Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.020
Filtrar
1.
Br J Nurs ; 29(4): 222-228, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105526

RESUMO

BACKGROUND: A culture of patient safety is one of the cornerstones of good-quality healthcare, and its provision is one of the significant challenges in healthcare environments. AIM: The purpose of this study was to evaluate the effect of a surgical safety educational programme on the attitudes of nurses to patient safety in operating rooms (OR). DESIGN: An interventional one-group pre-/post-test design, which sought to measure changes in OR nurses' attitudes toward patient safety culture. METHODS: A simple random sampling technique was used to recruit 66 OR nurses working at six Royal Medical Service hospitals in Amman, Jordan. All participants took part in a 4-hour educational workshop. Pre-tests and post-tests were done. RESULTS: The results of this study showed that OR nurses' attitudes towards a culture of patient safety was originally negative; significant improvement after attending the programme was found (3.3 ± 0.20 versus 3.8 ± 0.30). There was a negative correlation between years of experience and nurses' attitudes towards patient safety. CONCLUSIONS: Incorporating courses about safety culture into continuing education programmes may improve nurses' attitudes towards patient safety. Nurses should be qualified to play an important role in creating a culture of patient safety.


Assuntos
Atitude do Pessoal de Saúde , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem de Centro Cirúrgico/educação , Segurança do Paciente , Adulto , Feminino , Humanos , Jordânia , Masculino , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Enfermagem de Centro Cirúrgico/organização & administração , Gestão da Segurança , Adulto Jovem
2.
J Surg Res ; 244: 579-586, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31446322

RESUMO

BACKGROUND: Introducing new surgical devices into the operating room (OR) can serve as a critical opportunity to address patient safety. The effectiveness of OR briefings to improve communication, teamwork, and safety has not been evaluated in this setting. METHODS: Ariadne Labs and Johnson and Johnson (J&J) collaborated to develop and assess an intervention including a Device Briefing Tool (DBT) and novel multidisciplinary team training for clinicians (surgeons and nurses) around the introduction of a new device in the OR. J&J sales representatives trained clinicians to use the DBT, a communication tool to improve patient safety when a new device is used for the first time. Surveys were administered to representatives (n = 10), surgeons (n = 15), and nurses (n = 30) at the baseline, after trainings, and after using the DBT in an operation at six different Thai hospitals. RESULTS: Familiarity with the Surgical Safety Checklist (SURGICAL SAFETY CHECKLIST) varied but increased post-training. Regarding trainings, 90% of representatives felt they very much or completely met all learning objectives but 50% felt only slightly prepared to train clinicians on using DBT. Post-training, clinician confidence in using a new device rose from 47 to 85%. Regarding the DBT, 90% of clinicians felt confident using it and reported they were very likely to use it in the future. Overall, over 90% of all clinicians and representatives felt safe having surgery in their hospitals. CONCLUSIONS: There is high acceptability and feasibility of the multidisciplinary trainings and the DBT among representatives and clinicians, albeit in a limited number of participants from a small number of institutions.


Assuntos
Competência Clínica/normas , Educação Médica Continuada/métodos , Educação Continuada em Enfermagem/métodos , Salas Cirúrgicas/normas , Equipe de Assistência ao Paciente , Segurança do Paciente/normas , Instrumentos Cirúrgicos , Atitude do Pessoal de Saúde , Lista de Checagem , Estudos de Viabilidade , Humanos , Enfermagem de Centro Cirúrgico/educação , Projetos Piloto , Desenvolvimento de Programas , Melhoria de Qualidade , Cirurgiões/educação , Tailândia
3.
Comput Inform Nurs ; 37(11): 599-605, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31403478

RESUMO

The purpose of this study was to develop and evaluate the effectiveness of a quick response code-based nursing education program to improve the competence of operation and recovery room nurses. An experimental methodological design was used to develop a quick response code-based nursing educational program and analyze its effects and nurses' satisfaction with its use. The quick response code-based nursing education program was developed in five steps based on the ADDIE model: analysis, design, development, implementation, and evaluation. The program was built on smartphones, and a Web site was linked to it. After testing the program for 40 days, nurses' attitudes toward various medical devices were significantly less negative. Nurses were able to use a large number of medical devices and were highly satisfied and willing to engage with the quick response code-based nursing educational program. In the context of nursing education, introducing educational content using quick response codes helps to improve nurses' knowledge and competence in providing high-quality nursing care and medical services.


Assuntos
Educação Continuada em Enfermagem/normas , Aplicativos Móveis/normas , Enfermagem de Centro Cirúrgico/educação , Competência Clínica/normas , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/tendências , Humanos , Aplicativos Móveis/tendências , Enfermagem de Centro Cirúrgico/métodos , Enfermagem de Centro Cirúrgico/tendências , Avaliação de Programas e Projetos de Saúde/métodos , Inquéritos e Questionários
6.
Anesth Analg ; 128(1): 109-116, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-29750692

RESUMO

BACKGROUND: Aspiration of gastric contents is a leading cause of airway management-related mortality during anesthesia practice. Cricoid pressure (CP) is widely used during rapid sequence induction to prevent aspiration. National guidelines for CP suggest a target force of 10 N before and 30 N after loss of consciousness. However, few studies have rigorously assessed whether clinicians can be trained to consistently achieve these levels of force. We hypothesized that clinicians can be trained effectively to deliver 10-30 N during application of CP. METHODS: Clinicians (attending anesthesiologist, anesthesiology residents, certified registered nurse anesthetists, or operating room nurses) applied CP on a Vernier force plate simulator with measurements taken at 4 time points over 60 seconds, 2 measurements before and 2 measurements after loss of consciousness. A successful cycle required all 4 time points to be within the target range (10 ± 5 and 30 ± 5 N, respectively). After baseline assessment (n = 100 clinicians), a subset of 40 participants volunteered for education on recommended force targets, underwent self-regulated practice, and then performed 30 1-minute cycles of high-frequency simulation analyzed by cumulative sum analysis to assess their change in performance. RESULTS: At baseline, 5 cycles (1.3% [confidence interval {CI}, 0.3%-2.50%]) out of 400 were successful. Performance improved after education and self-regulated practice (16% successful cycles [CI, 7.8%-25%]), and performance during the last 4 of 30 cycles was 45% (CI, 33%-58%). The odds of success increased over time (odds ratio, 1.1; P < .001). By cumulative sum analysis, however, no subject crossed the h0 line, indicating that no one achieved proficiency of the predefined target forces. CONCLUSIONS: At baseline, performance was poor at achieving target forces specified by national guidelines. Simulation-based training improved the success rate, but no participant achieved the predefined threshold for proficiency.


Assuntos
Manuseio das Vias Aéreas/métodos , Anestesiologistas/educação , Cartilagem Cricoide , Educação Médica Continuada/métodos , Educação de Pós-Graduação em Medicina/métodos , Educação em Enfermagem/métodos , Enfermeiras Anestesistas/educação , Treinamento por Simulação/métodos , Adulto , Competência Clínica , Feminino , Força da Mão , Humanos , Internato e Residência , Masculino , Pessoa de Meia-Idade , Enfermagem de Centro Cirúrgico/educação , Pressão , Análise e Desempenho de Tarefas
7.
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
8.
Nurse Educ ; 43(6): 326-329, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30339135

RESUMO

The operating room (OR) is a unique practice environment for nurses; however, many baccalaureate nursing programs no longer include OR nursing in the curriculum. This is unfortunate because many ORs in the United States are experiencing shortages of nurses. This article describes 3 types of academic-practice partnerships by which nursing students can experience the OR environment. Specific learning opportunities in this area lead to more successful transition into practice for new graduates who select the OR as a career choice.


Assuntos
Bacharelado em Enfermagem/organização & administração , Relações Interinstitucionais , Enfermagem de Centro Cirúrgico/educação , Salas Cirúrgicas , Estudantes de Enfermagem/psicologia , Escolha da Profissão , Currículo , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Estados Unidos , Recursos Humanos
9.
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
11.
Int J Nurs Educ Scholarsh ; 15(1)2018 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-29306920

RESUMO

The present study is aimed at examining the status of violence among the students of nursing, midwifery, and operating room. A self-reporting questionnaire with two sections of demographic characteristics and experience of violence was used. The data obtained were analyzed, using SPSS software. 58.7 percent of the students had a history of violence in the previous year. The maximum percentage of violence exposure belonged to the students of operating room (76.9%). The highest incidence of violence was verbal (76.4%), happened in patients' rooms (32.9%) and was in the form of insult (75.1%). Accordingly, preventive actions are required to prevent and control violence and support students. Informing students about violence, communicative skills, reaction, and coping with violence during studying is necessary. Therefore, educational authorities and theoretical and clinical instructors should take appropriate measures in order to prevent violence and create supportive mechanisms for the students.


Assuntos
Docentes de Enfermagem/psicologia , Enfermagem de Centro Cirúrgico/educação , Estudantes de Enfermagem/psicologia , Violência no Trabalho/psicologia , Adaptação Psicológica , Adulto , Estágio Clínico , Docentes de Enfermagem/estatística & dados numéricos , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Violência no Trabalho/estatística & dados numéricos , Adulto Jovem
12.
J Nurs Meas ; 25(3): 162-172, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29268819

RESUMO

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale-Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) = .90, goodness-of-fit-index (GFI) = .86, adjusted goodness-of-fit index (AGFI) = .90, normed fit index (NFI) = .84, and root mean square error of approximation (RMSEA) = .04. High validity and reliability indicated the scale's value for measuring perceived perioperative competence of Iranian OR students.


Assuntos
Competência Clínica , Educação em Enfermagem , Enfermagem de Centro Cirúrgico/educação , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários , Adulto , Estudos Transversais , Análise Fatorial , Feminino , Humanos , Irã (Geográfico) , Masculino , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Psicometria , Reprodutibilidade dos Testes , Estudantes de Enfermagem/estatística & dados numéricos , Tradução , Adulto Jovem
13.
Aust Nurs Midwifery J ; 24(10): 44, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-29280604

RESUMO

Due to the rapidly increasing demand for healthcare, driven by an ageing population and the rising cost of technology, Australia is facing the challenge of sustaining a health workforce to meet this demand. In the most recent Health Workforce Australia (HWA) Report (2014) a predicted shortfall in the supply and demand of critical care and emergency nurses was reported.


Assuntos
Tutoria , Enfermagem de Centro Cirúrgico/educação , Humanos , Enfermeiras e Enfermeiros/provisão & distribução
14.
J Laparoendosc Adv Surg Tech A ; 27(5): 475-480, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28294695

RESUMO

INTRODUCTION: Nontechnical skills (NTS) such as teamwork and communication play an important role in preventing adverse outcomes in the operating room (OR). Simulation-based OR team training focused on these skills provides an environment where team members can learn with and from one another. We sought to conduct a systematic review to identify simulation-based approaches to NTS training for surgical teams. MATERIALS AND METHODS: We conducted a systematic search of PubMed, ERIC, and the Cochrane Database using keywords and MeSH terms for studies describing simulation-based training for OR teams, including members from surgery, anesthesia, and nursing in September 2016. Information on the simulations, participants, and NTS assessments were abstracted from the articles meeting our search criteria. RESULTS: We identified 10 published articles describing simulation-based OR team-training programs focused on NTS. The primary focus of these programs was on communication, teamwork, leadership, and situation awareness. Only four of the programs used a validated instrument to assess the NTS of the individuals or teams participating in the simulations. DISCUSSION: Simulation-based OR team-training programs provide opportunities for NTS development and reflection by participants. Future programs could benefit from involving the full range of disciplines and professions that compose an OR team, as well as increased use of validated assessment instruments.


Assuntos
Anestesiologia/educação , Cirurgia Geral/educação , Enfermagem de Centro Cirúrgico/educação , Salas Cirúrgicas , Equipe de Assistência ao Paciente , Treinamento por Simulação , Conscientização , Comunicação , Comportamento Cooperativo , Humanos , Liderança
18.
Stud Health Technol Inform ; 225: 377-81, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27332226

RESUMO

INTRODUCTION: Heavy workloads in nursing care and high employee turnover call for efficient methods to support on-the-job training. Within the Witra Care project - aiming to develop mobile technologies to support knowledge transfer between experienced and inexperienced nurses - the objective was to investigate the feasibility and perceived usefulness of advanced smart glasses for an exemplary, specific activity in nursing training - preparation of a surgical instrument table in an operating room. METHODS: Four trainee nurses performed different tasks using speech-command operated smart glasses within an operating room setting and were asked for their expectations towards this technology, their experiences and perceptions. RESULTS: All tasks could be achieved by the trainee nurses, and the overall perception was that the technology is supportive and helpful. DISCUSSION: Our results indicate interest in new wearable technologies for supporting training in nursing care. Limitations include small sample size, selection bias and several technical issues such as speech recognition accuracy or short battery lifetime. More research is necessary to evaluate the usefulness and usability of advanced wearable devices for supporting knowledge transfer and training in nursing care.


Assuntos
Educação em Enfermagem/métodos , Óculos , Microcomputadores , Humanos , Aplicativos Móveis , Enfermagem de Centro Cirúrgico/educação , Projetos Piloto , Interface para o Reconhecimento da Fala
20.
J Nurses Prof Dev ; 32(3): 150-7, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27187830

RESUMO

Nursing professional development practitioners play an active, vital role in shaping, implementing, and evaluating competency models in their organizations. This article describes a process for developing and continuously improving knowledge assessment examinations, one component of a competency model. The article defends the use of specialty-specific medication knowledge assessment examinations. The authors recommend future investigations to link nurses' knowledge assessment results to performance in practice and to analyze costs and benefits of knowledge assessment examinations.


Assuntos
Benchmarking , Capacitação em Serviço , Avaliação em Enfermagem , Padrões de Prática em Enfermagem , Benchmarking/economia , California , Análise Custo-Benefício , Humanos , Illinois , Enfermeiras e Enfermeiros , Enfermagem de Centro Cirúrgico/educação , Enfermagem de Centro Cirúrgico/organização & administração
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA