Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 951
Filtrar
1.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 12: 471-477, jan.-dez. 2020. ilus, tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1053137

RESUMO

Objetivo: descrever, com base na literatura, as contribuições das práticas educativas para o controle da ansiedade de pacientes em pré-operatório de cirurgia cardíaca. Método: trata-se de uma revisão integrativa realizada no período de novembro a dezembro de 2017 nas Bases de Dados PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) e Medical Literature Analysis and Retrievel System Online (MEDLINE), com a inclusão de 24 artigos que compuseram esse estudo. Resultados: sobre o diagnóstico ansiedade, os artigos analisados mostraram maior presença no sexo feminino, em diferentes faixas etárias, mas mais prevalente em idades mais avançadas. Educação em saúde tem apresentado excelentes resultados na diminuição da ansiedade, que uma vez realizada pelo enfermeiro, potencializa o cuidado. Conclusão: processos educativos realizados no pré-operatório de cirurgia cardíaca, auxiliam para uma boa recuperação, pois com o envolvimento do paciente no processo, o tornará tranquilo e confortável


Objective: to describe, based on the literature, the contributions of the educational practices to the control of the anxiety of patients in the preoperative period of cardiac surgery. Method: this is an integrative review carried out from November to December 2017 in the PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) and Medical Literature Analysis and Retrievel System Online (MEDLINE), databases, with the inclusion of 24 articles that composed this study. Results: on the anxiety diagnosis, the articles analyzed showed greater presence in the female sex, in different age groups, but more prevalent at more advanced ages. Health education has presented excellent results in the reduction of anxiety, which once performed by the nurse, potentiates the care. Conclusion: educational processes performed in the preoperative period of cardiac surgery, help to a good recovery, because with the patient's involvement in the process, it will make him calm and comfortable


Objetivo: describir, con base en la literatura, las contribuciones de las prácticas educativas para el control de la ansiedad de pacientes en preoperatorio de cirugía cardíaca. El método: se trata de una revisión integrativa realizada en el período de noviembre a diciembre de 2017 en las Bases de PubMed, Bases de Dados de Enfermagem (BDENF), Biblioteca Regional de Medicina (BIREME), Scientific Electronic Library Online (SCIELO) y Medical Literature Analysis and Retrievel System Online (MEDLINE), con la inclusión de 24 artículos que compusieron ese estudio. Resultados: sobre el diagnóstico ansiedad, los artículos analizados mostraron mayor presencia en el sexo femenino, en diferentes edades, pero más prevalente en edades más avanzadas. La educación en salud ha presentado excelentes resultados en la disminución de la ansiedad, que una vez realizada por el enfermero, potencializa el cuidado. Conclusión: procesos educativos realizados en el preoperatorio de cirugía cardíaca, auxilian para una buena recuperación, pues con la participación del paciente en el proceso, lo hará tranquilo y confortable


Assuntos
Humanos , Masculino , Feminino , Ansiedade/enfermagem , Enfermagem Perioperatória/educação , Educação em Saúde/métodos , Ansiedade/prevenção & controle , Enfermagem Perioperatória/tendências , Cirurgia Torácica , Empatia
2.
Index enferm ; 28(4): 214-218, oct.-dic. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-ET2-6543

RESUMO

La aparición de la tecnología robótica ha conllevado la actualización del personal de enfermería tomando un papel fundamental aquellos encargados de la preparación y puesta en marcha del sistema, del instrumental y de la atención de detalles durante el desarrollo de la misma. Describimos el protocolo de actuación de enfermería en cirugía robótica en nuestro hospital. El equipo de cirugía robótica desde la implantación del sistema ha ejercido una actividad asistencial y docente con los profesionales de nueva incorporación. Es importante contar con un personal cualificado y especializado que proporcione un cuidado eficaz de manera eficiente y seguro para el paciente, sin olvidar mantener actualizados los conocimientos e iniciativas que se producen en el campo de la enfermería y la robótica


The appearance of robotic technology has led update nursing professionals, playing a key role those nurse team is responsible for instrumental and robotic system, taking care on all details during surgery. We describe a surgical nursing intervention protocol in robotic surgery in our institution. Since robotic protocol system implementation, robotic surgery team has performed assistant work and training activity of new team or visiting members. Qualified and specialized team is key in order to provide an effective, efficient and safety healthcare to patients. Keep update knowledge in nursing and robotic field is fundamental


Assuntos
Humanos , Avaliação de Desempenho Profissional , Enfermagem Perioperatória/educação , Procedimentos Cirúrgicos Robóticos/enfermagem , Educação em Enfermagem , Enfermagem Perioperatória/organização & administração , Segurança do Paciente , Tecnologia Educacional/educação
3.
Work ; 64(3): 661-667, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31683494

RESUMO

BACKGROUND: Perioperative nurses have several high-risk tasks. Musculoskeletal disorders (MSDs) are severe problems, while preventive measures are mostly insufficient. The 'Ergonomic patient handling card®' education scheme was introduced in Finland in 2009 aimed at improving both nurses' and patients' safety. Experiences of this multicomponent program from the care units and home care are good; the physical workload and sickness absences due to MSDs are decreasing. As the perioperative nurses' work in operating rooms (OR) varies considerably from the work in care units, a special education scheme needed to be developed. OBJECTIVE: The aim was to plan the 'Ergonomic patient handling card®' perioperative care education scheme [later pCard] and to define competencies, skills, and knowledge levels required to perform perioperative work safely, complying with legislative requirements, OR-safety and care quality. METHODS: Using a focus group and risk assessments in the acute care hospital the most stressful tasks in ORs in Finland were defined. The planning of the pCard content was based on the risk analysis aimed at defining competencies to mitigate the physical risks and on the evaluation of two pilot courses. RESULTS: The requested, approved corrections were incorporated into the new pCard scheme. Practical training emphazises working with safe methods and the safe usage of appropriate equipment.


Assuntos
Acidentes de Trabalho/prevenção & controle , Ergonomia/métodos , Movimentação e Reposicionamento de Pacientes/métodos , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/prevenção & controle , Enfermagem Perioperatória/educação , Desenvolvimento de Pessoal , Adulto , Competência Clínica , Finlândia , Grupos Focais , Humanos , Sistema Musculoesquelético/lesões , Segurança do Paciente , Medição de Risco
4.
Nurs Educ Perspect ; 40(6): E31-E33, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31206417

RESUMO

This article describes the development of the diverse standardized patient simulation (DSPS) cultural competence education strategy, which is designed to improve students' knowledge, skills, and attitudes with regard to providing culturally competent care. Development of the DSPS was guided by the Jeffreys' Cultural Competence and Confidence model. As a carefully orchestrated educational intervention utilizing standardized patient pedagogy, the DSPS had content validity review and followed international guidelines and standards for design, implementation, evaluation, and standardized patient training. This strategy was integrated into a nine-credit, 15-week medical-surgical nursing course. A step-by-step description for the development of the DSPS is provided.


Assuntos
Competência Cultural/educação , Currículo , Simulação de Paciente , Enfermagem Perioperatória/educação , Assistência à Saúde Culturalmente Competente , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Estudantes de Enfermagem/psicologia
5.
Int J Med Robot ; 15(4): e1996, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30884169

RESUMO

BACKGROUND: This study aimed to reveal the experiences of nurses in robotic surgery and their adaptation to this method. METHODS: This research was planned within the framework of qualitative research methods. The study population consisted of robotic surgery nurses in Turkey. Focus group interviews were conducted after the flow process was developed, and the interviews were supported using a semistructured interview form. Two focus interviews were conducted with 15 participants. RESULTS: As a result of the content analysis, 11 themes were created in four categories. The categories of the study were designed as follows: (1) Training in Robotic Surgery Nursing, (2) Adaptation to Technology in Robotic Surgery Nursing, (3) Changing Roles and Adaptation Process in Robotic Surgery Nursing, and (4) Future of Robotic Surgery. CONCLUSIONS: The lack of clarity regarding the roles and responsibilities of robotic surgery nurses and the lack of arrangements for working conditions are thought to cause professional dissatisfaction and disengagement from work.


Assuntos
Enfermagem Perioperatória/educação , Enfermagem Perioperatória/métodos , Enfermagem Perioperatória/tendências , Procedimentos Cirúrgicos Robóticos/enfermagem , Procedimentos Cirúrgicos Robóticos/tendências , Adaptação Psicológica , Adulto , Atitude do Pessoal de Saúde , Feminino , Grupos Focais , Humanos , Masculino , Papel Profissional , Pesquisa Qualitativa , Turquia , Adulto Jovem
6.
AORN J ; 109(2): 193-200, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30694533

RESUMO

Health care organizations have tasked nursing education leaders with increasing enrollment and graduating nursing students ready to practice. The purpose of this quality improvement project was to evaluate the effect of a perioperative clinical immersion on the perceptions of readiness for practice held by senior students working toward a bachelor of science in nursing. Seven senior nursing students participated in the perioperative clinical immersion at one midwestern university. At the end of the immersion, the students participated in an interview that was designed to capture their perceptions of the program. We performed data analysis and identified recurring key words that were evaluated further as attributes of critical thinking, skill competency, and role socialization. The data analysis revealed the students' perceptions of growth and readiness for practice. We found that a perioperative clinical immersion provides senior nursing students with an opportunity for professional growth and possible employment in the perioperative area.


Assuntos
Estágio Clínico , Enfermagem Perioperatória/educação , Estudantes de Enfermagem , Currículo , Bacharelado em Enfermagem , Humanos , Entrevistas como Assunto , Avaliação de Programas e Projetos de Saúde
7.
AORN J ; 109(2): 202-216, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30694541

RESUMO

Bone cement implantation syndrome (BCIS) is a potentially fatal complication of orthopedic surgeries that use cement. The symptoms of BCIS occur primarily during femoral fracture repairs, but this complication has been reported in a wide variety of cemented procedures. Clinical presentation of this syndrome begins as a cascade with hypoxia and hypotension; if it is not reversed, it ends with right-sided heart failure and cardiac arrest. This syndrome usually occurs at cementation, prosthesis insertion, joint reduction, or tourniquet deflation, and should be treated with aggressive resuscitation and supportive care. This article provides a comprehensive explanation of bone cement, the identification and management of BCIS, and the roles of the perioperative team in the event of cardiopulmonary collapse. It includes a case study that can be used as an educational tool for simulation, mock drills, or staff meetings; it also may be used as a framework for creating policies.


Assuntos
Artroplastia de Quadril/efeitos adversos , Cimentos para Ossos/efeitos adversos , Prótese de Quadril/efeitos adversos , Artroplastia de Quadril/enfermagem , Educação Continuada em Enfermagem , Parada Cardíaca/etiologia , Parada Cardíaca/enfermagem , Humanos , Complicações Intraoperatórias/etiologia , Complicações Intraoperatórias/enfermagem , Enfermagem Perioperatória/educação , Síndrome
8.
AORN J ; 109(1): 87-94, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30592512

RESUMO

Nurse educators play a role in addressing the growing perioperative nurse shortage in the United States by implementing strategies to entice new graduates to this specialty. The purpose of our study was to determine if an undergraduate perioperative nursing elective influenced the career choices of nurses four to nine years after they graduated from a baccalaureate nursing program in the midwestern United States. Using a descriptive study design, 23 of 50 nurses responded to a survey about positions they have held since graduating and the influence of a perioperative nursing elective on their career choices. Twenty-six percent of nurses in this sample went on to work in the perioperative specialty, and the majority indicated they continued to consider perioperative nursing as a career choice. Considering the potential long-term effects of this strategy, incorporating a perioperative nursing elective into nursing school curricula could be helpful to address the shortage of perioperative nurses.


Assuntos
Escolha da Profissão , Currículo , Bacharelado em Enfermagem , Enfermagem Perioperatória/educação , Adulto , Colorado , Feminino , Humanos , Masculino , Escolas de Enfermagem , Inquéritos e Questionários
9.
Nurse Educ Today ; 73: 31-37, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30476823

RESUMO

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. A comprehensive and systematic search was performed using Medline, CINAHL, Eric, Svemed+, PsychINFO and Embase in May 2016 and then was updated in February 2018. Each database was searched for literature published between 1st January 2005 and 8th February 2018. REVIEW METHOD: Two authors independently assessed literature eligibility and extracted data to answer our research question 'What is known about the use of simulation-based learning in the field of perioperative nursing?' RESULTS: Nine articles and one doctoral thesis were included in the review. There appears to be a paucity of research or results-oriented evidence regarding the use of simulation-based learning in the field of perioperative nursing. Different goals of simulation-based learning were reported. It was difficult to confirm whether these goals had been reached as none of the articles included control groups, and no evaluations had been undertaken against Kirkpatrick's level 3 to see changes in participants' behaviours, and level 4, to determine whether the training had a positive impact on, for example, patient outcomes. CONCLUSION: Owing to the lack of research and the inadequate descriptions of design and method in simulation-based learning in most of the articles included, there is little evidence in the existing literature to guide practitioners of this learning in the field of perioperative nursing. This indicates a need for further research in this area.


Assuntos
Enfermagem Perioperatória/educação , Treinamento por Simulação/métodos , Estudantes de Enfermagem , Bacharelado em Enfermagem , Humanos
10.
Artigo em Inglês | MEDLINE | ID: mdl-30541224

RESUMO

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.


Assuntos
Comunicação , Currículo , Educação em Enfermagem/métodos , Empatia , Enfermagem de Centro Cirúrgico/educação , Simulação de Paciente , Estudantes de Enfermagem , Feminino , Humanos , Masculino , Tocologia , Enfermagem Perioperatória/educação , Desempenho de Papéis
12.
J Contin Educ Nurs ; 49(9): 416-423, 2018 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-30148539

RESUMO

BACKGROUND: Authors commonly agree that the clinical learning environment significantly affects student learning. Studies of how operating room nurses perceive the clinical learning environment during their specialist studies are sparse. METHOD: This study aimed to examine newly graduated operating room nurses' perceptions of the clinical learning environment during their specialist education. Fifty newly graduated operating room nurses answered a questionnaire gaging their perceptions of clinical education. RESULTS: Most participants perceived the clinical learning environment as good and highly associated with the supervisor's ability to supervise, enjoy supervision, and show interest in the participants' degree project. The management at the clinical setting, which was perceived to emphasize the importance of supervision, time allocated especially for supervision, and perceived cooperation between the University and hospital, also had an impact. CONCLUSION: Social interactions and structures within the operating room affect how the clinical learning environment is perceived. J Contin Educ Nurs. 2018;49(9):416-423.


Assuntos
Bacharelado em Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem de Centro Cirúrgico/educação , Enfermagem Perioperatória/educação , Preceptoria/organização & administração , Adulto , Atitude do Pessoal de Saúde , Competência Clínica , Currículo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Suécia
13.
J Perioper Pract ; 28(9): 223-230, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30035687

RESUMO

The purpose of this performance improvement project was to design, implement and evaluate an interprofessional education initiative intended to improve surgical team efficiency, communication and work satisfaction. The development of interprofessional perioperative accountable care teams in three surgical specialties, cardiothoracic, neurosurgery and orthopedics, demonstrated a reduction in turnover time, increased staff, patient and surgeon satisfaction, and increased operating room (OR) revenue generated by the surgical specialties within one year of implementation.


Assuntos
Relações Interprofissionais/ética , Satisfação no Emprego , Equipe de Assistência ao Paciente/organização & administração , Assistência Perioperatória/métodos , Melhoria de Qualidade , Comportamento Cooperativo , Feminino , Humanos , Masculino , Salas Cirúrgicas/organização & administração , Enfermagem Perioperatória/educação , Responsabilidade Social , Cirurgiões/educação , Resultado do Tratamento , Reino Unido
17.
AORN J ; 107(2): 215-223, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29385256

RESUMO

Patients with cardiac morbidities admitted for cardiac surgical procedures require perioperative nurses with a high level of complex nursing skills. Orienting new cardiac team members takes commitment and perseverance in light of variable staffing levels, high-acuity patient populations, an active cardiac surgical schedule, and the unpredictability of scheduling patients undergoing cardiac transplantation. At an academic medical center in Boston, these issues presented opportunities to orient new staff members to the scrub person role, but hampered efforts to provide active learning opportunities in a safe environment. As a result, facility personnel created a program to increase new staff members' skills, confidence, and proficiency, while also increasing the number of staff members who were proficient at scrubbing complex cardiac procedures. To address the safe learning requirement, personnel designed a simulation program to provide scrubbing experience, decrease orientees' supervision time, and increase staff members' confidence in performing the scrub person role.


Assuntos
Enfermagem Cardiovascular/educação , Treinamento por Simulação/métodos , Boston , Enfermagem Cardiovascular/métodos , Competência Clínica/normas , Humanos , Capacitação em Serviço/métodos , Capacitação em Serviço/tendências , Enfermagem Perioperatória/educação , Enfermagem Perioperatória/métodos , Desenvolvimento de Programas/métodos
18.
AORN J ; 107(1): 83-90, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29341094

RESUMO

Using qualitative research and a collaborative academic service partnership, we created an innovative 120-hour perioperative nursing summer internship for eight undergraduate nursing students in 2016. Recognizing that perioperative exposure is limited in the traditional baccalaureate program, this unpaid internship served to clarify student perceptions of perioperative nursing care and encourage graduates to meet perioperative workforce demands. We based the theoretical and practical student learning experiences on the AORN Periop 101 learning modules and included faculty-led discussions, student journaling, and onsite precepted clinical activities. Evaluation data revealed that students achieved an enhanced awareness of perioperative nursing, and a majority of the participants expressed a desire to enter the perioperative field after graduation. We suggest that stakeholders continue to strategize ways to maximize educational preparation to address the evolving health care market supply and demand.


Assuntos
Internato e Residência , Enfermagem Perioperatória/educação , Estudantes de Enfermagem , Conscientização , Educação em Enfermagem/organização & administração , Aprendizagem
19.
Ethiop J Health Sci ; 28(5): 607-614, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30607076

RESUMO

Background: This study describes the in-service training experience of perioperative nurses from the SickKids-Ethiopia Paediatrics Perioperative Nursing Training Program in Addis Ababa, Ethiopia. The study emphasizes specifically how nurses applied the knowledge and skills gained from the Paediatrics Perioperative Nursing Training program in their subsequent practice and consider the situational factors that facilitated or hindered implementing these new knowledge and skills. Methods: The first author led qualitative in-depth interviews with nine perioperative nurses who participated in training in September 2016, and systematically developed descriptive codes and themes to analyze the data. Results: The authors found that participants experienced improved knowledge, skills, confidence, and job retention related to perioperative nursing practice after participating in Paediatrics Perioperative Nursing Training. Participants also stressed key challenges including lack of access to ongoing perioperative in-service training and problematic staffing policies that impact perioperative nurses' ability to fully utilize and share new knowledge gained during CPD training. Conclusion: The findings highlighted the value of specialized perioperative CPD training for Ethiopian nurses, yet also pointed to multidimensional challenges for knowledge translation and sustainability of best practices. The authors offer recommendations for individual and institutional strategies to address some of them.


Assuntos
Mobilidade Ocupacional , Educação em Enfermagem , Enfermeiras e Enfermeiros , Pediatria/educação , Enfermagem Perioperatória/educação , Especialização , Adulto , Criança , Competência Clínica , Etiópia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Autoeficácia , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA