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1.
Medicine (Baltimore) ; 100(12): e25109, 2021 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-33761673

RESUMO

BACKGROUND: Endoscopic removal is the main method for the treatment of colorectal polyps in children. Due to the small age of children, poor coordination, postoperative sensitive postoperative response, it is not good for postoperative recovery. Systematic nursing has an advantage in promoting the postoperative recovery of children with colorectal polyps of endoscopic removal, but it is lack of evidence-based basis. The purpose of this study is to evaluate the effect of systematic nursing intervention on the rehabilitation of children after colorectal polyps of endoscopic removal. METHODS: China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database and Chinese Biomedical Literature Database, PubMed, Embase, Web of Science, and the Cochrane Library databases will be searched by computer. A randomized controlled study is searched on the application of systematic nursing intervention of children with colorectal polyps of endoscopic removal from the establishment of the database in February 2021. The language is limited to English and Chinese. The quality of the included study is independently extracted and the literature quality is evaluated by 2 researchers. The RevMan5.3 software is used to conduct meta-analysis of the included literature. RESULTS: This study will evaluate the effect of systematic nursing intervention on the rehabilitation of children after colorectal polyps of endoscopic removal by the indexes of total effective rate, complication rate, and hospital stays. CONCLUSION: This study will provide reliable evidence-based basis for establishing a reasonable and effective nursing intervention for endoscopic removal of colorectal polyps in childhood. OSF REGISTRATION NUMBER: DOI 10.17605/OSF.IO/S57UX.


Assuntos
Pólipos do Colo/enfermagem , Pólipos do Colo/cirurgia , Endoscopia Gastrointestinal/enfermagem , Endoscopia Gastrointestinal/reabilitação , Enfermagem Perioperatória/métodos , Adolescente , Criança , Pré-Escolar , Pólipos do Colo/reabilitação , Feminino , Humanos , Lactente , Masculino , Metanálise como Assunto , Ensaios Clínicos Controlados Aleatórios como Assunto , Projetos de Pesquisa , Revisões Sistemáticas como Assunto , Resultado do Tratamento
2.
J. negat. no posit. results ; 5(8): 792-805, ago. 2020. ilus, tab, graf
Artigo em Espanhol | IBECS | ID: ibc-199312

RESUMO

ANTECEDENTES: La seguridad en la atención de los pacientes es un aspecto prioritario en la organización y funcionamiento de todo sistema de salud. La valoración de enfermería en las salas de internación permite detectar dificultades o problemas en el preoperatorio que pueden poner en riesgo la vida del paciente o el resultado esperado de la intervención. Se deben generar protocolos que garanticen seguridad para los pacientes disminuyendo al máximo los errores. OBJETIVO: Implementar la lista de verificación preoperatoria de enfermería para disminuir los errores en el ingreso de pacientes a quirófanos. LUGAR: Hospital Universitario-. División Quirófanos - Departamento de Cirugía - Dirección de Enfermería. POBLACIÓN: Pacientes internados para cirugías programadas. MÉTODO: Observacional, exploratorio, longitudinal prospectivo con análisis retrospectivo. Implementación preoperatoria de lista de verificación en sala de internación por enfermería. RESULTADOS: En Mayo de 2018 se operaron 355 pacientes en los quirófanos centrales. Hubo 183 errores de un total de 158 cirugías programadas. La falla más frecuente fue el ingreso de pacientes con ropa interior o ropa de cama en 59 (32,2%), seguido por falta de gorro o cofia en 22 (12%), e ingreso de pacientes con prótesis dental en 21 (11,5%). En la segunda etapa aún con la planilla de verificación de enfermería preoperatoria implementada persistieron los errores en un 48 %. CONCLUSIÓN: se deben promover acciones específicas para que los equipos quirúrgicos alcancen de forma sistemática las medidas de seguridad esenciales sin poner en riesgo la vida y bienestar de los pacientes quirúrgicos


BACKGROUND: The safety of patient care is a priority aspect in the organization and functioning of all health systems with direct implications on the quality of care. The assessment of nursing in the internment rooms allows to detect difficulties or problems in the preoperative that can endanger the life of the patient or the expected outcome of the intervention. This is where protocols must be generated to ensure safety for patients, minimizing errors. OBJECTIVE: To implement the pre-operative nursing checklist to reduce errors in the admission of patients to operating room. SETTING: University Hospital. Surgical Division - Department of Surgery - Nursing management. POPULATION: internal patients for scheduled surgeries. METHOD: Observational, exploratory, longitudinal prospective with retrospective analysis. Checklist preoperative nursing implementation. RESULTS: In May 2018, 355 patients were operated in the central operating rooms. 183 errors were found on 158 surgeries scheduled in a first stage. The most frequent failure was the admission of patients with underwear or bedding 59 (32.2%), followed by lack of cap or cap 22 (12%), and admission of patients with dental prosthesis 21 (11.5%). In the second stage, the nursing check list form was implemented but which could reduce the number of errors in the preoperative period to 48%. CONCLUSION: Specific actions should be promoted so that surgical teams systematically reach essential safety measures that jeopardize the life and well-being surgical patients


Assuntos
Humanos , Lista de Checagem/métodos , Cuidados Pré-Operatórios/enfermagem , Enfermagem Perioperatória/métodos , Gestão da Segurança/métodos , Segurança do Paciente/normas , Erros Médicos/prevenção & controle , Vestimenta Cirúrgica/normas , Consentimento Livre e Esclarecido
3.
AORN J ; 111(2): 211-220, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31997315

RESUMO

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.


Assuntos
Prioridades em Saúde/normas , Enfermeiras e Enfermeiros/psicologia , Posicionamento do Paciente/métodos , Enfermagem Perioperatória/normas , Grupos Focais/métodos , Prioridades em Saúde/estatística & dados numéricos , Humanos , Noruega , Enfermeiras e Enfermeiros/estatística & dados numéricos , Posicionamento do Paciente/normas , Posicionamento do Paciente/estatística & dados numéricos , Direitos do Paciente , Enfermagem Perioperatória/métodos , Enfermagem Perioperatória/estatística & dados numéricos , Pesquisa Qualitativa
7.
AORN J ; 111(2): 187-198, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31997336

RESUMO

Lymphedema-the accumulation of fluid in tissues, usually in the upper and lower extremities-often results from lymph node dissection or radiation and can cause painful and debilitating swelling that may interfere with a patient's daily living activities and quality of life. The goal of treatment for lymphedema is to reduce the volume of fluid in the affected area. Lymphedema is staged according to presenting characteristics, and interventions may be surgical or nonsurgical, such as complex decongestive therapy. Lymphovenous bypass is a surgical procedure performed for the management of lymphedema and involves rerouting microvascular channels to allow for the drainage of fluid that has accumulated in the lymphatic tissue of the upper or lower extremities. It requires supermicrosurgery techniques because of the small size of the vessels being anastomosed. Perioperative nursing implications for lymphovenous bypass include OR preparation and providing emotional support for patients living with lymphedema.


Assuntos
Drenagem/métodos , Linfedema/cirurgia , Drenagem/efeitos adversos , Drenagem/normas , Humanos , Linfa , Linfonodos/anormalidades , Linfonodos/cirurgia , Linfedema/enfermagem , Enfermagem Perioperatória/métodos , Qualidade de Vida
8.
Rev. Rol enferm ; 43(1,supl): 237-243, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193314

RESUMO

Clinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process, should boost the evidence-based practice in order to promote better nursing care. The purpose of this study is to evaluate nurse's predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of propose contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project "SAFECARE - Supervisão Clínica para a segurança e qualidade dos cuidados". It was developed an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the "Evidence-Based Practice Questionnaire" as a method of collecting data. From the 49 questionnaires collected, we find that the subscale "Practices" has an average score of 4.89, the subscale "Attitudes" 5.36 and the subscale "knowledge/skills and competences" 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the nurses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers


No disponible


Assuntos
Humanos , Masculino , Feminino , Enfermagem Baseada em Evidências/métodos , Procedimentos Cirúrgicos Ambulatórios/enfermagem , Cuidados de Enfermagem/métodos , Enfermagem Perioperatória/métodos , Supervisão de Enfermagem/organização & administração , Competência Profissional , Epidemiologia Descritiva
9.
Rev. Rol enferm ; 43(1,supl): 244-249, ene. 2020. graf
Artigo em Inglês | IBECS | ID: ibc-193315

RESUMO

Clinical supervision, as a formal process of monitoring professional practice, aims to improve decision-making to contribute to safety and quality of care through reflection processes and analysis of clinical practice. This study aimed to compare the postoperative pain evaluation and clinical recording procedures performed by nursing staff and clinical supervisors in ambulatory surgery patients.The study was integrated into the research project "SAFECARE". It was developed a descriptive cross-sectional quantitative study in an ambulatory surgery unit of a University Hospital in Oporto, Portugal. The study population was the nursing staff with an intentional non-probabilistic sampling method. A questionnaire was constructed and evaluation of postoperative pain, patient clinical and demographic variables was included. This instrument was applied in 116 patients matched by 12 surgical specialties. Results were compared between nursing staff, clinical supervisors and electronic nursing records. Patients had an average age of 48.6 years, being mostly female. Regarding pain evaluation, the scale most used by nurses (62.1%) and clinical supervisors (67.2%) was the "Numerical Scale". Postoperative pain evaluation scores ranged from 0 to 7, with score 0 (no pain) presenting more frequently by nurses, electronic nursing records and clinical supervisors. 34.5% of results were not documented in electronic nursing records. These findings support the importance of an intervention of clinical supervision in the indicator "pain" for the outpatient surgery setting. Local protocols of clinical supervision practice would contribute to improve postoperative pain evaluation, as well as standardization and optimization of nursing records, thus ensuring quality care


No disponible


Assuntos
Humanos , Masculino , Feminino , Procedimentos Cirúrgicos Ambulatórios/enfermagem , Cuidados de Enfermagem/métodos , Dor Pós-Operatória/enfermagem , Técnicas de Fechamento de Ferimentos/enfermagem , Enfermagem Perioperatória/métodos , Supervisão de Enfermagem/organização & administração , Competência Profissional , Epidemiologia Descritiva , Manejo da Dor/enfermagem
10.
Rev. Rol enferm ; 43(1,supl): 335-341, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193326

RESUMO

Introduction: Surgical site infections are frequent complications that affect patients undergoing surgery. These are preventable infections that constitute a loss of reputation for healthcare systems worldwide, with consequences for the patient in terms of morbidity, mortality, excessive length of stay, and additional costs to the system and the community. They aggravate their functional disability, increase the emotional stress of patients and families, leading to decreased quality of life.Nurses, as members of the multidisciplinary team, play a crucial role as promoters of adherence to the best practices for prevention and control of surgical site infection called "intervention bundle". Objective: Evaluate the adhesion of nurses to the intervention bundle in the prevention of Surgical Site Injury. Methods: Descriptive, cross-sectional, quantitative study. Sample of convenience, made up to 54 nurses. The data collection instrument was the checklist of the DGS of 2015. Results: The results revealed low adhesion in the presurgical bath with 2% chlorhexidine. Regarding trichotomy, it was avoided in about 59% of the cases. In the maintenance of capillary glycemia and normothermia, these were not met by 33% of professionals. Regarding adherence to surgical antibiotic prophylaxis, it was obeyed by 63% of the professionals, respecting the ideal timing of administration, 120 minutes before surgery. Conclusion: The implementation of programs of continuing education, accountability and awareness of the management bodies for the implementation of a safety culture are substantial in the prevention of surgical site disruption


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Infecção da Ferida Cirúrgica/prevenção & controle , Técnicas de Fechamento de Ferimentos/enfermagem , Ferida Cirúrgica/enfermagem , Enfermagem Perioperatória/métodos , Infecção Hospitalar/enfermagem , Cuidados de Enfermagem/estatística & dados numéricos , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Infecção da Ferida Cirúrgica/enfermagem , Cicatrização , Assistência Perioperatória/enfermagem , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Avaliação de Eficácia-Efetividade de Intervenções
13.
AORN J ; 111(1): 103-112, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31886540

RESUMO

Perioperative nurses administer some medications but are primarily responsible for obtaining, preparing, and documenting medications. Unlike personnel in many other patient care areas, perioperative personnel may not have immediate access to a pharmacist; this lack of pharmacy support can complicate medication administration processes. A variety of medication errors occur in the perioperative setting and can negatively affect patients and personnel. Perioperative nurses should review regulatory information and professional organization guidance documents when they work with other health care team members to address medication safety issues. Some recommendations include submitting clear medication orders, using aseptic technique when transferring medications to the sterile field, and using standardized labeling. In addition, perioperative nurses should obtain only one patient's medications from a dispensing unit at a time and prepare one medication at a time. After reviewing this article and the supporting literature, perioperative nurses should have increased knowledge about medication safety.


Assuntos
Erros de Medicação/prevenção & controle , Sistemas de Medicação/normas , Segurança do Paciente/normas , Humanos , Erros de Medicação/enfermagem , Sistemas de Medicação/tendências , Enfermagem Perioperatória/métodos
14.
AORN J ; 111(1): P16-P17, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31886549

RESUMO

This six-part series focuses on surgical smoke evacuation legislation and policy. It provides answers to important frequently asked questions (FAQs) about surgical smoke from policymakers and people not working in perioperative services and suggests resources and tools to help you become a strong advocate for surgical smoke evacuation. The FAQs and legislative checklists that will be shared will cover the basics of surgical smoke and its harmful effects, strategies and solutions for eradicating surgical smoke in the OR, the role of regulatory agencies, and how to lay the groundwork for successful state legislation on your own and in tandem with AORN's Government Affairs Department.


Assuntos
Política de Saúde/tendências , Exposição Ocupacional/legislação & jurisprudência , Fumaça , Procedimentos Cirúrgicos Operatórios/legislação & jurisprudência , Política de Saúde/legislação & jurisprudência , Humanos , Enfermagem Perioperatória/legislação & jurisprudência , Enfermagem Perioperatória/métodos , Enfermagem Perioperatória/tendências , Procedimentos Cirúrgicos Operatórios/métodos , Procedimentos Cirúrgicos Operatórios/tendências
15.
J Clin Nurs ; 29(1-2): 60-74, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31495000

RESUMO

AIMS AND OBJECTIVES: To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic-assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic-assisted laparoscopic surgery (RALS). BACKGROUND: The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses' experience and their challenges with RALS. DESIGN: A qualitative descriptive study. METHOD: Semi-structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April-24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. RESULTS: Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. CONCLUSIONS: The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well-trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. RELEVANCE TO CLINICAL PRACTICE: The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.


Assuntos
Enfermeiras Anestesistas/psicologia , Enfermagem Perioperatória/organização & administração , Procedimentos Cirúrgicos Robóticos/enfermagem , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Anestesistas/organização & administração , Papel do Profissional de Enfermagem , Avaliação de Processos e Resultados em Cuidados de Saúde , Enfermagem Perioperatória/métodos , Pesquisa Qualitativa
17.
Nurs Adm Q ; 43(4): 337-350, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31479055

RESUMO

The purpose of this article is to describe the use of a commercially available smartphone application to solve information needs of scrub nurses in orthopedic surgery. A semistructured, focus group interview was conducted with orthopedic scrub nurses. These nurses had solved their information needs about orthopedic surgery by using a commercially available smartphone application. Because of smartphone technology's convenience, accessibility, mobility, ease of use, and use at no charge, it is worth considering in nursing practice, education, and research.


Assuntos
Comportamento de Busca de Informação , Aplicativos Móveis/tendências , Enfermagem Ortopédica/métodos , Enfermagem Perioperatória/métodos , Humanos , Internacionalidade , Enfermagem Ortopédica/tendências , Enfermagem Perioperatória/tendências , Smartphone/instrumentação , Smartphone/tendências
18.
AORN J ; 110(4): 403-414, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31560418

RESUMO

Perioperative nurse leaders are facing an unprecedented nursing shortage. Very few baccalaureate nursing programs in the United States prepare graduates for perioperative nursing, and many current perioperative nurses are retiring from practice or leaving the field for other reasons. It is a challenge for nursing administrators to fill the vacant positions because it takes several months to orient a novice perioperative nurse and it involves significant costs. This article provides current information about perioperative nurse and leader shortages, discusses the effects of the shortages on patient safety and health care facility finances, and reviews the available literature about perioperative nursing education from both an academic and health care facility administrative perspective. In addition, this article presents strategies for addressing the nursing shortage and describes implications for clinical practice, education, and research.


Assuntos
Educação em Enfermagem/métodos , Enfermeiras e Enfermeiros/provisão & distribuição , Enfermagem Perioperatória/tendências , Educação em Enfermagem/tendências , Humanos , Liderança , Enfermeiras e Enfermeiros/estatística & dados numéricos , Enfermagem Perioperatória/educação , Enfermagem Perioperatória/métodos , Recursos Humanos/normas , Recursos Humanos/tendências
19.
AORN J ; 110(4): 395-402, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31560424

RESUMO

Personal communication devices (PCDs) support reliable information sharing between clinical personnel to ease workflow processes. Perioperative leaders at a major medical center conducted a long-term quality improvement project evaluating perioperative nurse perceptions regarding PCDs. Perioperative nurses completed two surveys and the investigators conducted an independent group t test (2-tailed) to test for differences in RN perceptions of PCDs from initial use during a pilot study and after the nurses had used the technology for four years. The authors also used qualitative content analysis to assess the qualitative items on the survey. The RNs noted that the PCDs were particularly beneficial when contacting team members for assistance and that response times improved. Overhead pages decreased from 125 per six-hour period to an average of less than one per six-hour period. The perioperative nurses' perceptions of the PCDs have improved four years after implementation.


Assuntos
Comunicação Interdisciplinar , Enfermeiras e Enfermeiros/psicologia , Percepção , Atitude do Pessoal de Saúde , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Enfermagem Perioperatória/métodos , Projetos Piloto , Pesquisa Qualitativa , Melhoria de Qualidade , Inquéritos e Questionários , Local de Trabalho/psicologia , Local de Trabalho/normas
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