the psychometric proprieties of the Arabic version of the Perceived Preoperative Nursing Care Competence Scale for Nursing Students (PPreCC-NS). Methods: A descriptive, crosssectional study was carried out on 202 nursing students using an online questionnaire. The students’ selection was based on the probability simple random sampling technique. The international guidelines were followed in the translation of the PPreCC-NS. The psychometric proprieties and internal consistency were assessed using exploratory factor analysis and reliability tests. Results: Five factors were extracted by the exploratory factor analysis, with 22 final items. The obtained factor structure explained 62.71% of the variance. The Cronbach's alpha coefficients for the five domains ranged between 0.70 and 0.85, whereas the overall Cronbach's alpha coefficient for the scale was greater than 0.7. Conclusion: The translated questionnaire demonstrated valid and reliable psychometric properties when administered to nursing students. The translated preoperative nursing care competence measure for nursing students is thought to be used to assess perceived preoperative nursing students’ competence in the Arab region. Implications for Nursing: The findings could be valuable for nursing educators, nursing managers, and decisionmakers in devising efficient strategies to improve preoperative nursing care. Further research studies are essential to understand factors influencing the level of understanding among nursing students in relation to preoperative nursing care. Keywords: Preoperative care, Competence, Nursing students, Exploratory factor analysis, Psychometric proprieties.

Application of checklist-based nursing care process in patients undergoing intervention for coronary chronic total occlusions: a quasi-randomized study

BackgroundCoronary chronic total occlusion (CTO) interventions are more complex than general percutaneous coronary intervention (PCI) procedures. However, only a few nursing methods are specifically applied to patients undergoing CTO interventions. And the conventional nursing effect is not ideal, urgent need to explore more effective nursing methods. The checklist is a simple and effective tool for error management and performance improvement that has been widely used in many fields. But there have been no reports of the checklist being used to improve care for CTO patients.ObjectiveThis study aimed to investigate the effectiveness of a checklist-based nursing care process in patients undergoing Coronary chronic total occlusion (CTO) interventions, including duration of care, patient anxiety, improved patient satisfaction, and occurrence of adverse events.MethodsA total of 120 CTO patients undergoing percutaneous coronary intervention (PCI) were selected at our hospital and divided into an intervention group (n = 60, adopted the checklist-based nursing care process for patient care) and a control group (n = 60, adopted nursing care according to the existing workflow) according to different nursing interventions. After surgery, the nurse in charge of the patient completed the nursing according to the “List of postoperative care for CTO patients” filled in by the patient within 24 h after surgery, conducted a doctor satisfaction survey, recorded adverse events, and completed the postoperative Self-Rating Anxiety Scale (SAS) score and patient satisfaction survey before the patient was discharged. Subsequently, the Qc team checks the completion of the patient’s checklist for safety and the completion of the questionnaire. Finally, the differences between the two groups in preoperative nursing time, incidence of adverse events caused by nurses’ omission or inadequate guidance, patient anxiety, and doctor and patient satisfaction were compared.ResultsThe intervention grouphad significantly shorter preoperative nursing care time and significantly lower the total number of adverse events than the control group (P < 0.05).The postoperative Self-Rating Anxiety Scale (SAS) score of the intervention group was significantly lower than that of the control group (P < 0.05).The satisfaction of doctors and patients in the intervention groupwas significantly higher than that in the control group (P < 0.05).ConclusionThe application of the checklist-based nursing care process in patients with CTO intervention can significantly reduce the preoperative nursing care time, reduce patient anxiety, improve patients’ and doctors’ satisfaction with nursing care, and effectively reduce the occurrence of adverse events caused by nurses’ omissions or inadequate instructions.Trial registrationThe protocol of the trial was registered retrospectively of Chinese Clinical Trial Registry (registration number ChiCTR2200056804, reg date17/02/2022).

Music in the acute preoperative nursing care - A mixed-method pilot study.

The aim was to (1) examine the feasibility aspect of a music intervention, (2) examine the association between music and pain, relaxation and well-being and (3) explore patients' experience of listening to music while waiting for acute surgery. The design was a mixed-method study. Participants were offered a music pillow for 30 min. Before and after the intervention, participants reported their pain, relaxation and well-being using a visual analogue scale ranging from 0 to10. The qualitative part was based on field observation followed by a semi-structured interview. The quantitative part included 30 participants. The Wilcoxon signed-rank test showed a positive significant association between music and pain, relaxation and well-being (p < 0.001). The qualitative part included 15 participants. Two themes derived from the analysis: (1) feelings of physical and mental well-being and (2) a break from the acute preoperative context. No patient or public contribution.

Development and psychometric testing of Perceived Preoperative Nursing Care Competence Scale for Nursing Students (PPreCC-NS)

BackgroundFor nurses to carry out their responsibilities related to preoperative care in the best possible way, it is very important for them to receive competency-based training and for their competences to be measured with reliable and valid tools in the training process. ObjectiveTo develop a measurement tool that evaluates nursing students' perceived competence for preoperative nursing care. DesignA cross-sectional, methodological study. SettingTwo universities in the Eastern Black Sea Region of Turkey. ParticipantsA total of 661 second, third and fourth grade nursing students participated in the study. MethodsItems were created in line with the nursing competencies published by the International Council of Nurses, the competencies in the perioperative period nursing practices published by the European Operating Room Nurses Association, and a review of the literature. Then, to test the content validity, the items were submitted for expert opinion and a pilot implementation was made with 50 nursing students. Furthermore, the construct validity of the scale was tested with exploratory factor analysis (n = 253) and confirmatory factor analysis (n = 350). Test-retest stability was also investigated for the PPreCC-NS (n = 58), in the study. ResultsAccording to the results of the exploratory factor analysis, the Kaiser-Meyer-Olkin value was 0.948, and the Bartlett test χ2 was 7765.23; p < 0.001. Three items with a factor loading value below 0.50 were removed from the scale, and the obtained factor structure explained 62.25 % of the variance. The fit indices of the scale model tested in the confirmatory factor analysis were determined as χ2/df = 2.74, RMSEA = 0.07, CFI = 0.92, GFI = 0.88, AGFI = 0.85, IFI = 0.92. The structure of the draft scale was confirmed with 5 factors and 22 items. The Cronbach alpha values were found to be 0.79–0.96 for the sub-dimensions of the scale and 0.94 for the total scale. Data also showed a good test-retest stability (ICC = 0.72). ConclusionsThis scale is a reliable and valid measurement tool for nursing students to determine their level of perceived competence for preoperative nursing care. It is recommended that the psychometric structure of the scale be evaluated with further studies on larger and more diverse samples.

Satisfaction with the quality of pre-intraoperative nursing care in patients undergoing breast surgery, National Institute of Neoplastic Diseases [Satisfacción de la calidad del cuidado de enfermería pre-intraoperatorio en pacientes intervenidos a cirugía de mama, Instituto Nacional de Enfermedades Neoplásicas

The essence of nursing is patient care, having as a fundamental axis in the processes of quality care; however, sometimes due to the workload, reduced time in care, lack of protocols, training, staff attitudes, among other aspects; affect the quality of nursing care, which generates dissatisfaction in patient health care. Objective: To determine the level of satisfaction with the quality of preoperative and intraoperative nursing care in patients undergoing breast surgery at the National Institute of Neoplastic Diseases, 2020. Method: Quantitative, descriptive, cross-sectional, prospective. The population consisted of 664 patients undergoing breast surgery, the sample size was 191 patients by probabilistic, simple random sampling, the instrument used to collect the data was a questionnaire, validity was carried out through trial of 8 experts whose value was 0.030 and for reliability the Kuder Richardson test was applied whose value is 0.81 obtaining high reliability. Results: The level of satisfaction of the quality of preoperative and intraoperative nursing care 59.16% of the patients undergoing breast surgery considered to be moderately satisfied with the nursing care received. Conclusions: Satisfaction with the quality of nursing care in the preoperative and intraoperative area is moderately satisfied and dissatisfied, so it is necessary to reinforce care actions that improve the perception of patients in the area.

Preoperative Home Care Can Be One of the Factors Affecting the Length of Hospital Stay in Patients Undergoing Total Hip Arthroplasty.

To assess the importance of home nursing care on the functional outcome, quality of life, and length of stay of patients who underwent total hip arthroplasty. This was a retrospective cross-sectional study including patients who underwent surgery from February 2011 to December 2016. Patients were analyzed in two groups: with home care (received nursing care) and without home care. The analyzed outcomes were quality of life, functional outcome, and length of hospital stay. Total follow-up with questionnaires was 24months. A total of 244 patients (143 with home care and 101 without home care) were analyzed. No significant differences were found regarding the mean age (p = 0.125), gender distribution (p = 0.449) and BMI (p = 0.548) between the two groups. There was also no significant difference regarding functional outcome (p = 0.107) and quality of life (p = 0.848), measured by validated tools. However, the median of length of hospital stays in the home care group was lower in 1day compared to without home care group (p < 0.001). The home nursing care did not influence the functional outcome or quality of life of the patients, but there was a decrease in the length of hospital stay in the group that received preoperative nursing care.

Aplikasi teori katharine kolcaba pada pasien preoperasi mitral valve replacement: The application of katharine kolcaba’s theory in a preoperating mitral valve replacement patient

Mitral valve replacement (MVR) is a heart surgery procedure that is performed to replace a patient's mitral valve using an artificial heart valve among patients with moderate to severe mitral valve damage with symptomatic, or asymptomatic. Patients who undergo preoperative MVR might have experience including physical discomfort such as shortness of breath, fatigue, edema due to reduced mitral valve function. Patients also had psychological discomfort such as feeling anxious about the surgical procedure. The purpose of this study is to provide an overview of applying Katharine Kolcaba's theory of comfort to clients with preoperative MVR. The research method is a descriptive observational case study with a nursing care approach from the assessment stage, determining the diagnosis, planning, implementing actions, and evaluating one patient with preoperative MVR. The results of data analysis showed that the patient experienced physical discomfort in the form of decreased cardiac output, activity intolerance, and also psychological discomfort, namely anxiety. Comfort interventions are provided in the form of comfort standards, coaching, comfort food for the soul. The comfort theory of Katharine kolcaba is rightly applied to MVR preoperative nursing care which is characterized by a decrease in the anxiety scale, and the patient expresses his readiness to undergo surgery.

The effect of familiarization with preoperative care on anxiety and vital signs in the patient's cesarean section: A randomized controlled trial.

INTRODUCTIONCesarean section (C-section) is one of the most prevalent surgeries among women. The preoperative stages in the surgery day and lack of control over being in an unfamiliar situation and feeling danger cause anxiety, and consequently, instability in patients. This study aimed to determine the effect of familiarization with preoperative nursing care on anxiety and vital signs of patients in cesarean section.METHODSThis randomized controlled trial study was performed on 80 pregnant candidates for C-section in Hamadan Fatemieh Hospital, Iran, in 2020. Patients were randomly divided into control (n=40) and intervention (n=40) groups. The control group just received the routine intervention of the hospital, but the intervention group, in addition, received the two familiarizing sessions with preoperative nursing care. Data were collected via vital signs sheet and Spielberger situational anxiety questionnaire and were analyzed using SPSS16 software at a significance level of p=0.05.RESULTSBefore the intervention, there was no significant difference between the mean anxiety scores of the control and intervention groups, and the two groups were homogeneous (p=0.396). However, after the intervention, the mean anxiety of the intervention group decreased significantly (p=0.001) and increased in the control group (p=0.600); and the mean post-test of the two groups showed a significant difference (p=0.001). After the intervention, the mean heart rate, respiration rate, systolic and diastolic blood pressure in the intervention group decreased significantly (p<0.05). However, there was no significant difference in heart rate and systolic blood pressure of the control group (p>0.05).CONCLUSIONSBased on the results of this study we conclude that familiarity with preoperative care reduces the level of anxiety and stabilized the level of vital signs parameters.

Preoperative Anxiety Level and Fear of Covid 19 among Adult Patients undergoing Elective Surgery

Background: adult patient undergoing elective surgery are experienced anxiety and fear before surgery which has been increased during Covid 19 and may be affected them both physical and psychological. So, the aim of the study was to assess the preoperative anxiety level and fear of Covid 19 among adult patients undergoing elective surgery. Design: A descriptive research design. Setting: The study was conducted at surgical adult wards at Beni-Suef University Hospital. Sample: - A total of 220 adult patients aged from 21-60 years. Tools: Data were collected using three tools including: A structured interview questionnaire, fear of COVID-19 Scale (FCV-19S), and Corona Disease Anxiety Scale (CDAS). Results: Adult patients' age ranged from 20 - 53 years, it was observed that majority of adult patients had severe anxiety score and high Mean scores and standard deviations of fear 29.60 ± 5.11. A significant differences was observed between the level of FCV-19S and CDAS scores (p = 0.000 <0.05). Conclusion: Majority of adult patients undergoing elective surgery is experienced high and severe fear and anxiety scores of Covid-19. Recommendations: The preoperative nursing care should be focused on appropriate anxiety minimizing methods such as providing preoperative education, family-centered preparation for surgery, and increasing preoperative information. Additionally, psychological care, providing strategies and medication can be required for surgical patients who develop a high level of preoperative anxiety.

Consulta de enfermagem pré-operatória e saúde mental: relato de pacientes

A cirurgia é uma das alternativas terapêuticas para solucionar um problema de saúde. Sabe-se que os pacientes apresentam as mais diversas reações psicoemocionais no período pré-operatório. A assistência de enfermagem pré-operatória representa o principal instrumento para o estabelecimento de uma relação de confiança entre o enfermeiro e o paciente, buscando proporcionar a redução de reações traumáticas e uma melhoria da qualidade de vida. Objetiva-se conhecer as lembranças e reações psicoemocionais de pacientes durante a consulta de enfermagem pré-operatória de artroplastia total de quadril. Trata-se de uma pesquisa exploratória descritiva, com abordagem qualitativa. Realizou-se entrevistas com oito pacientes e os relatos foram transcritos no período de junho a agosto de 2019 para uso do método de análise de conteúdo. Originou-se duas categorias conforme relato dos pacientes, a primeira trouxe as reações e vínculos estabelecidos entre o profissional enfermeiro e o paciente durante a consulta ambulatorial e a segunda mostrou as percepções daqueles orientados durante as visitas domiciliares. Percebeu-se a responsabilização do paciente na sua recuperação e no seu cuidado com a saúde mental. Há a necessidade de novas pesquisas que abordem os transtornos psíquicos em diversas áreas, não somente em ambientes pré-cirúrgicos, instigando reflexões para construção de novas práticas de trabalho para proporcionar um atendimento qualificado, efetivo e de excelência.

Comparison of the Effects of Standardized Patient-based Simulation Education and Clinical Practice Education for Preoperative Nursing Care for High-risk Pregnant Women

Background/Objectives: This study aimed to compare the effects of conventional clinical practice education and standardized patient-based simulation education on preoperative nursing care for high-risk pregnant women scheduled for a cesarean section, and, ultimately, to identify effective education method for nursing students.Method/Statistical Analysis: This study used a non-equivalent control group, non-synchronized post-test design. The experimental group (34 subjects) received standardized patient-based simulation education, whereas the comparison group (32 subjects) participated in traditional clinical practice education. Descriptive statistics and ANCOVA was done to find the differences in the effects of the intervention between the two groups.Findings: The results showed that clinical judgment (F = 33.63, p<.001), nursing performance competency (F = 46.78, p<.001), communication ability (F = 13.90, p<.001), and learning satisfaction (F = 31.83, p<.001), except for problem-solving ability, were significantly higher in the experimental group.Improvements/Applications: Standardized patient-based simulation education can be effectively replaced with conventional clinical practice education when educating nursing students about preoperative nursing care for high-risk pregnant women.

Preoperative Nursing Care to Reduce Anxiety of Parent from Cancer Patient in Paediatric Surgical Ward

&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Cancer or malignant tumors are one of the most experienced diseases in the world. The therapy to treat cancer requires a comprehensive examination, one of which is by doing a biopsy. Biopsy is a procedure that can cause anxiety in parents of children with cancer. One of the way to reduce anxiety in parents of children with cancer is to do preoperative education. The purpose of study was to determine the effects of preoperative education on anxiety in parents of cancer patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a case study of preoperative care to reduce anxiety of parents whose child has cancer and will undergo a surgery. The intervention included anticipatory guidance and preoperative education. Anticipatory guidance was given by actively listening to parents and child’s concerns and assist them to learn deep breathing relaxation techniques, and distraction. The preoperative education was given using a flipchart containing information pertaining to the location and time of surgery, preoperative preparation, surgical procedures, and postoperative care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Parents’ anxiety declined from the score of 7 to 3. She also expressed the feeling of relieved. She looked calmer, focused and made eye contact. &lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Patient education along with anticipatory guidance needs to be provided by nurses during preoperative stage to reduce both parents and patients’ anxiety.&lt;/p&gt;&lt;p class="AbstractContent"&gt;&lt;strong&gt;Key&lt;/strong&gt;&lt;strong&gt; &lt;/strong&gt;&lt;strong&gt;words:&lt;/strong&gt; cancer, anxiety, parents, preoperative education&lt;/p&gt;

DEVELOPMENT OF PERIOPERATIVE CARE INSTRUMENTS BASED ON SDKI SLKI SIKI IN OPERATING ROOM

Standard nursing language is now a global trend in the nursing profession with the aim of uniting the terminology used in nursing practice. This study aimed to compile the development an Indonesian Standard of Nursing diagnostic, outcomes and intervention-based perioperative nursing care instrument. Research and Development study of 106 medical records with sample size 21 participants for FGD and 33 respondents in model trial were selected using purposive sampling. The variable in this study was the development of perioperative nursing care instruments and collected using observation sheet and questionnaire, data analysis used descriptive approach. Preoperative nursing care instruments developed were: anxiety, acute pain, risk of infection, knowledge deficit, and risk of perioperative hypothermia. Intraoperative nursing care instruments developed were: ineffective airway clearance, risk of perioperative hypothermia, risk of aspiration, risk of bleeding, anxiety, risk of infection, acute pain, risk of fluid imbalance, and risk of falls. The postoperative nursing care instruments developed were: ineffective airway clearance, risk of infection, acute pain, risk of falls, risk of perioperative hypothermia, and risk of aspiration. Preoperative nursing care instruments developed were 10 instruments consisting of preoperative, intraoperative, and postoperative. The trial results of the instrument showed good results and positive opinions expressed by nurses at the hospital. © 2020 EManuscript Technologies. All rights reserved.

Quality Assurance of Nursing Performance in Surgical Wards

Objective: The study deafs with nursing performance in the surgical wards in general hospital atBaghdad city.Methodology : A descriptive evaluation design using, observational method was carried out. Nonprobability (purposive) sample of (151) nurses was selected for the study and comprised all nurses whoworked in general surgical wards in the four health sectors( Rusaffa , Al-Karkh, Al-Yarmok, Medicalcity health sector) at time of collecting the data. A check list questionnaire was constructed by theresearcher for the purpose of the study; it is composed of (2) major parts, part (I) is concerned withsocio-demographic data and the second part is composed of two minor parts thev concerned withavailability of equipment and nursing performance. Validity of the questionnaire was determinedthrough panel of experts. Reliability of the questionnaire was determined through computationcorrelation coefficient of (93.3) was statistically acceptable.The data were analyzed through theapplication of the descriptive data analysis approach and the inferential statistics. Results : The findingsof the study indicated that more than half of the sample (66.2%) was male, the majority of the sample(71.52%) were in group (25-30) year. Most of the sample (29.8%) was training course graduates. Thehigher percentage (58.3%) has no training session after ward.Findings of the study had pointed that there were severe shortages in availability of equipmentrelated to patients admission procedure, preoperative and postoperative nursing care procedures.Theresults also revealed that the nurses performance were inadequate related to some nursing proceduressuch as admission procedure, preoperative nursing care procedure and postoperative nursing procedure.The findings of the study has approved that there was significant relationship between nursingperformance and demographic variables, Such as gender, age, level of education, training session.

An integrative review of a preoperative nursing care structure.

The aims of this integrative literature review are to define the role of a preoperative nurse and to describe the main components and hypothetical outcomes of a preoperative nursing care structure before a surgical patient arrives to an elective procedure. The development of medical care has impacted surgical processes, and patients are now spending less time in hospital settings. Patients often enter the hospital on the day of a procedure and are discharged as soon as it is medically safe, creating challenges for nursing care. Preoperative clinics have been opened, and the importance of preoperative nursing care has been widely understood. Previous literature has provided descriptions about the roles, tasks and outcomes of preoperative nurses; however, the terminology is heterogeneous, and the optimal model remains unknown. A systematic procedure for searching, selecting, and evaluating the literature was followed. The data were collected from PubMed and CINAHL between 1 January 2004 and 20 September 2014. In total, 41 articles were included in the study and were analysed by qualitative inductive content analysis. The data provided seven main tasks of a preoperative nurse, tools to support preoperative nursing and outcomes of structured preoperative nursing care. A preoperative nurse is a specialised coordinator of patient care, and the main purposes of this role are to meet the patient's and the family's needs individually and to prepare them for the scheduled procedure and postoperative recovery. By following the structure of the seven main tasks and using different supportive tools, preoperative nursing can positively impact patient and provider satisfaction, patient safety, quality of care and cost savings. A preoperative nursing care structure should be implemented in clinical practice and then evaluated to measure whether the hypothetical outcomes reported in this literature review can be achieved.

Preoperative Care of Laryngoscope Facilitated Vocal Polyp Excision under General Anesthesia

&lt;strong&gt;Objective&lt;/strong&gt;: To study the nature of preoperative nursing care of a Laryngoscope facilitated vocal polyp excision procedure using general anesthesia. &lt;strong&gt;Methods&lt;/strong&gt;: Clinical data from 238 cases of the aforementioned laryngoscope procedure from May 2012 to May 2014 in our hospital’s Otolaryngology department was collected. Psychological nursing was administered including preoperative preparation, postoperative monitoring, close observation of vital signs, post-operative nursing, diet, care, and also enhanced nursing skills such as discharge guidance. &lt;strong&gt;Results&lt;/strong&gt;: 238 cases of vocal cord polyp patients were all completely cured and discharged, there was no postoperative infection and other complications. After reviewing the condition of the vocal cords, primarily if the sutures at the incision are fine, there is apparent improvement. &lt;strong&gt;Conclusion&lt;/strong&gt;: The laryngoscope facilitated vocal polyp excision under general anesthesia procedure can deliver satisfying results when coupled with close patient observation and improved understanding of diseases by the preoperative nurses.