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Perioperative Research And Nursing

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https://read.qxmd.com/read/30711234/enhanced-recovery-after-surgery-are-the-principles-applicable-to-adult-and-geriatric-acute-care-and-trauma-surgery
#1
REVIEW
Mandeep Singh, Reza Askari, Matthias Stopfkuchen-Evans
The incorporation of enhanced recovery after surgery (ERAS) fundamentals into perioperative medicine has improved the patient care experience and hastened recovery time while reducing hospital costs. Research studies have shown that incorporating ERAS principles in the adult or geriatric acute care surgery populations minimizes time to resumption of preoperative activity and reduces hospital length of stay. ERAS principles are widely applicable to these patient cohorts and may be applicable in trauma patients...
March 2019: Anesthesiology Clinics
https://read.qxmd.com/read/30644786/speaking-up-about-patient-safety-in-perioperative-care-differences-between-academic-and-nonacademic-hospitals-in-austria-and-switzerland
#2
David Schwappach, Gerald Sendlhofer
PURPOSE OF THE STUDY: In perioperative care, communication about patient safety concerns is both difficult and valuable. Research into speaking up has mostly been conducted in single countries; the aim of this study was to compare speaking up-related climate and behaviors in academic and nonacademic hospitals. MATERIALS AND METHODS: The study is based on two surveys conducted in Austria and Switzerland. The Swiss survey was conducted in five nonacademic hospitals, the Austrian survey in one university hospital...
January 15, 2019: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://read.qxmd.com/read/30637593/the-impact-of-perioperative-data-science-in-hospital-knowledge-management
#3
Márcia Baptista, José Braga Vasconcelos, Álvaro Rocha, Rita Silva, João Vidal Carvalho, Helena Gonçalves Jardim, António Quintal
Conservative practices, such as manual registry have limited scope regarding preoperative, intraoperative and postoperative decision making, knowledge discovery, analytical techniques and knowledge integration into patient care. To maximize quality and value, perioperative care is changing through new technological developments. In this context, knowledge management practices will enable future transformation and enhancements in healthcare services. By performing a data science and knowledge management research in the perioperative department at Hospital Dr...
January 12, 2019: Journal of Medical Systems
https://read.qxmd.com/read/30617561/unifying-children-s-surgery-and-anesthesia-stakeholders-across-institutions-and-clinical-disciplines-challenges-and-solutions-from-uganda
#4
Phyllis Kisa, David F Grabski, Doruk Ozgediz, Margaret Ajiko, Raffaele Aspide, Robert Baird, Gillian Barker, Doreen Birabwa-Male, Geoffrey Blair, Brian Cameron, Maija Cheung, Bruno Cigliano, David Cunningham, Sergio D'Agostino, Damian Duffy, Faye Evans, Tamara N Fitzgerald, George Galiwango, Domenico Gerolmini, Marcello Gerolmini, Nasser Kakembo, Joyce B Kambugu, Kokila Lakhoo, Monica Langer, Moses Fisha Muhumuza, Arlene Muzira, Mary T Nabukenya, Bindi Naik-Mathuria, Doreen Nakku, Jolly Nankunda, Martin Ogwang, Innocent Okello, Norgrove Penny, Eleanor Reimer, Coleen Sabatini, John Sekabira, Martin Situma, Peter Ssenyonga, Janat Tumukunde, Gustavo Villalona
BACKGROUND: There is a significant unmet need for children's surgical care in low- and middle-income countries (LMICs). Multidisciplinary collaboration is required to advance the surgical and anesthesia care of children's surgical conditions such as congenital conditions, cancer and injuries. Nonetheless, there are limited examples of this process from LMICs. We describe the development and 3-year outcomes following a 2015 stakeholders' meeting in Uganda to catalyze multidisciplinary and multi-institutional collaboration...
January 7, 2019: World Journal of Surgery
https://read.qxmd.com/read/30600135/physicians-and-nurses-attitudes-and-actions-regarding-perioperative-medication-management
#5
Susanne Winther Olsen, Eva Draborg, Marianne Lisby
PURPOSE: To investigate physicians' and nurses' attitudes and actions related to the prescription and administration of perioperative antibiotics and opioids during a 2-week period. DESIGN: A quantitative descriptive and analytical research design performed at a Danish University Hospital. METHODS: An email survey using an 18-item questionnaire was sent to 163 nurses and physicians involved in the perioperative period. FINDINGS: Of 163 participants, 114 (69...
December 29, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30554464/validation-of-the-rotterdam-elderly-pain-observation-scale-repos-in-the-hospital-setting
#6
Anneke A Boerlage, Joost van Rosmalen, Juanita M Cheuk-Alam-Balrak, Jeannette A Goudzwaard, Dick Tibboel, Monique van Dijk
BACKGROUND: The Rotterdam Elderly Pain Observation Scale (REPOS) has been proven useful to assess pain in non-communicative and cognitively impaired nursing home residents. We evaluated whether the REPOS is also reliable and valid for pain assessment in the hospital setting. METHODS: In this prospective multicenter observational study, surgical patients were observed perioperatively at bedside and internal medicine patients were filmed during a possible painful moment and in rest...
December 16, 2018: Pain Practice: the Official Journal of World Institute of Pain
https://read.qxmd.com/read/30476823/use-of-simulation-based-learning-among-perioperative-nurses-and-students-a-scoping-review
#7
REVIEW
Hege Kristin Aslaksen Kaldheim, Ådel Bergland, Mia Alexandra Ølnes, Kristin Hofsø, Alfhild Dihle, Johan Creutzfeldt, Chao Zhang, Simen Alexander Steindal
OBJECTIVES: Simulation-based learning has been extensively explored, especially in baccalaureate nursing programmes. Recently, simulation-based learning has been introduced in perioperative nursing. The aim of this scoping review is to investigate work published on the use of simulation-based learning in the field of perioperative nursing. DESIGN AND DATA SOURCES: A scoping review was conducted using the methodological framework of Arksey and O'Malley to identify a broad range of relevant literature, regardless of study design...
February 2019: Nurse Education Today
https://read.qxmd.com/read/30449442/the-swedish-safety-attitudes-questionnaire-operating-room-version-psychometric-properties-in-the-surgical-team
#8
Ulrica Nilsson, Camilla Göras, Fan Yang Wallentin, Anna Ehrenberg, Maria Unbeck
PURPOSE: To validate the Swedish Safety Attitudes Questionnaire-operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team. DESIGN: Cross-sectional questionnaire study. METHODS: 541 surgical team members including perioperative nurses, physicians, and licensed practical nurses at three Swedish hospitals were included. FINDINGS: For the total sample, the Cronbach's α for the six factors ranged from 0...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30300182/implementing-a-pediatric-perioperative-surgical-home-integrated-care-coordination-pathway-for-laryngeal-cleft-repair
#9
Izabela Leahy, Connor Johnson, Steven J Staffa, Reza Rahbar, Lynne R Ferrari
BACKGROUND: The Pediatric Perioperative Surgical Home (PPSH) model is an integrative care model designed to provide better patient care and value by shifting focus from the patient encounter level to the overarching surgical episode of care. So far, no PPSH model has targeted a complex airway disorder. It was hypothesized that the development of a PPSH for laryngeal cleft repair would reduce the high rates of postoperative resource utilization observed in this population. METHODS: Institutional review board approval was obtained for the purpose of data collection and analysis...
October 8, 2018: Anesthesia and Analgesia
https://read.qxmd.com/read/30181776/complications-of-pelvic-and-acetabular-fractures-in-1331-morbidly-obese-patients-bmi-%C3%A2-40-a-retrospective-observational-study-from-the-national-trauma-data-bank
#10
James T Carson, Sabin G Shah, Gezzer Ortega, Sorawut Thamyongkit, Erik A Hasenboehler, Babar Shafiq
Background: There have been no large-scale epidemiological studies of outcomes and perioperative complications in morbidly obese trauma patients who have sustained closed pelvic ring or acetabular fractures. We examined this population and compared their rate of inpatient complications with that of control patients. Methods: We retrospectively reviewed the records of patients treated for closed pelvic ring or acetabular fracture, aged 16-85 years, with Injury Severity Scores ≤15 from the National Trauma Data Bank Research Dataset for the years 2007 through 2010...
2018: Patient Safety in Surgery
https://read.qxmd.com/read/30108281/exploring-practice-gaps-to-improve-perioperative-nutrition-care-experience-study-a-qualitative-analysis-of-barriers-to-implementation-of-evidence-based-practice-guidelines
#11
Angela Byrnes, Adrienne Young, Alison Mudge, Merrilyn Banks, Judy Bauer
BACKGROUND/OBJECTIVES: Aligning care with best practice-such as Enhanced Recovery After Surgery (ERAS) guidelines-may improve patient outcomes. However, translating research into practice is challenging and implementation science literature emphasises the importance of understanding barriers and enablers specific to the local context and clinicians. This study aimed to explore staff perceptions about barriers and enablers to practice change aligning with nutrition-related recommendations from ERAS guidelines...
January 2019: European Journal of Clinical Nutrition
https://read.qxmd.com/read/29779305/-expert-consensus-on-standardized-processes-of-ambulatory-biliary-surgery-2018-edition
#12
(no author information available yet)
The definition of ambulatory surgery is that the patient is admitted, operated and discharged within a day (24 hours) , but does not include outpatient surgery. It can shorten the average hospital stay, reduce medical expenses, accelerate the recovery of patients, and has been approved to have great social and economic benefits.The main contents of this consensus include: (1)the establishment of ambulatory biliary surgery system, which involves the facilities building, team building, the construction of management systems, operation management, operation state analysis and benefit evaluation; (2)Patient selection criteria, pre-hospital assessment, surgical scheduling, preoperative education, anesthesia and management of adverse reactions after anesthesia, intraoperative application of general surgical principles and postoperative emergency plans, perioperative nursing; (3)Discharge criteria and pre-discharge assessment, post-discharge follow-up and rehabilitation guidance; (4) quality and safety control index system of ambulatory biliary surgery...
May 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/29773957/perioperative-predictors-of-delirium-and-incidence-factors-in-adult-patients-post-cardiac-surgery
#13
Stavros Theologou, Konstantinos Giakoumidakis, Christos Charitos
Background: Delirium is a quite common complication in adult patients post-cardiac surgery. The purpose of our study was to identify perioperative characteristics and also focus on incidence factors that could predict delirium in the cardiac surgery intensive care unit (CICU) postoperatively. Methods: We conducted a prospective study of 179 consecutive patients, who underwent open-heart surgical operation and were admitted to the CICU of a general tertiary hospital in Athens, Greece...
2018: Pragmatic and Observational Research
https://read.qxmd.com/read/29753829/the-role-of-pelvic-floor-muscle-training-in-the-conservative-and-surgical-management-of-female-stress-urinary-incontinence-does-the-strength-of-the-pelvic-floor-muscles-matter
#14
REVIEW
Anna Maria Lasak, Marjorie Jean-Michel, Phuong Uyen Le, Roshni Durgam, Jessica Harroche
The purpose of this review is to provide an in-depth overview of the role of pelvic floor muscle (PFM) training in the management of stress urinary incontinence (SUI). The definition, epidemiology, and pathogenesis of SUI are described. We review the anatomy of the PFM and the importance of PFM strength in maintaining urinary continence and establishing normal voiding function. A brief description of the surgical options currently available for SUI and the existing data regarding the role of perioperative PFM training for SUI are included...
May 25, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://read.qxmd.com/read/29726418/improving-fluid-management-in-critical-care-towards-the-icu-of-the-future
#15
Katharina Bergmoser, Lucas Pflanzl-Knizacek, Matthias Hafner, Gernot Schilcher, Christian Baumgartner
BACKGROUND: The calculation of daily fluid balances is essential in perioperative and postoperative fluid management in order to prevent severe hypervolemia or hypovolemia in critically ill patients. In this context, modern health information technology has the potential to reduce the workload for health care professionals by not only automating data collection but also providing appropriate decision support. OBJECTIVES: Within this work, current problems and barriers regarding fluid balancing in cardiac intensive care patients are outlined and improvement activities are specified...
2018: Studies in Health Technology and Informatics
https://read.qxmd.com/read/29680176/perianesthesia-nurses-survey-of-their-knowledge-and-practice-with-obstructive-sleep-apnea
#16
Andrea M Erwin, Kim A Noble, June Marshall, Susan Cooper
PURPOSE: Anesthesia, sedation, and analgesia can negatively impact adult patients with obstructive sleep apnea (OSA). Despite known risks, current evidence, and practice guidelines, insufficient evidence exists that standardization and clinical application of OSA screening tools, problem identification, and perioperative nursing intervention and management strategies are consistently implemented for OSA patients across perianesthesia settings. The purpose of this study was to conduct a knowledge and practice assessment of perianesthesia nurses who care for adult patients with diagnosed or undiagnosed OSA...
April 18, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/29672395/an-educational-implementation-process-staff-survey-lessons-learned
#17
MULTICENTER STUDY
Barbara Delmore, Martha Kent
OBJECTIVE: To evaluate the education process for the effective use of the Munro Pressure Ulcer Risk Assessment Scale by practicing perioperative staff at an urban tertiary medical center. Given that pressure injury formation is tied to the surgical process, there is a need for a pressure injury risk assessment scale that addresses the uniqueness of the perioperative process. METHODS: Participants were staff who worked in the surgical admissions area, the main operating room, and the main postanesthesia care unit...
May 2018: Advances in Skin & Wound Care
https://read.qxmd.com/read/29564862/-anesthetic-care-of-patient-with-heroin-addiction-a-case-report
#18
Wen-Yi Lee, Shu-Yu Kuo
The use of illegal drugs in Taiwan is on the rise. Drug addicts often have complex physical, psychological, and social problems. In addition, they often avoid disclosing their illicit drug use by deceit, concealment, or under-reporting. Building and maintaining relationships of trust with drug-addict patients has become a critical issue in achieving better care quality. In this case report, we report on an anesthesia care process for a heroin addict who was admitted for open reduction and internal fixation surgery for the femur and patella fractures after a car accident...
April 2018: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/29524836/disaster-education-and-preparedness-in-the-acute-care-setting-a-cross-sectional-survey-of-operating-theatre-nurse-s-disaster-knowledge-and-education
#19
Olivia Sonneborn, Charne Miller, Leon Head, Rachel Cross
BACKGROUND: Operating theatre services can be heavily relied upon during mass casualty disaster events, which require nurses to have adequate training and education of hospital disaster management plans to respond appropriately. The evidence-base of disaster preparedness in the acute setting is limited, particularly with regard to operating theatre nurses. OBJECTIVES: Explore operating theatre nurse's disaster knowledge of their role in a mass casualty event, and identify the preferred mode of disaster education and training to improve disaster preparedness...
June 2018: Nurse Education Today
https://read.qxmd.com/read/29521868/older-nurses-experiences-of-providing-direct-care-in-hospital-nursing-units-a-qualitative-systematic-review
#20
Karen Parsons, Alice Gaudine, Michelle Swab
BACKGROUND: Most developed countries throughout the world are experiencing an aging nursing workforce as their population ages. Older nurses often experience different challenges then their younger nurse counterparts. With the increase in older nurses relative to younger nurses potentially available to work in hospitals, it is important to understand the experience of older nurses on high paced hospital nursing units. This understanding will lend knowledge to ways of lessening the loss of these highly skilled experienced workers and improve patient outcomes...
March 2018: JBI Database of Systematic Reviews and Implementation Reports
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