A Qualitative Exploratory Study of Norwegian OR Nurses' Patient Positioning Priorities.

The purpose of patient positioning is to provide optimal surgical site exposure for surgical team members and prevent negative patient outcomes. This study explores perioperative nurses' experiences when positioning patients for surgery. We collected data using focus group interviews of 17 OR nurses in Norway and used qualitative content analysis to analyze the data. The study findings showed that perioperative nurses emphasized their most important priorities as concepts that can be categorized into three themes: leading and coordinating patient positioning, ensuring patient safety, and promoting efficient use of OR nurses' expertise. The study findings also identify a need to define formal responsibilities in patient positioning and processes for determining positioning outcomes. Perioperative leaders should verify OR nurse competence for patient positioning to help ensure continuity and safety in complex patient pathways.

Guideline Implementation: Sterile Technique.

Establishing and maintaining a sterile field to help prevent surgical site infections requires specific knowledge and skills and is among the most important responsibilities of the perioperative RN. Perioperative RNs should remain vigilant in monitoring the sterile field, communicate when a break in sterile technique occurs, and collaborate with other surgical team members to correct the break in technique. The AORN "Guideline for sterile technique" provides guidance to perioperative personnel on the principles and processes of sterile technique. This article elaborates on key takeaways from the guideline, including using sterile technique when donning sterile gowns and gloves, delivering sterile items to the sterile field, using drapes to establish a sterile field, and maintaining the sterile field. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

Development and Validation of a Person-Centered Perioperative Nursing Scale.

PURPOSE: The purpose of this study was to develop a scale to measure person-centered perioperative nursing (PCPON) and validate its psychometric properties. METHODS: The preliminary items of the PCPON scale were developed through a literature review, in-depth interviews, and content validity analysis. A total of 459 nurses working in the operating rooms of 21 hospitals in Korea responded to the questionnaire from September to October 2017. The collected data were analyzed by exploratory factor analysis (EFA) and confirmative factor analysis (CFA) using SPSS and AMOS programs. RESULTS: The final PCPON scale consists of 20 items. Through EFA, five factors, compassionate interaction, respect, providing comfort, information sharing, and nursing expertise, were derived. The internal consistency of each factor of the PCPON scale, as represented by Cronbach α, was .76-.88. The model fit of the scale was satisfactory, and the items of the scale demonstrated convergent and discriminant validity. CONCLUSION: The evaluation of the new PCPON scale indicated good reliability and validity. The PCPON scale is easy to administer and implies factors of person-centered care. This scale can be used to assess the person-centered care in the perioperative nursing field.

Validity and reliability of the Perceived Perioperative Competence Scale-Revised.

Assessment tools other than those currently available are needed to assess the technical and non-technical competencies of operating room nurses. In this study, a methodological design was applied to perform a Turkish adaptation of the Perceived Perioperative Competence Scale-Revised and to conduct a psychometric analysis of the scale for its use in Turkish society. The study was conducted in two public medical faculty hospitals and three training and research hospitals located in Istanbul. The sample for the study consisted of 206 operating room nurses working in these five hospitals. Following the confirmation of the language and content validities of the scale, test-retest and internal consistency analyses were performed, and the scale's construct validity was examined. The 40 items and six subscales on the original scale were preserved in the Turkish version. Goodness-of-fit indices of the model indicated that a six factor construct was good and supported at an acceptable level. The scale, intended for use by nurse managers to evaluate the competencies of operating room nurses, can be applied to evaluate the professional development and performance of nurses and to identify their training needs and paths of clinical career advancement.

The effect of nursing care delivery models on quality and safety outcomes of care: A cross-sectional survey study of medical-surgical nurses.

AIMS: This study examined the effect of two components of a model of nursing care delivery, the mode of nursing care delivery, and skill-mix on: (a) quality of nursing care; and (b) patient adverse events, after controlling for nurse demographics, work environment, and workload factors. DESIGN: A cross-sectional exploratory correlational study that drew on secondary data was conducted. METHODS: Survey data from 416 direct care registered nurses from medical-surgical settings across British Columbia were analysed using hierarchical multiple regression. Larger study data were collected in 2015. RESULTS: Nurses working in a team-based mode reported a greater number of nursing tasks left undone compared with those working in a total patient care. Nurses working in a skill-mix with licensed practical nurses reported a higher frequency of patient adverse events compared with those working in a skill-mix without licensed practical nurses. At higher levels of acuity, nurses in a team-based mode reported a higher frequency of patient adverse events than did nurses in a total patient care. CONCLUSION: Models of nursing care delivery components, mode and skill-mix, influenced quality and safety outcomes. Some of the team-based medical-surgical nurses in British Columbia are not functioning as effective teams. Team building strategies should be used to enhance collaboration among them. IMPACT: Research into redesigning care delivery has typically focused on only one care delivery component at a time. The study findings could have implications for nurses and patients, nursing leadership and policymakers particularly in medical-surgical settings in British Columbia.

Perianesthesia Nurses' Survey of Their Knowledge and Practice With Obstructive Sleep Apnea.

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. DESIGN: An anonymous descriptive study was used to survey perianesthesia nurses who care for adult patients with OSA who present for elective surgical procedures. METHODS: A total of 1,222 participants completed an expert-developed 27-question online survey. FINDINGS: The findings indicate the need for more education and research across all perianesthesia settings. CONCLUSIONS: Next steps also include policy development and an interprofessional collaborative infrastructure nurses need to translate evidence-based screening and management strategies into their clinical practice.

Self-reported environmental health risks of nurses working in hospital surgical units.

AIM: This study investigated the occupational health risk factors among nurses who work in public hospital surgical units. BACKGROUND: Nursing has a significant place in healthcare systems around the world. Surgical units are environments with certain risks, especially because of the possibility of exposure to various chemical, biologic or physical hazards. METHODS: This study was conducted with 229 nurses who were working in the 11 surgery units of a big university hospital. In this cross-sectional study, a personal information form and an occupational risk factors scale were administered to respondents. We performed factor and reliability analyses for the scale; the overall reliability of the 41 items was α = 0.924, and the factor analysis found the scale was feasible. RESULTS: Biologic and psychological risk factor levels were found to be high. Physical, chemical, ergonomic and radiation risk factor levels were moderate. The general occupational risk factor score was moderate. Nurses working night duty were confronted with physical and psychological risk factors at a higher rate compared with those working in the daytime. CONCLUSION: Reported occupational health problems by nurses were correlated with the descriptive properties of the nurses including age, sex, marital status, education level, working hours, mode of working and status of occupational health and safety training. IMPLICATIONS FOR NURSING: Nurses experience different occupational risks. If these risks are identified, healthier working environments can be provided to the nurses by taking necessary precautions. IMPLICATIONS FOR SOCIAL POLICY: The health care provided by nurses who work in a healthy environment would be more efficient and of better quality, which will result in better economic and social outcomes for individual and communities.

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.

Indicadores de procedimiento para la prevención de la infección del sitio quirúrgico desde la perspectiva de la seguridad del paciente / Indicadores de processo para prevenção da infecção do sítio cirúrgico sob a ótica da segurança do paciente / Process indicators for the prevention of surgical site infection from the perspective of patient safety

En 2008, la Organización Mundial de la Salud lanzó el Segundo Desafío Global de la Alianza Mundial para la Seguridad del Paciente, llamado «Cirugías Seguras Salvan Vidas». Este desafío motivó la realización de este estudio con el objetivo de evaluar la adherencia de los indicadores de proceso para la prevención de infecciones del sitio quirúrgico en el período perioperatorio de pacientes sometidos a cirugías limpias en un hospital clínico brasileño. Método: Estudio transversal analítico, retrospectivo, realizado por médio de la revisión de 700 historiales de pacientes mayores de 18 años, sometidos a procedimientos quirúrgicos limpios, entre los años 2008 y 2010. Se utilizó un formulario estructurado según las directrices nacionales. Para el análisis de datos, se utilizó el programa SPSS v. 15 for Windows. Resultados: Se verificó cumplimiento en el 35,4% de los indicadores evaluados, siendo estos el tiempo de realización de la tricotomía, la profilaxis antimicrobiana previa a la cirugía, y la antisepsia del campo operatorio. Hubo 64,6% de incumplimiento, en lo relativo al tiempo de ingreso preoperatorio, método usado para tricotomía, duración de la profilaxis antimicrobiana, control térmico y glucémico en diabéticos, y registros de inspección de cajas de instrumental quirúrgico. Consideraciones finales: El estudio indica la necesidad de revisión del modelo de gestión y más inversión en el cumplimiento de indicadores, como parte de un sistema organizativo, en favor de una cultura de calidad y seguridad en la atención al paciente quirúrgico (AU)

Em 2008 a Organização Mundial da Saúde lançou o segundo Desafio Global da Aliança Mundial para a Segurança do Paciente, intitulado Cirurgias Seguras Salvam Vidas. Esse desafio motivou a realização desse estudo com o objetivo de avaliar os indicadores de processo para a prevenção da infecção do sítio cirúrgico em cirurgias limpas em um hospital universitário do Centro-Oeste brasileiro. Método: Estudo transversal analítico, retrospectivo, realizado por meio da revisão de 700 prontuários de pacientes ≥18 anos, submetidos a procedimento cirúrgico limpo, durante os anos de 2008 a 2010. Para análise dos dados, utilizou-se o programa Statistical Package For The Social Science v.15 for Windows. Resultados: Verificou-se conformidade em 35,4% dos indicadores avaliados, o tempo de realização da tricotomia, a profilaxia antimicrobiana antes da cirurgia e a antissepsia do campo operatório. E, 64,6% de inconformidade, relativas ao tempo de internação pré-operatória, método usado para tricotomia, duração da profilaxia antimicrobiana, controle térmico e glicêmico em diabéticos e registros de inspeção das caixas cirúrgicas. Considerações finais: O estudo sinaliza para a necessidade de revisão do modelo de gestão e mais investimento para o cumprimento de indicadores, como parte de um sistema organizacional, em prol de uma cultura de qualidade e segurança da assistência ao paciente cirúrgico e a atuação do enfermeiro gestor embasada na qualidade atendendo à Aliança Mundial para a Segurança do Paciente (AU)

In 2008 the World Health Organization launched the second Global Patient Safety Challenge, entitled Safe Surgery Saves Lives. This challenge prompted this study to assess conformity to process indicators for the prevention of surgical site infection in the perioperative period in patients undergoing surgery in a university hospital in Central Brazil. Method: Analytical crosssectional retrospective study conducted by reviewing the medical records of 700 patients ≥ 18 years undergoing surgical procedures during the years 2008-2010. The study used a structured questionnaire evaluated according to national guidelines. For data analysis, SPSS v.15 for Windows was used. Results: In 35.4% of process indicators, compliance was indicated in: the time of hair removal, antimicrobial prophylaxis before surgery, and sterilization of the operative field. In 64.6%, some noncompliance was found with regard to the length of preoperative hospitalization, method for hair removal, antimicrobial prophylaxis, thermal and glycemic control in diabetics, and inspection of records of surgical kits. Conclusions: This study highlights the necessity to review management decisions, to increase investment with regard to compliance with process indicators as part of the organizational structure, to promote a culture of quality and safety in surgical patient service along with keeping nursing staff up to date with requirements for quality of service from the World Alliance for Patient Safety (AU)

TextWithSurgeryPatients - A Research Hypothesis in Enhancing Education and Physical Assessment for Abdominal Surgical Patients.

Medical surgical nurses may not have the time or resources to provide effective pre- and post-operative instructions for patients in today's healthcare system. And, making timely physical assessments following discharge from the hospital is not always straightforward. Therefore, the risk for readmission associated with post-surgical complications is a concern. At present, mobile healthcare technologies and patient care are precipitously evolving and may serve as a resource to enhance communication between the healthcare provider and patient. A mobile telephone text message (short message service [SMS]) intervention for abdominal surgical patients may foster effective education (communication) and timely self-reported physical assessment in the home environment hence preventing deleterious outcomes. The aim of this research proposal is to identify the feasibility of using a SMS intervention via smart phones to improve health outcomes via timely communication, reach large numbers of at-risk surgical patients and, establish and sustain uniform protocols in a cost-efficient manner.

Ansiedade e depressão em cirurgia cardíaca: diferenças entre sexo e faixa etária / Anxiety and depression in cardiac surgery: sex and age range differences

Objetivo: Verificar a relação dos sintomas de ansiedade e depressão com o sexo e a idade de pacientes em pré-operatório de primeira cirurgia cardíaca. Métodos: Estudo correlacional, transversal, com 84 participantes. Utilizada a Escala Hospitalar de Ansiedade e Depressão. Realizado o teste t de Student para amostras independentes (sexo), ANOVA (idade agrupada) e análises de regressões lineares, com nível de significância de 5%. Resultados: As mulheres apresentaram mais sintomas de ansiedade e de depressão, com maiores médias e diferenças estatisticamente significantes (p = 0,007 e p = 0,001). Na análise de regressão, o sexo foi significativo no modelo (p = 0,011). Considerando-se a idade, as diferenças encontradas em relação à presença desses sintomas não foram estatisticamente significantes, tanto na ANOVA quanto na regressão. Conclusão: As mulheres apresentaram mais sintomas de ansiedade e de depressão no pré-operatório de cirurgias cardíacas. Esses dados devem ser considerados pelos enfermeiros ao elaborarem os planos de educação do paciente cirúrgico.

Objetivo: Investigar la relación de los síntomas de ansiedad y depresión con el sexo y la edad de pacientes en preoperatorio de la primera cirugía cardíaca. Métodos: Estudio correlacional, transversal, con 84 participantes. Fue utilizada la Escala Hospitalaria de Ansiedad y Depresión. Se ha realizado el teste t de Student para muestras independientes (sexo), ANOVA (edad agrupada) y análisis de regresiones lineales, con nivel de significación del 5%. Resultados: Las mujeres presentaron más síntomas de ansiedad y depresión, con mayores promedios y diferencias estadísticamente significantes (p = 0,007 y p = 0,001). En el análisis de regresión, el género fue significativo en el modelo (p = 0,011). Considerando la edad, las diferencias no fueron estadísticamente significantes, tanto en ANOVA, como en la regresión. Conclusión: Las mujeres presentaron más síntomas de ansiedad y depresión en el preoperatorio de cirugías cardíacas. Estos datos deben ser considerados por los enfermeros en los planes de educación del paciente quirúrgico.

Objective: To investigate the association between anxiety and depression symptoms and sex and age among preoperative patients submitted to their first cardiac surgery. Methods: This is a correlational cross-sectional study, with 84 participants. The Hospital Anxiety and Depression Scale was used. Student's t-test for independent samples (sex), ANOVA (age group), and linear regression analysis were used, with a significance level of 5%. Results: Women had more anxiety and depression symptoms, with higher mean values and statistically significant differences (p = 0.007 and p = 0.001). In the regression analysis, sex was significant in the model (p = 0.011). Considering age, the differences regarding the presence of these symptoms were not statistically significant, either in ANOVA or in the regression analysis. Conclusion: Women had more anxiety and depression symptoms in the preoperative period of cardiac surgeries. Nurses should consider these results during the educational plan preparation for surgical patients.

Cirurgias eletivas: cancelamentos e causas / Elective surgeries: cancellations and causes

Investigar o número de cirurgias eletivas que são canceladas e identificar as suas causas. Métodos: Estudo descritivo, exploratório, prospectivo e quantitativo, realizado em um hospital universitário utilizando os dados de cirurgias eletivas agendadas e canceladas no período de abril a junho de 2014, extraídos do Sistema TASY e do Serviço de Arquivo Médico e Estatística. Resultados: Durante três meses, foram agendadas 1.699 cirurgias eletivas, das quais 466 (27,4%) foram canceladas. O turno matutino foi responsável por 336 (72,1%) não realizações, e os pacientes do Sistema Único de Saúde tiveram 384 (29,2%) cirurgias canceladas dentre 1.314 agendadas. O setor de Proctologia teve 22 canceladas (43,1%), dentre 51 agendadas, enquanto a Ortopedia teve 133 (38,3%), dentre 347. O principal motivo dos cancelamentos foi ?a critério do cirurgião?, observado em 264 casos (56,7%). Conclusão: O número de suspensões foi alto e as causas detalhadas não foram identificadas, pois os registros não informam de forma específica o motivo do cancelamento...

Transplantados cardíacos em pós-operatório mediato: diagnóstico de enfermagem segundo pressupostos de Horta / Heart transplanted patients in mediate postoperative period: Nursing diagnoses based on Horta assumptions

Identificar o perfil dos diagnósticos de Enfermagem nos pacientes transplantados cardíacos em pós?operatório mediato, a partir da Taxonomia II da North?American Nursing Diagnosis Association, e discuti?los à luz dos pressupostos de Horta e da literatura científica. Método: Estudo retrospectivo, descritivo, exploratório, realizado em um hospital geral de grande porte de Belo Horizonte, em Minas Gerais. A amostra foi composta por 49 pacientes adultos, de ambos os sexos, idade ?18 anos e <60 anos, transplantados cardíacos em pós?operatório mediato. Os dados foram coletados a partir do prontuário do paciente. Resultados: Foram identificados 12 diagnósticos de Enfermagem, classificados em 10 reais e dois potenciais, sendo 100% pertencentes à necessidade humana básica psicobiológica. Conclusão: Não houve identificação diagnóstica para as necessidades psicossocial e psicoespiritual. Segundo Horta, o paradigma biologicista move a carreira à fragmentação do paciente, mantém o enfermeiro em alienação e opõe?se à pragmática centrada no holismo...

Síndrome tóxica do segmento anterior após cirurgias de Catarata: implicações para a enfermagem / Toxic anterior segment syndrome after cataract surgery: the implications for nursing

Descrever as características da síndrome tóxica do segmento anterior (TASS) e as implicações para as ações de enfermagem. Método: Trata-se de uma revisão da literatura por meio de pesquisa nas bases de dados Medical Literature Analysis and Retrievel System Online (MEDLINE) e Literatura Latino-Americana em Ciências da Saúde (LILACS). Resultados: A TASS é uma reação inflamatória ocular aguda após cirurgias oftálmicas, principalmente a cirurgia de catarata, cuja apresentação clínica nas primeiras 12 horas após o procedimento inclui sinais como edema da córnea, presença de células na câmara anterior (CA), pressão intraocularaumentada e pupila irregular. As principais causas estão relacionadas com substâncias não infecciosas introduzidas no olho do paciente a partir de produtos usados durante a cirurgia ou devido a falhas no processamento dos instrumentais. Conclusão: As implicações para a enfermagem consistem nas medidas de prevenção, treinamento de pessoal, orientação aos pacientes e vigilância epidemiológica ativa visando à identificação precoce de sinais indicativos da TASS...

Análise do registro e conteúdo de checklists para cirurgia segura / Analysis of the registration and content of surgical safety checklists

Analisar e relacionar o registro de informações e conteúdo dos checklists com os objetivos do Programa Cirurgias Seguras Salvam Vidas. Métodos: Pesquisa documental com 257 checklists de cirurgias ortopédicas realizadas de 2011 a 2012 em hospital brasileiro. Os 12.629 itens relativos à segurança cirúrgica alimentaram planilha do programa Excel e foram analisados com auxílio do programa Statistical Package for the Social Sciences. Resultados: 99,8% dos itens do checklist foram verificados e o teor dos registros evidenciam não garantia, por meio da checagem documental, de elementos de segurança relativos ao local cirúrgico certo (objetivo 1), perdas sanguíneas (objetivo 4), reação alérgica (objetivo 5), retenção de instrumentais/compressas (objetivo 7), identificação de espécimes cirúrgicos (objetivo 8) e comunicação (objetivo 9). Conclusão: A alta adesão ao preenchimento do checklist permitiu identificar potenciais riscos cirúrgicos decorrentes de ações de segurança não confirmadas, exigindo ações em busca da qualificação da assistência...

Infusão venosa aquecida relacionada à prevenção das complicações da hipotermia intraoperatória / Warmed venous infusion in the prevention of intraoperative hypothermia complications

Objetivo: Analisar as complicações relacionadas à hipotermia no período intraoperatório, na utilização da infusão intavenosa aquecida. Método: Estudo experimental, comparativo, de campo, prospectivo e quantitativo, desenvolvido em um hospital pùblico federal. A amostra foi constituída por 60 adultos, sendo um dos critérios de inclusão a temperatura axilar estar entre 36 graus C e 37,1 graus C; esses indivíduos foram divididos em grupos controle e experimental, compostos utilizando-se a técnica de amostragem probabilística sistemática. Resultados: As complicações apresentadas foram: taquicardia, hipertensão arterial e sangramento. A hipertensão arterial e o sangramento apresentaram significância estatística entre os grupos, com p=0,0150 e p=0,0050, respectivamente. A taquicardia não apresentou significância estatística entre os grupos (p=1,0000). Conclusão: A utilização da infusão venosa aquecida isolada não previne as complicações relacionadas à hipotermia intraoperatória. Compete ao Enfermeiro o planejamento das intervenções de Enfermagem para prevenção da hipotermia e manutenção da normotermia.

Hipotermia acidental: implicações para os cuidados de enfermagem no transoperatório / Accidental hyportemia: implications for nursing care during surgery

Objetivo: identificar as intervenções de enfermagem no transoperatório para prevenção e/ou tratamento da hipotermia acidental. Método: pesquisa exploratória, descritiva com abordagem quantitativa, realizada em um centro cirúrgico de hospital público da rede estadual de Fortaleza-CE. A amostra constituiu-se de 12 intervenções realizadas pela equipe de enfermagem em pacientes submetidos a 120 procedimentos cirúrgicos, de janeiro a junho de 2011. Resultados: constatou-se que a temperatura média na sala de admissão, do forno para aquecimento, do recipiente para armazenamento de fluidos aquecidos e da sala de cirurgia não estavam em concordância com aquelas recomendadas. Conclusão: os resultados demonstraram a necessidade de intervenções eficazes para a prevenção da hipotermia e que o Enfermeiro tem papel importante nete contexto, uma vez que a segurança do paciente e a redução de complicações decorrentes do procedimento anestésico-cirúrgico são metas do cuidado de enfermagem.

Tricotomía preoperatoria: aspectos relacionados con la seguridad del paciente / Tricotomía pré-operatória: aspectos relacionados à segurança do paciente / Trichotomy preoperative: aspects related to patient safety

El objetivo del estudio fue analizar los indicadores del proceso de Rasurado en cirugías limpias, en un hospital universitario del Centro-Oeste brasileño. Se trata de un estudio retrospectivo, de corte transversal, analítico. Se analizaron 700 historias clínicas de pacientes sometidos a cirugía limpia, de 2008 a 2010. Evidenció que, 27% (189) los pacientes fueron rasurados y 15,9% desarrolló infección del sitio quirúrgico, dato mayor que el encontrado en la literatura, se asume una tasa de entre 1 y 5%. Entre los indicadores de proceso relacionados al rasurado, 82,5% se realizaron hasta 2 horas antes de la incisión de la piel, 16,9% usaron una cuchilla de afeitar, el método estándar que se utiliza en el servicio y 83,1% de los registros, no había constancia del método utilizado para este procedimento. Se concluyó que el método de eliminación del vello mostró desacuerdo con los principios de funcionamiento seguro, siendo este un fuerte predictor de la tasa de infección encontrada en el estudio (AU)

The study is aimed at analyzing the indicators of the process of Trichotomy in clean surgeries in a teaching hospital in Central Brazil. This is a cross-sectional retrospective study, of analytical nature.700 medical records of patients submitted to clean surgeries from 2008 to 2010 were analyzed. It was shown that 27% (189) of the patients were trichotomized and 15.9% developed surgical site infection, given higher than that found in the literature, which admits a rate between 1 and 5%. Among the indicators of the process related to tricotomy, it became evident that 82,5% performed it until 2 hours before the skin incision, 16.9% used the razor blade, the standard method used in the service and 83.1% of the records, there was no reported the method used for this procedure. It was concluded that the method of hair removal disagreed with the principles of safe surgery, being a strong predictor of the rate of infection found in this study (AU)

O estudo objetivou analisar o indicador de processo Tricotomia em cirurgias limpas em um hospital de ensino do Centro-Oeste brasileiro. Trata-se de estudo retrospectivo do tipo transversal, de natureza analítica. Analisou-se 700 prontuários de pacientes submetidos à cirurgia limpa, de 2008 a 2010. Evidenciou-se que, 27% (189) dos pacientes foram tricotomizados e 15,9% desenvolveram infecção do sítio cirúrgico, dado superior ao encontrado na literatura, que se admite uma taxa entre 1 e 5%. Dentre os indicadores de processo relacionados à tricotomia, 82,5% foi realizada até 2 horas antes da incisão da pele, 16,9% usaram a lâmina de barbear, método padrão empregado no serviço e 83,1% dos prontuários, não havia o registro do método utilizado para esse procedimento. Concluiu-se que, o método da tricotomia, demonstrou inconformidade com os princípios da cirurgia segura, sendo este, forte preditor da taxa de infecção encontrada no estudo

Self-Efficacy Measurement and Enhancement Strategies for Medical-Surgical Clinical Nurses.

The Nursing Care Self-Efficacy Scale, a tool for measuring nurses' confidence in their nursing abilities, was developed and tested in a subset of medical-surgical clinical nurses. Scale construction, nurses 'self-efficacy, beliefs, and strategies for enhancing self-efficacy are described.