Transcutaneous electrical acupoint stimulation combined with an integrated perioperative nursing program prevents subsyndromal delirium in older patients after joint replacement.

OBJECTIVES: This study aimed to develop transcutaneous electrical acupoint stimulation combined with an integrated perioperative nursing program and evaluate its effects on preventing subsyndromal delirium (SSD) and postoperative delirium (POD) in older patients after joint replacement surgery. METHODS: Participants were randomly divided into two groups, the experimental group (n = 48) was given transcutaneous electrical acupoint stimulation combined with an integrated perioperative nursing program based on the routine care of the control group (n = 49). The incidence of SSD and POD in a week after surgery was recorded. Assessments of delirium severity, cognition, anxiety, and depression were also conducted at baseline and on postoperative day 7. RESULTS: The findings indicate that the intervention program had significant advances in alleviating the severity of delirium, cognitive impairment, anxiety, and depression but failed to reduce the incidence of SSD and POD. CONCLUSIONS: Our study indicated that TEAS combined with an integrated perioperative nursing program has a beneficial effect on alleviating symptoms of delirium, cognitive dysfunction, anxiety, and depression in older adults after joint replacement surgery.

Effect of Roy's Adaptation, Model-based, Perioperative Nursing Service on Patients: A Clinical Observational Study.

Context: Surgery for early-stage lung carcinoma (LC) is invasive and most patients will experience psychological disorders, such as depression and anxiety. Accumulating evidence has shown that a nursing intervention can exert significant improvements in clinical efficacy for perioperative patients. Objective: The study intended to investigate the clinical value during the perioperative period of a nursing service based on Roy's Adaptation Model (RAM), for patients undergoing radical resection for early-stage LC, to provide accurate guidance and reference for a future clinical nursing intervention for LC patients. Design: The research team designed a retrospective analysis, controlled study. Setting: The study took place at Jiangsu Cancer Hospital in Nanjing, Jiangsu, China. Participants: Participants were 69 patients with early-stage LC who had been admitted to the hospital between March 2018 and March 2020. Intervention: The research team assigned participants to an intervention or a control group, with 42 participants in the intervention group receiving RAM nursing during hospitalization, and 27 participants in the control group receiving routine nursing care. Outcome Measures: The study measured the alterations in pulmonary function (PF) pre- and postoperatively and assessed the incidence of complications postintervention. At baseline and postintervention, the research team also assessed participants' psychological states using the Self-rating Anxiety Scale (SAS) and the Self-rating Depression Scale (SDS) and their pain levels using a visual analogue scale (VAS). Postintervention, participants competed a nursing satisfaction survey. At baseline and postintervention, the participants completed the Karnofsky Performance Status (KPS) scale for functional status, the Self-Perceived Burden Scale in Cancer Patients (SPBS-CP), the Pittsburgh Sleep Quality Index (PSQI) for sleep quality, and the WHO-QOL-BREF questionnaire. Results: Postoperatively, the PF indexes had decreased significantly for both groups, but the intervention group's value were significantly higher postoperatively than those in the control group (P < .05). No differences existed in the incidence of adverse reactions between the groups (P > .05). The intervention group had significantly lower SAS and SDS scores, pain scores, and SPBS-CP scores than the control group postintervention but had significantly higher KPS scores (all P < .05). The intervention group significantly higher nursing satisfaction, sleep quality, and quality of life than the control group did (P < .05). Conclusions: RAM nursing can significantly protect the PF of patients with early-stage LC who are undergoing a radical resection and can effectively improve patients' psychological states, sleep quality, and nursing satisfaction, which makes it worthy of clinical reference and popularization.

Contribuições da auriculoterapia à saúde de profissionais de enfermagem de unidades perioperatórias: estudo qualitativo* / Contribuciones de la auriculoterapia a la salud de los profesionales de enfermería en unidades perioperatorias: estudio cualitativo / Contributions of auriculotherapy to the health of nursing professionals in perioperative units: a qualitative study

Objetivo: analisar as contribuições da auriculoterapia à saúde de profissionais de enfermagem de unidades de perioperatório. Método: estudo exploratório, descritivo, desenvolvido com oito profissionais de enfermagem de unidades de perioperatório de um hospital de ensino da região central do Rio Grande do Sul. Dados coletados com entrevista semiestruturada. Aplicou-se análise textual discursiva. Resultados: construiu-se categoria central: repercussões da auriculoterapia para profissionais de enfermagem perioperatória; ela foi unitarizada em uma unidade de base e três categorias de análise. Conclusão: a auriculoterapia demonstrou-se uma prática benéfica para a saúde dos profissionais de enfermagem perioperatória, ao passo que auxiliou no alívio de sintomas como ansiedade, estresse, cansaço, irritabilidade, bruxismo e desconfortos gastrintestinais, bem como proporcionou melhora do sono, do relacionamento interpessoal com familiares e equipe de trabalho, na redução do uso de tabaco e na perda de peso. Esta pesquisa revela a auriculoterapia como prática promissora à saúde do trabalhador de enfermagem perioperatória.

Objective: to analyze the contributions of auriculotherapy to the health of nursing professionals in perioperative units. Method: exploratory, descriptive study developed with eight nursing professionals from perioperative units of a teaching hospital in the central region of Rio Grande do Sul. Data collected with semi-structured interview. Discursive textual analysis was applied. Results: a central category was built: repercussions of auriculotherapy for perioperative nursing professionals; it was unitized into a base unit and three categories of analysis. Conclusion: auriculotherapy proved to be a beneficial practice for the health of perioperative nursing professionals, while helping to relieve symptoms such as anxiety, stress, tiredness, irritability, bruxism and gastrointestinal discomforts, as well as improving sleep, interpersonal relationships with family members and the work team, reducing tobacco use and weight loss. This research reveals auriculotherapy as a promising practice for the health of perioperative nursing workers.

Objetivo: analizar los aportes de la auriculoterapia a la salud de los profesionales de enfermería en unidades perioperatorias. Método: estudio exploratorio, descriptivo, desarrollado con ocho profesionales de enfermería de unidades perioperatorias de un hospital universitario de la región central de Rio Grande do Sul. Datos recolectados a través de entrevistas semiestructuradas. Se aplicó análisis textual discursivo. Resultados: se construyó categoría central: repercusiones de la auriculoterapia para los profesionales de enfermería perioperatoria; se unificó en una unidad base y tres categorías de análisis. Conclusión: la auriculoterapia demostró ser una práctica beneficiosa para la salud de los profesionales de enfermería perioperatoria, ya que ayudó a aliviar síntomas como ansiedad, estrés, cansancio, irritabilidad, bruxismo y malestar gastrointestinal, además de mejorar el sueño, las relaciones interpersonales con los familiares y el equipo de trabajo, reduciendo el consumo de tabaco y la pérdida de peso. Esta investigación revela la auriculoterapia como una práctica prometedora para la salud de los trabajadores de enfermería perioperatoria.

Using Evidence to Prevent Risk Associated With Perioperative Pressure Injuries.

Pressure injuries (PI) are a significant concern for surgical patients due to prolonged immobility and potential exposure to other risk factors associated with procedures. PI prevention strategies should begin early in the patient's surgical encounter starting with preoperative assessment. Much literature has been published to discuss PI risk factors, assessment tools, and evidence-based prevention measures. The purpose of this article is to critically review current best evidence to holistically assess patient risk for Hospital Acquired Pressure Injuries (HAPI) and review current tools used for risk assessment, interventions to combat skin injuries, and discuss implications for practice in perioperative nursing.

Intervenções não farmacológicas no manejo da dor pós-operatória: concepção de enfermeiros / Non-pharmacological interventions in postoperative pain management: nurses' conception / Intervenciones no farmacológicas en el tratamiento del dolor postoperatorio: concepción de los enfermeros

Objetivo: buscou-se avaliar a assistência dos enfermeiros nas intervenções não farmacológicas na dor pós-operatória. Método: trata-se de estudo descritivo e qualitativo com enfermeiras da clínica cirúrgica geral de um hospital público do Recife. Coletaram-se os dados de julho a setembro de 2019, por meio de entrevista semiestruturada gravada e avaliada através da análise de conteúdo temática proposta por Bardin. Resultados: seis enfermeiras com idade média de 45,3 anos participaram do estudo, com tempo de formação entre 3 e 24 anos. Dos depoimentos emergiram três categorias: 1) Sensibilidade e conhecimentos de enfermeiros no manejo adequado da dor; 2) Termoterapia e massagem de conforto para alívio da dor ao paciente cirúrgico; e 3) Práticas alternativas associadas aos fármacos no controle da dor pós-operatória. Pelos relatos, verificou-se a subjetividade característica da dor como fator que influencia a sua avaliação. Conclusão: identificou-se que o enfermeiro tem autonomia, desempenhando papel fundamental no reconhecimento dos benefícios que as práticas integrativas e complementares em saúde podem promover ao paciente, quanto à qualidade e conforto no alívio da dor pós-operatória, como a termoterapia, massagem de conforto e o diálogo para desviar o foco de atenção. Outras técnicas são difíceis por falta de recursos.(AU)

Objective: to assess nursing care in non-pharmacological interventions in postoperative pain. Method: descriptive and qualitative study with nurses from the general surgical clinic of a public hospital in Recife. Data were collected from July to September 2019, through semi-structured interviews recorded and assessed through the thematic content analysis proposed by Bardin. Results: six nurses with an average age of 45.3 years took part in the study, with time of training between 3 and 24 years. Three categories emerged from the statements: 1) Nurses' sensitivity and knowledge in the adequate pain management; 2) Thermotherapy and comfort massage for pain relief for the surgical patient; and 3) Alternative practices associated with drugs in postoperative pain control. From the reports, the subjectivity characteristic of pain was verified as a factor that influences its assessment. Conclusion: it was identified that nurses have autonomy, playing a key role in recognizing the benefits that integrative and complementary health practices can promote to the patient, regarding the quality and comfort in postoperative pain relief, such as thermotherapy, comfort massage and dialogue to divert the focus of attention. Other techniques are difficult due to lack of resources.(AU)

Objetivo: se buscó evaluar la asistencia de los enfermeros en las intervenciones no farmacológicas en el dolor postoperatorio. Método: se trata de un estudio descriptivo y cualitativo con enfermeras de la clínica quirúrgica general de un hospital público de Recife. Se recogieron los datos de julio a septiembre de 2019, mediante una entrevista semiestructurada gravada y evaluada a través del análisis de contenido temático propuesto por Bardin. Resultados: participaron del estudio seis enfermeras con una edad promedio de 45,3 años, con tiempo de formación entre 3 y 24 años. De los testimonios, surgieron tres categorías: 1) Sensibilidad y conocimiento de los enfermeros en el manejo adecuado del dolor; 2) Termoterapia y masaje de confort para aliviar el dolor del paciente quirúrgico; y 3) Prácticas alternativas asociadas a los fármacos en el control del dolor postoperatorio. A partir de los informes, se verificó que la subjetividad característica del dolor es un factor que influye en su valoración. Conclusión: se identificó que los enfermeros tienen autonomía, desempeñando un papel clave en el reconocimiento de los beneficios que las prácticas de salud integradoras y complementarias pueden promover al paciente, en relación con la calidad y el confort en el alivio del dolor postoperatorio, como la termoterapia, el masaje de confort y el diálogo para desviar el foco de atención. Otras técnicas son difíciles debido a la falta de recursos.(AU)

Religiosidade, bem-estar espiritual e cuidado transpessoal no pré-operatório de cirurgia cardíaca / Religiousness, Spiritual Well-Being and Transpersonal Caring in the Preoperative Period of Heart Surgery / La religiosidad, el bienestar espiritual y el cuidado transpersonal en el período preoperatorio de cirugía cardíaca

Introdução: A Teoria do Cuidado Transpessoal auxilia a compreensão de momentos críticos no processo saúde-doença, como a vivência de uma cirurgia de grande porte. O presente estudo tem por objetivo avaliar a religiosidade e o bem-estar espiritual de pacientes internados no período pré-operatório de cirurgia cardíaca, na perspectiva do Cuidado Transpessoal de Jean Watson. Materiais e Métodos: Estudo transversal realizado entre os meses de janeiro e junho de 2017, nas enfermarias cirúrgicas de hospital universitário cardiológico do Nordeste do Brasil. Foram avaliados 174 participantes no pré-operatório de cirurgia cardíaca, utilizando-se do Índice de Religiosidade de DUKE e a Escala de Bem-Estar Espiritual. Resultados: Os resultados apontaram que os pacientes utilizavam a religiosidade de forma significativa para manterem o bem-estar espiritual no pré-operatório. A análise dos resultados encontrados teve o referencial da teoria do Cuidado Transpessoal de Jean Watson. Discussão e Conclusões: As crises existenciais vivenciadas pelos pacientes diante da cirurgia cardíaca, envolvendo as restrições, mudanças impostas e o desconhecido, impactam na manutenção do bem-estar, na sua dimensão espiritual, que é, em uma análise transpessoal, uma dimensão da saúde integral do individuo.

Introduction: The theory of transpersonal caring is useful in understanding critical moments in the health-disease process such as the experience of major surgery. This study aims to evaluate the religiousness and spiritual well-being of patients hospitalized in the preoperative period of heart surgery from the perspective of Jean Watson's transpersonal caring. Materials and methods: A cross-sectional study was conducted between January and June 2017 at the surgical wards of a university cardiology hospital in northeastern Brazil. 174 participants were evaluated in the preoperative period of cardiac surgery using the Duke University Religion Index and the Spiritual Well Being Scale. Results: The results showed that patients made significant use of religion to maintain their spiritual well-being in the preoperative period. The analysis of the results found was carried out based on Jean Watson's theory of transpersonal caring. Discussion and conclusion: Existential crisis experienced by patients in the face of cardiac surgery, which involves restrictions, imposed changes and uncertainty, has an impact on the maintenance of well-being and its spiritual dimension which, in a transpersonal analysis, is a dimension of the individual's integral health.

Introducción: La teoría del cuidado transpersonal ayuda a comprender los momentos críticos del proceso de salud-enfermedad, como la experiencia de una cirugía mayor. El presente estudio tiene como objetivo evaluar la religiosidad y el bienestar espiritual de los pacientes hospitalizados en el período preoperatorio de cirugía cardíaca desde la perspectiva del cuidado transpersonal de Jean Watson. Materiales y métodos: Se trata de un estudio transversal realizado entre los meses de enero y junio de 2017 en las salas de cirugía de un hospital universitario de cardiología en el noreste de Brasil. 174 participantes fueron evaluados en el período preoperatorio de cirugía cardíaca mediante el Índice de Religiosidad Duke y la Escala de Bienestar Espiritual. Resultados: Los resultados mostraron que los pacientes hicieron un uso significativo de la religión para mantener su bienestar espiritual en el período preoperatorio. El análisis de los resultados encontrados se basó en la teoría del cuidado transpersonal de Jean Watson. Discusión y conclusión: Las crisis existenciales experimentadas por los pacientes frente a la cirugía cardíaca, que implican restricciones, cambios impuestos e incertidumbre, repercuten en el mantenimiento del bienestar y en su dimensión espiritual que, en un análisis transpersonal, es una dimensión de la salud integral del individuo.

Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy, Part II: Implementation.

Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive procedure used to treat peritoneal carcinomatosis, which is either primary or secondary to other cancers (eg, ovarian, colorectal, appendiceal) that have metastasized to the peritoneum. Morbidity, mortality, and quality of life have improved for patients selecting CRS with HIPEC as a cancer treatment. At Holy Name Medical Center in Teaneck, New Jersey, an interdisciplinary team was established to plan and coordinate performing this new procedure in the OR. The team created a written protocol for implementing CRS with HIPEC before patients were scheduled for surgery. This article explores the perioperative facets of implementing CRS with HIPEC and discusses care of the patient undergoing CRS with HIPEC, with a focus on perioperative nursing considerations.

Cytoreductive Surgery With Hyperthermic Intraperitoneal Chemotherapy, Part I: Introduction and Indications.

Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is used to treat peritoneal carcinomatosis, which often is secondary to gastrointestinal and ovarian cancers. During CRS, the surgeon resects cancerous tumors from the peritoneal cavity. During HIPEC, a chemotherapy agent is introduced into a solution that flows in and out of catheters in the abdominal cavity for approximately 90 minutes. The chemoperfusate is heated to 42° C (107.6° F), which kills cancer cells but is nonthreatening to normal cells. A primary goal of combining CRS with HIPEC is to apply targeted regional chemotherapy directly to the peritoneum to destroy residual micrometastatic disease while the tumor burden is minimal and before cancer cells become entrapped by the body's wound-healing processes. Although HIPEC usually is not curative, it can extend a patient's life expectancy three to five years. This is the first article in a two-part discussion of CRS with HIPEC.

Nurses' Knowledge, Attitudes, and Barriers Toward Pain Management Among Postoperative Patients in Jordan.

PURPOSE: The purpose of this study was to measure nurses' knowledge, attitudes, and barriers regarding pain management (PM) of postoperative patients in Jordan. DESIGN: A descriptive survey research design was used. METHODS: This descriptive study adopted a modified version of the "Knowledge and Attitudes Survey Regarding Pain" tool, administered to 120 nurses working in surgical wards. FINDINGS: Nurses had inadequate knowledge of PM, with a mean knowledge score of 63.9%. Knowledge of PM and attitudes toward PM were associated positively with the age of the participant (P = .001), years of experience in the surgical area (P = .026), and academic degree of participants (P = .026). CONCLUSIONS: Surgical nurses in this study had low knowledge levels and poor attitudes regarding PM in postoperative patients. Unless identified barriers to PM are seriously addressed, this vital aspect of holistic care will continue to be marginalized.

Diagnósticos de enfermagem em pós-operatório de neurocirurgia / Nursing diagnostics in neurosurgery post-operative

Objetivo: verificar os diagnósticos de enfermagem em pacientes em pós-operatório de neurocirurgia. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, com a busca nas bases de dados LILACS, CINAHL e na Biblioteca Virtual SciELO. Apresentaram-se os resultados em forma de figuras. Resultados: encontraramse, no total, 256 artigos. Incluíram-se, ao final, três, com níveis de evidência B2 e B3. Caracterizaram-se, quanto ao tipo de delineamento, dois estudos como transversal prospectivo e o terceiro, retrospectivo. Apresentaram-se os dez DE encontrados predominantemente relacionados aos domínios "atividade/repouso" (domínio 4) e "segurança/proteção" (domínio 11), com quatro DE em cada. Conclusão: identificaram-se, embora ainda sejam escassas as publicações, DE propostos especificamente para o cuidado ao paciente em pós-operatório de neurocirurgia. Torna-se imprescindível, dentre as ações do enfermeiro no momento perioperatório, a identificação dos diagnósticos e o planejamento, de forma apropriada, do cuidado de Enfermagem para, assim, atender às necessidades de cada paciente de forma holística.(AU)

Objective: to verify nursing diagnoses in patients in the postoperative period of neurosurgery. Method: this is a bibliographic, descriptive, integrative literature review study, searching the LILACS, CINAHL databases and the SciELO Virtual Library. The results were presented as figures. Results: a total of 256 articles were found. At the end, three were included, with levels of evidence B2 and B3. Regarding the type of design, two prospective cross-sectional studies and the third retrospective study were characterized. The ten ND found predominantly related to the domains "activity / rest" (domain 4) and "safety / protection" (domain 11), with four NDs in each. Conclusion: we identified, although the publications are still scarce, specifically proposed for the care of patients in the postoperative period of neurosurgery. It is essential, among the actions of nurses in the perioperative period, the identification of diagnoses and the appropriate planning of nursing care to thus meet the needs of each patient holistically.(AU)

Objetivo: verificar los diagnósticos de enfermería en pacientes en el postoperatorio de neurocirugía. Método: este es un estudio de revisión bibliográfica, descriptivo, integrador de la literatura, que busca en las bases de datos LILACS, CINAHL y la Biblioteca Virtual SciELO. Los resultados se presentaron en forma de figuras. Resultados: se encontraron un total de 256 artículos. Al final, se incluyeron tres, con niveles de evidencia B2 y B3. En cuanto al tipo de diseño, se caracterizaron dos estudios transversales prospectivos y el tercer estudio retrospectivo. Los diez ND se encuentran predominantemente relacionados con los dominios "actividad / descanso" (dominio 4) y "seguridad / protección" (dominio 11), con cuatro ND en cada uno. Conclusión: identificamos, aunque las publicaciones aún son escasas, propuestas específicamente para la atención de pacientes en el postoperatorio de neurocirugía. Es esencial, entre las acciones de los enfermeros en el período perioperatorio, la identificación de diagnósticos y la planificación adecuada de la atención de Enfermería para satisfacer las necesidades de cada paciente de manera integral. (AU)

The effect of an empathy role-play program for operating room nursing students.

PURPOSE: The purpose of this research was to investigate the effect of a role-playing training program for empathetic communication with patients on empathy scores of operating room nursing students. METHODS: This clinical trial was carried out on 77 operating room nursing students from the first to the fourth years studied in the School of Nursing and Midwifery at Isfahan University of Medical Sciences in the academic year 2017-2018. The intervention administered on the experimental group included a 12-hour training program with the theme of expressing empathy to patients using a role-playing technique. The Jefferson Scale of Empathy-Health Profession Students' Version was completed before, immediately after, and one month after the intervention by the samples. Comparison analysis was done among three stages. RESULTS: Comparing the total mean empathy scores before intervention in the control group and the experimental one did not reveal a significant difference (P=0.50); however, the total mean empathy scores in the experimental group, immediately after and one month after the intervention, was higher than that in the control group (P<0.001). CONCLUSION: Empathy training through a role-playing technique was effective on improving the empathy scores of operating room nursing students and it also highlighted the fact that empathy could be promoted by education. Making changes in educational curriculum of operating room nursing students was indispensable in order to make them familiar with the concept of empathy in operating room.

Sistematização da assistência de enfermagem perioperatória na segurança do paciente: revisão integrativa / Systematization of perioperatory nursing assistance in patient safety: an integrative review / Sistematización de la asistencia de enfermería perioperatoria en la seguridad del paciente: revisión integrativa

Objetivo: Conhecer a abordagem de artigos científicos sobre a sistematização da assistência de enfermagem perioperatória relacionada à segurança do paciente. Método: Revisão integrativa com buscas nas bases de dados da Biblioteca Virtual em Saúde, da National Library of Medicine (PubMed) e dos periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Artigos avaliados conforme o nível de evidência utilizando o instrumento de avaliação proposto pela Joanna Briggs Institute (JBI). Resultados: Identificaram-se dez artigos, sendo oito publicados em periódicos nacionais e dois em internacionais. Os estudos foram classificados conforme níveis de evidência (NE): três com NE 5 e sete com NE 6. Conclusões: Consideram-se poucas as publicações sobre sistematização da assistência de enfermagem perioperatória relacionada à segurança do paciente. Os artigos selecionados apresentam baixo nível de evidência e a abordagem direciona-se à segurança do paciente, restringindo-se à utilização do checklist e implementação da sistematização da assistência de enfermagem perioperatória

Objective: To know the approach of scientific articles on the systematization of perioperative nursing care related to patient safety. Method: Integrative review with searches in the databases of the Virtual Health Library, National Library of Medicine (PubMed), and the journals of the Coordination of Improvement of Higher Education Personnel (CAPES). Articles were evaluated according to the level of evidence, using the evaluation tool proposed by the Joanna Briggs Institute ( JBI). Results: Ten articles were identified, of which eight were published in national journals, and two in international journals. The studies were classified according to levels of evidence (LoE): three with LoE 5 and seven with LoE 6. Conclusions: There are few publications on the systematization of perioperative nursing care related to patient safety. The articles selected present a low level of evidence and the approach is directed towards patient safety, being restricted to the use of the checklist and implementation of the systematization of perioperative nursing care

Objetivo: Conocer el enfoque de los artículos científicos sobre la sistematización de la atención de enfermería perioperatoria relacionada con la seguridad del paciente. Método: Revisión integradora con búsquedas en las bases de datos de la Biblioteca Virtual en Salud, la Biblioteca Nacional de Medicina (PubMed) y las revistas de Coordinación de Mejora del Personal de Educación Superior (CAPES). Los artículos fueron evaluados según el nivel de evidencia, utilizando la herramienta de evaluación propuesta por el Instituto Joanna Briggs ( JBI). Resultados: se identificaron diez artículos, de los cuales ocho se publicaron en revistas nacionales y dos en revistas internacionales. Los estudios se clasificaron según los niveles de evidencia (levels of evidence ­ LoE): tres con LoE 5 y siete con LoE 6. Conclusiones: Existen pocas publicaciones sobre la sistematización de la atención de enfermería perioperatoria relacionada con la seguridad del paciente. Los artículos seleccionados presentan un bajo nivel de evidencia y el enfoque se dirige hacia la seguridad del paciente, y se limita al uso de la lista de verificación y la implementación de la sistematización de la atención de enfermería perioperatoria.

Manejo y cuidados de enfermería de los dispositivos recuperadores de sangre CBCII ConstaVacTM (Stryker(R)) en el posoperatorio de cirugías traumatológicas yu ortopédicas / Nursing care management of ConstavacTM (Stryker(R)) CBII blood conservation system in postoperative trauma and orthopedic surgeries

El empleo de dispositivos de autorrecuperación sanguínea tipo CBCII ConstaVacTM Stryker(R) (CBCII) (fig. 1) ha supuesto un gran avance en el manejo y recuperación de los pacientes sometidos a cirugías traumatológicas y ortopédicas. Las múltiples ventajas que dichos dispositivos ofrecen frente a las clásicas transfusiones homólogas los han colocado como referencia en este tipo de cirugías. Debido a esto, es habitual su manejo en diversas unidades hospitalarias como quirófanos, salas de despertar, UCI o unidades de reanimación posquirúrgica. De todo ello deriva la importante necesidad para el personal sanitario de conocer su manejo adecuado y funcionamiento, con el fin de evitar durante su uso posibles contratiempos e incidencias que pudiesen anular su efectividad y, por ende, privar al paciente de todas las ventajas que estos dispositivos pueden aportarle en su proceso de recuperación

The use of Blood Recovery Systems such as CBCII ConstaVacTM (Stryker(R)) (fig. 1), has brought about a great advancement in the management and recovery of orthopedic and trauma patients undergoing surgery. The many advantages that these devices offer, compared to classic allogenic blood transfusions, have placed them as a reference for these types of surgeries. Hence, they are frequently used in several hospital units including operating theatres, recovery rooms, intensive care units and reanimation units. It is of outmost importance that the sanitary personnel is well familiarized with their proper handling and operating instructions to avoid possible setbacks and incidents that could cancel their effectiveness, depriving patients from all the advantages that these devices can bring into the recovery process

THE PLIGHT OF THE PERIOPERATIVE NURSE PRACTITIONER IN AUSTRALIA.

"A nurse practitioner is a registered nurse educated to a post graduate Masters level and authorised to function autonomously and collaboratively in an advanced and extended clinical role' (Queensland Government 2011).

Sistematização da assistência de enfermagem no pós-operatório imediato de cirurgias ortopédicas / Nursing care systematization in the immediate postoperative period after orthopedic surgeries

Objetivos: descrever os principais diagnósticos de enfermagem à luz da teoria das necessidades humanas básicas, proposta por Wanda de Aguiar Horta, segundo a taxonomia da NANDA-I, e propor intervenções e resultados de acordo com a Nursing Interventions Classification (NIC) e a Nursing Outcomes Classification(NOC) para os 5 diagnósticos de enfermagem mais frequentes documentados em um serviço de recuperação pós-anestésica de um hospital de referência em traumatologia. Método: estudo quantitativo, transversal, retrospectivo, descritivo de registro dos principais diagnósticos de enfermagem identificados em prontuários, sendo constituído por 3 etapas: construção do instrumento de coleta de dados; coleta de dados; e processamento e análise dos dados. Resultados: os 5 diagnósticos mais frequentes foram: Risco de infecção(100%); Integridade da pele prejudicada (96,9%); Integridade tissular prejudicada (93,8%); Dor aguda (87,9%);e Déficit no autocuidado para banho/higiene (69,2%). Conclusão: os diagnósticos contribuíram para melhor aplicabilidade do processo de enfermagem de forma individual e holística, para que possam ser implementadas intervenções com resultados mais específicos e direcionados às necessidades prioritárias desses pacientes.

The Role of Emotional Intelligence in Perioperative Nursing and Leadership: Developing Skills for Improved Performance.

Many responsibilities of perioperative professionals involve concrete tasks that require high technical competence. Emotional intelligence, referred to as EQ, which involves the ability to relate to and influence others, may also be important for perioperative professionals. High EQ has been linked to higher performance in the workplace, higher job satisfaction, lower turnover intentions, and less burnout. Perioperative professionals who demonstrate a combination of technical skills and EQ could be more attuned to the humanity of health care (ie, providing more holistic care for the patient). Perioperative nurses who value providing holistic care for their patients may possess many of the elements of EQ. Leaders who recognize the importance of their own EQ and actively assist staff members to enhance and develop their EQ competency may help to create a competitive advantage by establishing a workforce of nurses who possess strong technical skills and high EQ.