Surgical Nursing Research Articles

Meta-Analysis of the Efficacy of Rapid Rehabilitation Surgical Nursing in Lumbar Disc Herniation

Background: Lumbar disc herniation (LDH) is a common cause of lower back pain and radiculopathy. In recent years, the enhanced recovery after surgery (ERAS) concept has been increasingly applied in orthopedics and gastrointestinal surgery. Purpose: To investigate the effect of using rapid rehabilitation surgical care for lumbar disc herniation by meta-analysis. Data source: Google Scholar, PubMed Medical, Cochrane and Embase databases were used for the analysis. Research selection: An initial search yielded a total of 322 relevant articles. Duplicate pieces of literature were screened using Endnote. In addition, non-randomized controlled trials and studies with a sample size of less than 30 were excluded. A total of seven papers were included in this study. Main outcomes: The Rapid Rehabilitation Surgical Nursing (RRSN) group showed significantly higher patient satisfaction (RR = 1.24; 95% CI: 1.06, 1.26; p < 0.01) and self-assessed health (Total MD = 5.67; 95% CI: 4.27, 7.06; p < 0.01) compared to the Normal Nursing (NN) group. Pain levels (MD = −0.66; 95% CI: −0.97, −0.36; p < 0.01), disability levels (MD = −18.64; 95% CI: −32.53, −4.76; p < 0.01), anxiety risk (SAS-MD = −4.33; 95% CI: −6.23, −2.44; p < 0.01), and depression risk (SDS-MD = −4.29; 95% CI: −7.50, −1.07; p < 0.01) were significantly lower in the RRSN group compared to the NN group. According to the GRADE classification, the certainty for patient satisfaction is high, while the certainty for post-care pain, functional capacity, risk of psychological disorders, and self-assessed health status is moderate. Conclusions: Rapid recovery surgical nursing can significantly improve postoperative recovery of lumbar disc herniation, increase patient satisfaction, reduce the risk of psychological disorders, improve lumbar function, and alleviate patient pain.

Professionalism assessment of students in clinical education through Situational Judgment Test (SJT).

The study aims to assess the situational judgment capability of students in various professions, including medicine, surgical nursing, anesthesia nursing, and emergency medical technology, using a validated and adapted Situational Judgment Test (SJT). The cross-sectional study was conducted at Qom University of Medical Sciences in 2023-2024. The study consisted of two steps: (1) adaptation and validity assessment of the SJT in various health professions, and (2) evaluation of students' situational judgment capability using the adapted SJT. Participants included 207 students from surgical nursing, anesthesia nursing, medicine, and emergency medical technology departments, selected through stratified random sampling. The SJT included 10 constructed-response scenarios developed by Alkhuzaee and colleagues in 2022. The validation and adaptation process utilized consensus methods, and the SJT was modified to a selected response format based on a knowledge-based approach. Scores ranged from 0 to 30. Cohen's method and norm-referencing standard deviation were used to calculate a cut-off score. Data were analyzed using descriptive statistics (frequency, mean, standard deviation) and inferential statistics (independent t-test, ANOVA, and ANCOVA). The face and content validity of the adapted SJT with a selected-response format was confirmed by expert agreement. The reliability of the SJT was approved, with a Cronbach's Alpha of 0.81. The mean score of students' situational judgment in professionalism was 11.90 (SD 4.54). Students' professions significantly impacted their situational judgment scores (F (3.201) = 3.67, p = 0.01, Partial Eta Squared = 0.052). The adaption and validation of SJT with a selected response format were confirmed by experts who evaluated the situational judgment capabilities of students in different clinical professions. The reliability of the SJT was acceptable-Cohen's method as a standard-setting approach assisted in identifying students needing support and training. The moderate level of situational judgment capacity confirmed the development of the educational program for the improvement of non-cognitive and non-technical skills such as judgment and decision-making in the field of professionalism.

An interdisciplinary multicentre study on the use of Enhanced Recovery After Surgery protocol in colorectal surgery from Turkiye

BackgroundThis study aims to determine the use of surgical nurses, general surgeons, and anaesthesiologists regarding the implementation of Enhanced Recovery After Surgery (ERAS) protocol in colorectal surgery and the barriers to its implementation. MethodThis descriptive study was conducted with three different professionals (surgical nurses, surgeons, anaesthesiologists) in four different hospitals and 268 healthcare professionals who voluntarily participated in the study and had written consent were included in the research sample. Data were collected between March 2020–July 2021 via Personal Information Form and Evaluation Form of ERAS Protocol in Colorectal Surgery. ResultsIn the study, 57.8 % were nurses, 15.7 % were general surgeons and 26.5 % were anaesthesiologists. It was observed that 73.1 % of the participants hadn’t heard of the ERAS Protocol before, and eight participants who answered the application of the ERAS Protocol steps in colorectal surgery in their clinics answered as "Yes". It was determined that very few of the participants correctly knew and/or implemented the recommendations of the ERAS protocol (preoperative, intraoperative and postoperative stages) in colorectal surgery. In addition, the participants reported the obstacles to the implementation of protocol steps as the lack of knowledge (18.1 %), the problems caused by the multidisciplinary work (16.6 %), the resistance to change (12.4 %), and the lack of institutional support (11.4 %). ConclusionIt has been determined that the ERAS Protocol in colorectal surgery is not known enough by health professionals, information and opinions are not compatible with the protocol recommendations, and the barriers to implementation are multifactorial.

Prevalence of Non-specific Low Back Pain Among Chinese Healthcare Workers (Surgeons and Surgical Nurses): A Multi-Center Survey Study

Background: Low Back Pain (LBP) is one of the most common diseases affecting many persons including Healthcare Professionals (HCPs). LBP affects the quality of work and daily activities in HCPs. However, many factors contribute to LBP including age, Body Mass Index (BMI) and working experience. Purpose: The objective of this study was to assess the prevalence of LBP and examine the potential risk factors associated with LBP in Chinese HCPs (surgeons and surgical nurses). Method: A cross-sectional survey performed from October 2023 to January 2024. Quebec Back Pain Disability Scale (QBPDS) was used to assess the rating of LBP impairment. As well as Ovako Working Posture Assessment System (OWAS) is used to assess the working postures of HCPs. In addition to five more questions with yes/no answers. Results: A total of 250 surgeons and surgical nurses were collected from six hospitals with a mean age of 45.8 ± 11.0 years old, 47 females and 203 males. The BMI was 25.07 ± 1.49 kg, and working experience was 20.30 ± 10.0 years. Working hours in a week range from < 50 to > 55 hours. However, the OWAS action category was 1 in 109, 2 in 107, 3 in 30, and 4 in 4 participants. The majority of participants with mild LBP (90.4%), half of them had neck pain, and 26% with knee pain. The QBPDS scores of HCPs with LBP were 10.88 ± 4.78. Moreover, the risk factors associated with LBP include long working hours and incorrect postures of the trunk and lower extremities. As well as notice the orthopedic surgeon was the highest risk among HCPs (p = 0.046, 0.005). Conclusion: LBP is a common disorder in surgeons and surgical nurses and is associated with different factors including age, work experience, BMI, and abnormal working posture.

Experiential Teaching Method Enhance Surgical Nursing Learning Achievements and Learning Attitude of Five-Year Higher Vocational Nursing Students

China’s higher vocational nursing education continues to develop. Teaching methods based on classroom lectures are difficult to achieve high-quality teaching results. Nowadays, clinical nursing has an increasing demand for all aspects of higher vocational nursing students. “Surgical Nursing” is a required course for nursing students and the key content of the nurse professional qualification examination. Experiential teaching was introduced as an innovative teaching method. The research aims to achieve several goals: 1) To compare the surgical nursing learning achievement of students between using experiential teaching and traditional teaching methods. 2) To investigate student attitudes toward learning surgical nursing course after using experiential teaching activities. Participants were five-year vocational nursing students studying nursing at a university in Sichuan, China. A control group of 46 students and an experimental group of 46 students were selected through cluster random sampling. This study used the learning achievements and learning attitudes of surgical nursing as research tools. The results of the study showed that participants’ learning achievements and learning attitudes in surgical nursing were significantly improved in experiential teaching methods. These findings highlight the effectiveness and practicality of experiential teaching in higher vocational nursing education. It is recommended that further research be carried out to Experiential teaching methods are used in the teaching of other majors to promote the sustainable development of teaching.

Professional values, cultural competence, and moral sensitivity of surgical nurses: Mediation analysis and structural equation modeling.

Developing a framework that illustrates causal relationships and an in-depth comprehension of contextual elements is essential for steering the development of ethical interventions to enhance nurses' ethical decision-making. To examine the relationship between cultural competence, professional nursing values, and moral sensitivities of surgical nurses with a mediation analysis and structural equation model. This study is descriptive and correlational. and research context: This study was conducted with a total of 201 surgical nurses from two university hospitals in Konya, Türkiye. Data were gathered face-to-face between June and October 2023 with the Moral Sensitivity Questionnaire (MSQ), Nurses Professional Values Scale-Revised (NPVS-R), and Nurse Cultural Competence Scale (NCCS). Ethical approval from X University Ethics Committee was obtained (Number: 2023/419). In this study, the mean scores for the surgical nurses were as follows: 89.3 ± 19.33 on the MSQ, 113.1 ± 20.74 on the NPVS-R, and 72.06 ± 18.61 on the NCCS. Nurses' cultural competence level significantly affected their professional nursing values (β = 0.192; p = .007; R2 = 0.04), and their professional nursing values, in turn, had a significant effect on their moral sensitivities (β = -0.363; p < .001; R2 = 0.16). However, it was determined that the direct effect of nurses' cultural competence level on their moral sensitivity was not statistically significant. In contrast, the indirect effect of nurses' cultural competence level on their moral sensitivity, mediated by their professional nursing values was seen to be statistically significant (B = -0.070; p = .008). This study showed that there is a significant positive relationship between the professional nursing values and cultural competence levels of surgical nurses and that as professional nursing values increase, their moral sensitivity also rises. Sensitivity with higher professional nursing values. Additionally, it was found that nurses' professional values served as a mediating factor between their levels of cultural competence and moral sensitivity. Therefore, it is crucial to enhance the cultural competence, professional nursing values, and moral sensitivity of nursing students and registered surgical nurses and to improve their reasoning and decision-making skills in ethical dilemmas.

Intelligent Verification Tool for Surgical Information of Ophthalmic Patients-A Study Based on Artificial Intelligence Technology.

With the development of day surgery, the characteristics of "short, frequent and fast" ophthalmic surgery are becoming more prominent. However, nurses are not efficient in verifying patients' surgical information, and problems such as patient privacy leakage are becoming more prominent. To improve the situation, we developed a new augmented reality (AR)-based tool for visual recognition and artificial intelligent (AI) interpretation of the pattern and location of patient surgical skin markings for the verification of the correct surgical site and procedure. The tool can also display a variety of other verbally requested patient information. The purpose of this proposal is to evaluate its feasibility of use by surgical nurses in a real clinical setting. We developed a tool with image recognition technologies to interpretation patient surgical skin markings and match the information obtained with the patients surgical records, thus, verify the patient's surgical information. Verification includes the proper surgical site and type of procedure to be performed. Nurses can interact with the device through its speech recognition capabilities and the device provides them with a variety of other requested patient information via a heads-up display. Three hundred patients in an outpatient ophthalmology clinic were divided into an AR intelligent verification experimental group and a manual verification control group. The accuracy of information verification, work time consumption, and economic cost data were compared between the 2 groups to evaluate the effectiveness of the AR Surgical Information Intelligent Verification Tool in clinical patient surgical information verification. There was no statistically difference in the correct rates of patient surgical information review between the experimental group (95.33%) and the control group (98.67%) (χ2 = 2.934, P = 0.087). The median time for information verification was 10.00 (10.00, 11.00) seconds in the experimental group and 21.00 (20.00, 24.00) seconds in the control group, a statistically difference (Z = 0.000, P < 0.001). The experimental group saved 11 seconds per patient per review compared with the control group. Considering 10,531 surgeries in 2023, printing 1 page of surgical information per 9 patients and requiring 4 copies, 4680 pages of printing paper could be saved. The AR Surgical Information Intelligent Verification Tool has advantages in assisting medical staff in patient surgical information verification, improving nursing efficiency, preventing surgical mark errors or nonstandardization, protecting patient privacy, and saving costs. It has certain research and application value in the scenario of patient surgical information verification in ophthalmic day ward.

Qualitative drivers of postoperative prophylactic antibiotics use and resistance in Ethiopia.

The World Health Organization (WHO) cautions against unnecessary prolongation of postoperative antibiotics to prevent surgical site infections (SSI), however this practice is still common in many countries. This study aims to describe drivers of prolonged postoperative antibiotic prescribing and clinicians' perspectives on antibiotics resistance and stewardship in Ethiopia. We conducted semi-structured interviews of 16 surgeons and nine surgical ward nurses at three academic referral hospitals in Addis Ababa. Audio recordings were transcribed verbatim and coded. Codes were inductively and iteratively derived between two researchers, tested for inter-rater reliability (IRR), and the codebook was consistently applied to all transcripts. Thematic analysis was performed to understand drivers of prolonged prophylactic antibiotic use in surgical patients. Interviews revealed factors contributing to postoperative prophylactic antibiotics overprescribing, including inadequate infection prevention and control (IPC) practices, wide variability in local prescribing practices, and distrust in the applicability of WHO guidelines. Antimicrobial resistance was also identified as a major concern by staff. Barriers to improving stewardship included a lack of multidisciplinary teamwork to inform prescribing decisions, while solutions included constructing appropriate context-specific guidelines and improving evidence-based practices through input from local stakeholders, including surgeons, clinical pharmacists, and nurses. Study participants perceived that existing evidence and guidelines did not apply in their settings due to high rates of surgical site infections and gaps in perioperative IPC practices (e.g., availability of water for handwashing, sterility breaches). These gaps were a key contributor to prophylactic antibiotic overprescribing, reinforcing the need to strengthen upstream and perioperative surgical antisepsis processes. The findings of this study underscore the importance of engaging multidisciplinary teams in strengthening antimicrobial stewardship efforts, aligning processes to achieve compliance with best practices, and the need for rigorous, contextually appropriate studies from these settings to inform policy.

The effect of interprofessional education on the surgical team members' self-efficacy perception of interprofessional communication in the healthcare system.

The current study aimed to assess the effect of interprofessional education on participants' self-efficacy perception of interprofessional communication at different levels of a healthcare system (relationships in the interpersonal, interprofessional, and administration levels). This is a sequential explanatory mixed-method study. Learners include surgical residents, surgical technology nurses, and anesthesia nurses (n = 130) who participated in the intervention and control groups. The quasi-experimental study was conducted in the first step. The educational strategy was interprofessional education and the main teaching method was case-based learning. The self-efficacy perception of the participants was assessed by a 26-item questionnaire before and 1 month after the intervention. The descriptive tests (mean, SD, percentage), student t-tests, and ANOVA were analyzed. The participants' experiences were explored through semi-structured interviews. Qualitative content was analyzed by Lundman and Graneheim's approach. The results showed that the scores of the learners in the intervention group (4.05 ± 0.31) improved significantly compared to the control group (3.35 ± 0.37) (p = 0.0001). In the present study, the experiences of the participants were categorized into a theme "explicit and implicit confrontations with perceived distrust in the system" which includes two categories "failure to internalize professionalism among team members" and "dominance of a paternalistic culture within the health care system". The results showed the positive impact of interprofessional education interventions on participants' self-efficacy perception of interprofessional communication. The results showed that interprofessional education, with the participation of different professionals and managers at different levels of a healthcare system, improved the participants' perception of self-efficacy regarding interprofessional communication. The results showed the improvement in the participants' communication with team members and managers required to solve the perceived explicit and implicit confrontations in the surgical departments. The implementation of an interprofessional education strategy focused on interprofessional professionalism and collaboration principles in clinical activities, formal and informal education in the surgical department is recommended.

Effectiveness of accelerated rehabilitation surgical nursing on perioperative outcomes in patients with calcaneal fractures.

This study aims to evaluate the impact of accelerated rehabilitation nursing on perioperative outcomes in patients with calcaneal fractures. A total of 101 patients with calcaneal fractures admitted from December 2020 to December 2022 were included in this study. Patients were randomly assigned to an observation group (OG) of 51 patients receiving accelerated rehabilitation surgical nursing and a control group (CG) of 50 patients receiving conventional surgical nursing. Outcomes assessed included patient satisfaction, visual analog scale (VAS) scores before and after surgery, swelling reduction time, and complication rates. The satisfaction rate in the OG was 96.07%, significantly higher than the 80.00% observed in the CG. Post-operative VAS scores at day 4 and 6 were significantly lower in the OG compared to the CG. Swelling reduction time was shorter in the OG (152.56 ± 25.22 hours) compared to the CG (170.76 ± 22.51 hours). Additionally, the complication rate in the OG was significantly lower at 7.84% compared to 24.00% in the CG (P < .05).the implementation of accelerated rehabilitation nursing significantly shortened the average length of hospital stay for patients in the observation group. In contrast, patients in the control group, who received conventional nursing care, had a relatively longer hospital stay. In the perioperative treatment of calcaneal fractures, accelerated rehabilitation surgical nursing can significantly improve patient satisfaction, reduce pain, shorten the time for swelling to subside, and lower the incidence of complications. Additionally, it can shorten the hospital stay for patients, demonstrating its efficacy and potential for broader clinical application.

What factors influencing surgical nurses' competence in implementing person-centered care in the perioperative period?: A cross-sectional study.

Strengthening the capability of clinical surgical nurses to provide person-centered care (PCC) requires a thorough analysis of several related factors. This study used a descriptive cross-sectional design to investigate the factors that influence surgical nurses' perioperative competency in the performance of PCC in Anhui, China. A convenience sampling was implemented to administer a questionnaire survey to 437 nurses with more than 1 year of experience working in surgical wards. A web-based cross-sectional questionnaire evaluated the participant's general sociological information, empathy, job burnout, and nursing competence. The questionnaire were designed and published through the online platform Questionnaire Stars, and the link was distributed through the Internet and WeChat media by the nursing department of their hospital. Data were collected from June to September 2023 and processed by descriptive, correlation, and stepwise multiple regression analyses. Participants with high levels of empathy (β = 0.502, P < .001), low levels of job burnout (β = -0.288, P < .001), humanistic nursing training (β = 0.167, P < .001), and personnel agency (β = 0.083, P < .001) showed better PCC competence. The regression model analysis showed that 4 influencing factors explained 59.2% of the variance (F = 158.930, P < .001, adjusted R2 = 0.592). These findings suggest that steps should be taken to strengthen the key factors, such as improving empathy, minimizing job burnout, offering more humanities training, and enhancing personalities, to reinforce PCC competency.

The Pathogenesis and Surgical Nursing of Coronary Heart Disease (CHD)

The Pathogenesis and Surgical Nursing of Coronary Heart Disease (CHD)

Humanistic care ability and its influencing factors among Chinese surgical nurses.

This paper aims to investigate the humanistic care ability among surgical nurses in China and identify its statistically significant influencing factors. A cross-sectional, descriptive and correlational design was used. A total of 210 surgical nurses were recruited from a tertiary public hospital in Wuhu, Anhui Province. Four with incomplete responses were excluded, leaving 206 participants for data analysis. Variables were measured using the general questionnaire, caring ability inventory (CAI), and General Self-Efficacy Scale (GSES). Multivariate linear regression analyses were performed to identify the statistically significant influencing factors of participants' humanistic caring ability. The overall average score of the CAI was 190.14 (SD = 19.24), and the average scores for the three dimensions of cognitive, courage, and patience were 70.46 (SD = 7.77), 62.12 (SD = 8.47) and 57.56 (SD = 6.02), respectively. The overall average score of the GSES was 26.05 (SD = 5.77). Professional attitude, perceived care from the department head nurse, perceived care from colleagues and self-efficacy were the statistically significant factors influencing the humanistic care ability of surgical nurses (R2 = 0.45, adjusted R2 = 0.44, F = 40.64, p < 0.001).

Determination of Individual Innovative Characteristics of Surgical Nurses of Different Generations: Descriptive Study

Determination of Individual Innovative Characteristics of Surgical Nurses of Different Generations: Descriptive Study

Collaborative robot acting as scrub nurse for cataract surgery (CRASCS).

Worldwide, healthcare systems are struggling to tackle a nursing shortage. As per the data released by the American Hospital Association, the healthcare workforce could face a loss of around 5 lakh nurses by the end of the year. Consequently, it could result in those deficiencies, which will be 1.1 million instead of 0.6 million. The current nursing scenario in India as per the Indian Nursing Council (INC), which is a board under the ministry and is responsible for legally confirming and maintaining universal standardized training for nursing, is that the 1.96 nurses out of every 1000 Indians that are there are much behind the World Health Organization's (WHO) recommended figure of 3 nurses per 1000. To mitigate the nurse shortage, a collaborative robotic system was designed that can assist with surgical procedures with a collaborative robot acting as a scrub nurse for cataract surgery (CRASCS) represented in Fig. 1. Accordingly, the model has been built to empower a customized 3d printed 5-Degree of freedom robotic arm by tracking the phase of surgery in real-time and automatically supplying the clinician with the ideal equipment that is needed for the particular phase of surgery. The system is supported with one more model which can identify where the surgical equipment is located within the arm range. The system is also supported with voice commands which help in picking up the right surgical equipment in the middle of any phase of the surgery. In this way, the system could be able to potentially handle the shortage of surgical nurses around the world and benefit humanity.

EP588 - Review of the need for Immediate Nasogastric Tube Insertion in patients with Small Bowel Obstruction: Single Centre Quality Improvement Project

Abstract Aim This QIP was conducted in a busy UK hospital. It aims to review, improve, and stress the importance of early insertion of an NG tube in patients who have clinically suspected or radiologically confirmed small bowel obstruction. Method Retrospective data collection involving 72 patients, in a period from Jan to April 2023 (50 patients) and from May to July 2023 (22 patients)Inclusion criteria: adult patients with SBO (clinically suspected or radiologically confirmed) and NGT insertion advised by the surgical teamExclusion criteria: paediatric patients, LBO, and patients not advised NGT in ED Results In the first cycle, we found that NG insertion is delayed 84% &amp;gt; 7 hrs. With associated morbidity of pneumonia, including aspiration in 20% of patients, ileus and sepsis in 8%, and re-admission and mortality in 6%, respectively. The following interventions were carried out. Broad communication with the ED team to highlight the importance of NG insertion for suspected patients. Provide NGT training for ED nursing staff The surgical team and admission nurses should inquire about NGT insertion before accepting patients' admission to surgical emergency wards. Circulating the QIPS recommendation Trust-wide as sharing learning point Post-intervention, we noticed a 50% delay in NGT insertion, which is a huge improvement compared to the 84% delay Conclusion Early insertion of NG for decompression in both pre and post-op periods is known to decrease associated complications, including bowel oedema, perforation, aspiration pneumonia, and post-ileus, leading to better outcomes and a significant decrease in hospital stay length.

Impact of Instructional Guidelines on Surgical Nurses' Knowledge and Attitude regarding Artificial Intelligence Application

Impact of Instructional Guidelines on Surgical Nurses' Knowledge and Attitude regarding Artificial Intelligence Application

The New Dimension of Surgery: Telesurgery and Surgical Nursing

In the recent COVID-19 pandemic, it has been observed that surgical patients have turned more towards telemedicine applications to meet their health care needs due to the fact that they cannot apply to hospitals unless they are mandatory and even the majority of non-urgent medical activities, including elective surgeries, are paused. Telesurgery, one of the telehealth concepts in the provision of health services, has emerged as a promising application known as remote surgery, which provides remote surgical care to patients. Today, telesurgical interventions performed away from patients using surgical robots, virtual reality applications, advanced computer and network technologies have become a rising trend in the field of surgery. It is obvious that telesurgery applications, which aim to provide high quality remote surgery with worldwide expertise, have some obstacles due to the fact that it is a very new technology. However, despite the obstacles, it is witnessed that telesurgical interventions are being successfully applied day by day thanks to different application methods. It is predicted that telesurgery, which is expected to reach and serve more patients in the future, will be more widely applied and developed with its high-speed advanced network connection, lower cost rates and reaching all over the world, even to space and the depths of the sea. When we look at the nursing practices in telesurgery, which is a new application area in the field of surgery, it is stated that positive results have been achieved, but the number of studies is still insufficient. Depending on the telesurgery technology, which is expected to develop rapidly in the coming years, it is thought that there will be a rapid increase in the number of studies on telesurgery in the field of surgical nursing. Therefore, in this review, it was aimed to clarify telesurgical interventions, which have been started to be applied by surgeons as a new trend in recent years and which is a very new and highly developed application area for nurses, and to examine the surgical nursing interventions applied in this field.

Investigation of Attitudes of Surgical Nurses Towards Evidence-Based Nursing Practices in and Affecting Factors

Abstract Aim-Background: With evidence-based practice, nurses play an important role in developing and improving health outcomes to the optimal level expected. This study was conducted to examine the attitudes of nurses working in surgical clinics towards evidence-based nursing. Design-Methods: The sample of the descriptive and cross-sectional study consisted of 110 nurses who worked in the surgical clinics of a university hospital between March and September 2019. Data Collection Form Attitude Towards Evidence-Based Nursing Questionnaire (AEBNAQ) were used to collect the data. Written permissions were obtained from the Scientific Ethics Committee, the institution where the study would be conducted, and the nurses participating in the study. The data were evaluated using number, percentage, mean, standard deviation, Mann-Whitney U and Spearman's rho correlation analysis. Results: It was determined that the average age of the nurses participating in the study was 34.03±7.29 years, 51.8% has done a graduation project/thesis/research in their education process, 40.0% has attended a scientific meeting on evidence-based practice, 91.8% needs evidence in nursing practices. The total score of the nurses was determined as 62.5±8.5 and sub-dimensions differed as in the "Evidence-Based Nursing Beliefs and Expectations" sub-dimension 29.3±4.2, in the "Evidence-Based Practicing Intention" sub-dimension 16.1±2.7, in the "Evidence-Based Nursing Emotions" sub-dimension 17.1±2.5 points. It was determined that nurses who read scientific journals, have attended scientific meetings, do graduation projects/thesis/research, need evidence in nursing practices, have information about evidence-based practices and want to participate in the training program, and the sub-dimension and total score averages of the AEBNAQ are significantly higher (p

Environmental sustainability, medical waste management, energy and medicine consumption of the surgical intensive care nurses: A qualitative study.

In intensive care units, it is noticeable that there is intensive use of resources in the treatment and care process, leading to a significant amount of waste generation. In addition, the demand for intensive care, increasing life expectancy and surgical interventions, complex comorbidities and ecological crisis make it necessary to make critical care more sustainable. To explore the perspectives of nurses working in surgical intensive care units regarding responsible medical waste management, energy and medication consumption. This qualitative descriptive study was conducted in surgical intensive care units of a university hospital in Turkey in November 2023. Twenty-three nurses filled in an introductory form and participated in a semi-structured interview. Data were analysed using inductive content analysis. Three main themes were determined: environmentally sustainable intensive care, prevention of waste in intensive care; responsible consumption and recycling; suggestions for institutional and individual behavioural change regarding environmental sustainability. The majority of nurses lack knowledge about sustainable development goals. However, in the intensive care unit, they provided effective and creative solutions for medical waste management, energy and medication consumption and individual and institutional behavioural change regarding environmental sustainability. Sustainability strategies should be created in institutions to ensure responsible medical waste management, energy and medicine consumption and reduce carbon footprint. In accordance with this purpose, 'Green teams' including unit-based doctors, nurses and paramedics should be established. Training should be provided and awareness should be raised to reduce energy use resulting from heating, lighting, ventilation and air conditioning.