Background: Surgical Site Infections (SSIs) remain one of the most prevalent healthcare-associated infections, affecting millions of patients worldwide and leading to increased morbidity, mortality, prolonged hospital stays, and financial burdens on healthcare systems. The role of healthcare professionals, particularly nurses, in preventing surgical site infections is well established in clinical research, with various studies emphasizing the importance of knowledge,practice in reducing infection rates. The aim of this study: was to assess the effect of nursing guidelines regarding prevention of surgical site infection on the performance of surgical nurses. Design: A quasi-experimental design was utilized. Setting: The study was performed at the general surgery department, surgical operating theater and Outpatient clinics in El Sheikh Fadl emergency hospital at El minia governorate. Sample: A non-randomized purposive sample of 50 nurses from both genders involved in this study from the above mentioned setting. Tools: data were collected by three tools

Surgery in patients with diabetes mellitus is associated with increased morbidity and mortality compared with those who do not have diabetes mellitus. This is likely multifactorial and could be attributed to organisational issues; dysglycaemia; hospital-acquired diabetic ketoacidosis; errors with insulin prescribing and administration; issues with fluids and electrolytes; and systemic and surgical site infections. There was a need to update guidance for the peri-operative management of diabetes mellitus given improvements in our understanding, introduction of novel drugs and development of wearable technologies. This was a multidisciplinary consensus statement with a diverse authorship group, including diabetologists; anaesthetists; surgeons; pharmacists; surgical diabetes inpatient specialist nurses; and patients with lived experience. We undertook a directed literature search and a three-round Delphi process to develop, refine and agree recommendations. Following three rounds, 38 recommendations were included, spanning all phases of the peri-operative pathway. Recommendations were made for organisations and general principles for the management of patients with diabetes, aiming to improve pathways, implement protocols and support training. We prioritise individualised care plans, encourage clinical judgement regarding proceeding with surgery with out-of-range HbA1c concentrations and recommend ensuring appropriate insulin regimens are prescribed and administered. We also provide guidance for capillary blood glucose and ketone monitoring and management; safe handovers of care; and multidisciplinary care plans for the peri-operative use of wearables. This consensus statement provides principles to be applied throughout the entire peri-operative pathway by healthcare professionals, institutions and patients. It is hoped that the implementation of these key recommendations will improve experience and outcomes for patients with diabetes mellitus having surgery.

Hepatobiliary surgical nurses face high workloads, complex care demands, and continuous psychological strain, which may impair their work-related well-being. Psychological resilience, occupational stress, and perceived professional benefits are key psychological resources and risks, yet their combined effects in this population are not well understood. In this cross-sectional study, 280 hepatobiliary surgical nurses from eight hospitals in Jiangsu Province, China, were recruited by convenience sampling. Psychological resilience, occupational stress, perceived professional benefits, and work-related well-being were assessed using validated Chinese versions of the Connor-Davidson Resilience Scale, Chinese Nurses Stressor Scale, Nurses' Perceived Professional Benefits Scale, and Nurse Work Happiness Scale. Data were analyzed using descriptive statistics, Pearson correlations, multiple linear regression, and structural equation modeling. Nurses showed lower psychological resilience than the national norm and moderate perceived professional benefits. Occupational stress mainly stemmed from patient care, whereas work-related well-being was most strongly related to perceived work value. Regression analyses identified psychological resilience, occupational stress, perceived professional benefits, number of children, employment type, and monthly income as significant predictors of work-related well-being (all p < 0.05). The structural equation model demonstrated good fit and indicated that resilience and professional benefits had direct positive effects on well-being, occupational stress had a direct negative effect, and resilience and professional benefits partially mediated the impact of stress on work-related well-being. Work-related well-being among hepatobiliary surgical nurses is shaped by both occupational stress and internal psychological resources. Interventions that reduce stress and strengthen nurses' resilience and perceived professional benefits may be effective strategies to improve well-being in hepatobiliary surgery settings.

Psychological resilience and professional quality of life among surgical nurses: a cross-sectional study.

BackgroundThe present study aimed to (1) develop a digital game focusing on the roles of surgical nurses (scrub and circulator nurses) in laparoscopic surgeries, (2) conduct a randomized controlled trial (RCT) comparing this digital game-based learning (GBL) approach with a conventional teaching method, and (3) assess students’ reasoning and user satisfaction.MethodThis randomized controlled trial (RCT) was conducted at Shahid Sadoughi University of Medical Sciences. The study comprised three phases: development of the digital game titled ‘Co-Surgeon,’ implementation of the educational interventions, and evaluation of outcomes. The digital game aimed to enhance students’ understanding of laparoscopic surgeries and the specific roles of surgical nurses (circulator and scrub), focusing on tasks such as task recognition, laparoscopic instrument identification and utilization, procedural steps, and the development of clinical reasoning for selecting appropriate tools during common laparoscopic procedures. Fifty-seven surgical nursing students were randomly assigned to either an intervention group, which utilized digital game-based learning, or a control group, which received conventional lecture-based education. The digital GBL application included 40 distinct laparoscopic tools and equipment organized into 8 categories, 8 puzzles related to surgical nurse roles in abdominal laparoscopic surgeries, 15 Mayo stand setups, and 60 instrument identification puzzles. User satisfaction was measured via the Questionnaire for User Interface Satisfaction (QUIS), and students’ reasoning was assessed through the Key Feature (KF) examination. Data were summarized using descriptive statistics (mean, standard deviation, and percentage). Pearson correlation coefficient, independent t-test, and paired t-test were used for data analysis.ResultsThe mean (SD) scores of students’ reasoning in the intervention group (19.51 ± 3.36) were significantly higher than those in the control group (13.92 ± 4.15). (p < 0.001), with a large educational effect size reported (Partial eta squared = 0.35). Student perception scores indicated a good level of satisfaction (184.85 ± 6.79).ConclusionThe diverse and complex responsibilities of surgical nurses make it essential to enhance the learning outcomes for surgical nursing students. Implementing digital game-based learning can positively impact these outcomes. Therefore, it is recommended to incorporate digital games as a supplement in clinical education and workplace-based training.

To provide an overview of a project aimed at enhancing person-centred surgical care through teamwork and professional development. A discursive paper with the purpose of describing and discussing the project activities to strengthen person-centred care, teamwork and professional development. This project aimed to strengthen evidence-based surgical nursing care within a Surgery Department. The overarching goal was to foster an attractive and sustainable work environment for nursing professionals while simultaneously enhancing the quality of person-centred care, thereby improving patient outcomes and safety. Ultimately, the project aimed to position the department as a leading example of excellence in surgical nursing care, where evidence-based practice and person-centred values form the foundation of everyday work. The activities were guided by previous nursing evidence and aligned with Magnet Hospital standards. Continuous quality improvement efforts and team dialogue were central to achieving the goals. Leadership was provided by experienced nurses and researchers. The structured activities improved patient safety and care quality. The project was successful as it enhanced precision in surgical nursing care by implementing structured activities focused on person-centred care, patient safety and professional development. These efforts led to improved quality of care and patient outcomes, demonstrating the effectiveness of evidence-based practices. A project with similar activities to those described in this paper can ensure that surgical patients receive high precision nursing care and serve as an example of promoting person-centred surgical nursing. None. None.

Knowledge and practices of surgical nurses in perioperative hypothermia management: Implications for surgical patient safety and outcomes.

Surgical Nurses' Perceptions and Self-confidence Levels Regarding Family Involvement in Cardiopulmonary Resuscitation Practices: A Cross-sectional Study.

Investigation of Compassion Fatigue and Psychological Resilience of Surgical ICU Nurses: A Cross-Sectional Study.

Nursing Management of Children With Peripheral Nerve Blocks.

Providing that pediatric patients fasting in the preoperative period according to current guidelines is among the primary responsibilities of surgical nurses. According to the literature, preoperative fasting periods for children are considerably longer than current recommendations. This descriptive study was conducted to determine the knowledge and practices of nurses working in pediatric surgery services regarding preoperative fasting. The study was conducted in Public and Private hospitals in European side of Istanbul between January and August 2021, and the study sample consisted of 214 nurses working in pediatric surgery units. The sociodemographic information form prepared by the researchers and the nurses' knowledge and practice form regarding preoperative fasting were used for data collection. Frequency and percentage analyses were used to evaluate the data. An estimated 27.6% of nurses reported that patients in their unit were fasting for more than 10 hours on average. Reasons for not sticking to the appropriate fasting period included inter-team disagreement, lack of in-service training, and educational level. 13.5% of the nurses answered all of the preoperative fasting times correctly by the guidelines. They stated that the purpose of preoperative fasting was to reduce the risk of aspiration, to ensure gastrointestinal tract cleansing, and to reduce gastric volume. 44.9% of the nurses reported continuing the traditional practice of restricting fasting patients from solid food after midnight. The purpose of this study was to examine pediatric surgical nurses' knowledge and practices regarding preoperative fasting. Institutions should implement clear preoperative fasting protocols and conduct regular audits to promote adherence to evidence-based recommendations and enhance patient safety, and encourage interdisciplinary collaboration among educators, administrators, and healthcare professionals to promote consistent implementation of practices. Abbreviations: American Society of Anesthesiologists, (ASA); gastrointestinal, (GI); nil per os, (NPO: Latin for "nothing by mouth"); oral carbohydrate solutions, (OCS).

Background: Informed consent is a fundamental ethical and legal requirement in medical practice. Despite the requirement of a valid informed consent, there is a wide gap in the actual knowledge of its concepts and practices among surgical healthcare professionals. Aim: This study assessed the knowledge and practices of informed consent among surgical healthcare professionals at the Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife, Osun State, Nigeria. Methods: A cross-sectional descriptive design was used for this study. Samples were selected from 140 surgical healthcare professionals using proportional allocation, and assessed with a pre-tested questionnaire adapted from the Professional and Clinical Standards of the Royal College of Surgeons. Data were analysed using descriptive statistics. Bivariate logistic regression was used for inferential statistics. A statistically significant association was determined at p&lt;0.05. Results: The mean age of the respondents was 39.38±9.07years. The majority of the respondents were female, married, Yoruba, and Christian. Surgical ward nurses and the general surgery speciality were the most represented. The mean clinical experience was 12.26±8.26years. 71.4% and 72.9% of the respondents had good knowledge and good practice of informed consent, respectively. There was a significant association between knowledge and informed consent practices [OR= 2.364 (95% CI: 1.073–5.208), p = 0.033]. Conclusions: Surgical healthcare professionals at OAUTHC have good knowledge and practice of informed consent. Good knowledge was significantly associated with good informed consent practices. Regular workshops and training programmes should be implemented to enhance the understanding of the ethical, legal, and cultural aspects of informed consent among surgical professionals.

The purpose of this study was to explore the gap in knowledge and skills of emergency department (ED) and medical surgical nurses. In highlighting this need, better education and training could be developed for these nurses to feel more competent in working with patients with a comorbid psychiatric diagnosis in any setting across the spectrum of health care. A qualitative descriptive design was conducted, using focus groups to assess levels of perceived self-competency of medical-surgical and ED nurses when working with patients with a psychiatric diagnosis. Five themes were found from the participants' responses related to their perceptions of working with patients with psychiatric comorbidity in the ED and medical surgical floors. The 5 themes are as follows: (1) a chaotic, understaffed ward; (2) overuse of as-needed medications as an intervention; (3) difficult patients and increased anxiety; (4) negative reports at handoff; and (5) inadequate training and education. Participants in this study described a lack of education, preparation, and understanding for how to manage patients who may present as combative and emotionally labile. In understanding the needs for nurses in clinical practice, specific interventions and educational programs should be developed beyond a traditional de-escalation program. Future research will allow educational programs to meet the needs of the nurses who will be working with this population and help them to be able to provide behavioral health interventions.

The relationship between smartphone-related distraction and medical error tendency among surgical nurses: a cross-sectional study

Background: Antimicrobial resistance (AMR) poses a significant global health threat, particularly in low- and middle-income countries. Nurses, integral to antibiotic administration, may inadvertently contribute to AMR due to knowledge and practice gaps. In surgical settings, improper antibiotic use can exacerbate resistance. Antimicrobial stewardship (AMS) programs aim to optimize antibiotic use and mitigate AMR.Objectives: To assess surgical ward nurses' knowledge, attitudes, and self-reported practices regarding antibiotic administration, and to examine associations with professional experience, training, and demographics.Methodology: A descriptive cross-sectional study was conducted among 130 nurses in the surgical units of the National Hospital, Kandy. A validated self-administered questionnaire evaluated knowledge, attitudes, and practices related to antibiotic administration. Data analysis included descriptive statistics, Chi-square and Fisher's exact tests for categorical variables, and Kruskal-Wallis and Mann-Whitney tests for continuous variables.Results: Participants were predominantly female (80.8%), aged 30–40 years (53.8%), with diplomas (55.4%), and less than five years of experience (47.7%). Knowledge levels were moderate in 64.6% and poor in 18.5%. Notably, 16.9% believed antibiotics are effective against viral infections, and 32.3% did not recognize nausea/vomiting as signs of anaphylaxis. AMS awareness was moderate (60.8%). Practice gaps included correct IV drop rate calculation (61.5%) and cannula patency checks (60.0%). The mean practice score was 50.71 (SD 5.42), with 71.5% demonstrating good practices. Higher education correlated with better knowledge (p=0.003); attitudes and practices showed no significant demographic associations.Conclusions: Identified gaps in knowledge, AMS awareness, and antibiotic administration practices among nurses highlight the need for targeted education and training to enhance practices and combat AMR.

Introduction: Nursing documentation provides evidence of the care delivered by clearly accounting for what occurred and when it occurred. Despite the overall importance of electronic documentation, available evidence shows significant limitations in good practice.Objective: This study aimed to describe the electronic documentation practice and its correlated factors among medical and surgical ward nurses in four selected hospitals in Texas, USA.Methods: The descriptive correlational study involved 379 medical-surgical nurses recruited through proportionate non-probability sampling from four hospitals in Texas, USA, with the intent of examining how socio-demographic, knowledge, attitude, and organizational factors influence electronic documentation practices. Data collected through an online questionnaire were analyzed using descriptive statistics, Spearman rho correlation, and linear regression to determine relationships and factors associated with documentation practices.Results and discussion: Most respondents were female (244, 64.4%), married (186, 49.1%), held a bachelor’s degree (289, 76.3%), and were employed in general hospitals (254, 69%) and medical wards (290, 76.5%) for an average of 9.77 years (SD±8.51). All nurses exhibited good knowledge in areas of communication, legal protection, and patient safety, and the majority (369, 97.4%) demonstrated a favorable attitude toward the legal and clinical significance of electronic documentation. Documentation practices were strong in recording assessments, interventions, and medication administration, while lower mean scores were noted in documenting nursing diagnoses, patient education, and immediate post-care entries. Institutional supports included in-service training, operational standards, available documentation materials, and supervisory follow-up. However, more than 80% (318) reported fatigue and exhaustion, and fewer than 20% (64) indicated a lack of time and motivation for electronic documentation. Documentation practices were positively associated with educational attainment, knowledge, attitude, and organizational support (p < .01), while gender, age, income, hospital type, and years of experience showed no statistically significant correlation. Divorced nurses had poorer documentation scores compared to other marital groups.Conclusion and recommendations: High knowledge and favorable attitude, when supported by strong organizational systems, contribute to good documentation practices among nurses. The study recommends strengthening in-service training, addressing work-related fatigue, enhancing supervisory support and monitoring, and promoting timely documentation.

The effect of surgical nurses' phubbing levels on their care behaviors: A descriptive and correlational study.

Patient Safety Reporting Systems and Surgical Safety Culture: One Culture to Rule Them All?

Surgical intensive care unit (SICU) nurses undertake multidimensional and complex responsibilities in the process of postoperative patient care and monitoring. Understanding the challenges encountered within these responsibilities is crucial for improving care quality. Additionally, recognising nurses' coping strategies helps to identify their professional support needs. This study aimed to identify the difficulties encountered by nurses working in SICUs in the management of postoperative patients, as well as the strategies they use to cope with these difficulties. This qualitative study was structured using a phenomenological design. Individual in-depth interviews were conducted with nurses working in SICUs in various provinces across Turkey between 15 October and 15 November 2024. The interviews were carried out using a 'Semi-Structured Interview Form' During the reporting process, the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines were followed, and the data were analysed using the conventional content analysis method. The study was conducted with 20 nurses. Two main themes and eight subthemes were identified. The first main theme was the difficulties encountered in postoperative patient care; under this theme, the subthemes were defined as difficulties related to the surgical process, communication, workload, time management and psychological factors. The second main theme was the strategies used by nurses to cope with difficulties; within this theme, the subthemes included teamwork and collaboration, time management, stress management methods, professional development and knowledge updating. Surgical intensive care unit nurses encounter multidimensional difficulties during the postoperative patient care process, which can negatively impact both the quality of care and professional well-being. Establishing supportive mechanisms at the institutional level is essential for maintaining high-quality patient outcomes and promoting the well-being of nurses in coping with these difficulties. Effective coping strategies such as interdisciplinary collaboration, prioritisation of care, emotional regulation and continuous professional education enhance nurses' resilience and strengthen the quality of nursing care.

Wearable technologies have gained an increasing place in healthcare services and have an important potential in the field of surgical nursing. These technologies offer innovative solutions to optimise postoperative care processes, increase patient safety and accelerate the healing process. These devices, which monitor many physiological parameters such as heart rate, respiratory functions, activity level and wound healing in real time, help nurses to perform patient management more effectively. While traditional patient monitoring methods usually require the direct intervention of healthcare professionals, wearable health technologies allow patients to be monitored in real time and individualised care approaches can be developed. These systems, which instantly monitor biometric data such as heart rate, oxygen saturation, body temperature and mobility, both support the decision-making processes of healthcare professionals and increase patient comfort. Integration of these technologies into surgical nursing practices has the potential to increase the quality of patient care while reducing costs on healthcare systems. However, studies in this field are limited and more research is needed to evaluate the clinical effectiveness of wearable devices, patient satisfaction and nurses' attitudes towards the use of these technologies. In order to fully utilise the opportunities offered by wearable technologies in postoperative nursing care, more scientific studies should be conducted in the field of surgical nursing and the integration of these technologies into practice should be supported.