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Articles 1 - 30 of 171
Full-Text Articles in Medicine and Health Sciences
Evaluation Of Pain Levels And Pain Management In Patients After Elective Total Knee Replacement Surgery, Elif Karahan, Mediha Didem Koçoğlu Ağca, Sevim Çelik
Evaluation Of Pain Levels And Pain Management In Patients After Elective Total Knee Replacement Surgery, Elif Karahan, Mediha Didem Koçoğlu Ağca, Sevim Çelik
Journal of Perioperative Nursing
Objective: The aim of this study was to evaluate early pain management outcomes in patients undergoing total knee arthroplasty.
Materials and methods: This descriptive cross-sectional study was conducted between 1 March and 30 September 2022. The sample consisted of 112 patients who underwent total knee replacement surgery. Data was collected during face-to-face interviews in the first 24 to 48 hours after surgery, using a patient information form and the revised American Pain Society patient outcome questionnaire (APS-POQ-R). One-way analysis of variance (ANOVA), independent-samples t test, Kruskal-Wallis test and Mann-Whitney test were used in statistical analyses. Ethical approval, institutional approval and …
Effectiveness Of Intra-Operative Gentamicin Irrigation In Reducing Post-Operative Surgical Site Infections: A Systematic Review, Kritika J. Kumar, Zaneta Smith
Effectiveness Of Intra-Operative Gentamicin Irrigation In Reducing Post-Operative Surgical Site Infections: A Systematic Review, Kritika J. Kumar, Zaneta Smith
Journal of Perioperative Nursing
Aim: To evaluate and synthesise the effectiveness of intra-operative gentamicin in reducing post-operative surgical site infections compared to other irrigating solutions or no irrigation.
Background: Surgical site infection has posed challenges to health care providers around the globe. It is influenced by many risk factors, only a few of which are under the control of the surgeon and operating team. Wound irrigation is considered an essential part of the intra-operative process. It aims to minimise the risk of surgical site infection by thorough lavage of the operative site.
Design: Systematic review of effectiveness.
Review methods: The databases CINAHL, Scopus, Embase, …
Enhancing Patient Safety In The Perioperative Setting, Donald N. Whisman
Enhancing Patient Safety In The Perioperative Setting, Donald N. Whisman
Journal of Perioperative Nursing
Patient safety is of utmost importance in all aspects of patient care. The direct correlation between patient outcomes and adequate staffing is clear.
The Future Of Artificial Intelligence In Perioperative Nursing, Nick Nijkamp, Erin Wakefield
The Future Of Artificial Intelligence In Perioperative Nursing, Nick Nijkamp, Erin Wakefield
Journal of Perioperative Nursing
Artificial Intelligence (AI) stands poised at the forefront of health care innovation, promising transformative advances across multiple domains. In the field of perioperative nursing, where precision, efficiency and patient safety are paramount, the integration of AI holds immense potential to revolutionise clinical practice.
Defined as the imitation of human acumen, AI enables computers to perform tasks ‘that typically require human intelligence, such as decision-making, problem-solving and learning’. This editorial explores the current landscape of AI, future prospects for AI in perioperative nursing and the ethical imperatives that accompany this transformative paradigm shift.
As technology continues to evolve rapidly, perioperative nursing …
Nursing Implications For Transgender And Gender Diverse Perioperative Patients: A Discussion Paper, Oona O'Shea, Paula Foran
Nursing Implications For Transgender And Gender Diverse Perioperative Patients: A Discussion Paper, Oona O'Shea, Paula Foran
Journal of Perioperative Nursing
Perioperative nurses must provide culturally competent care to all surgical patients, and understanding gender identity and gender diversity may be the first step to creating an inclusive perioperative practice for transgender and gender diverse patients. In the nurse–patient relationship, limited exposure to and knowledge of diverse populations may negatively affect the health of this important demographic.
When nurses are unaware of how care can be affected by explicit (conscious) or implicit (unconscious) bias, they may use transphobic stereotyping behaviours or act with microaggressions, like using excessive protective attire. Such care may invalidate gender identity and impede trust. In contrast, nurses …
Barriers To And Facilitators Of Using Cognitive Aids In Perioperative Emergencies: An Integrative Review, Simon Almoite, Paula Foran
Barriers To And Facilitators Of Using Cognitive Aids In Perioperative Emergencies: An Integrative Review, Simon Almoite, Paula Foran
Journal of Perioperative Nursing
Problem identification: Perioperative emergencies, although infrequent, may lead to significant morbidity and mortality associated with anaesthesia and/or surgery. Human factor errors account for between 43 to 65 per cent of sentinel events in the perioperative environment. Cognitive aids were introduced to reduce a user’s cognitive workload and assist in adherence to key interventions during emergencies. Despite the availability of these aids, implementation of their use remains low. This integrative literature review will identify the barriers to and facilitators of the implementation of cognitive aids during perioperative emergencies.
Literature search: An electronic database search of EBSCO databases (CINAHL Complete, Health Source: …
The New Era Of Aspiration Risk: The Dilemma Of Glp-1 Receptor Agonists, Jack D. Madden Fanzca, Andrew K. Goyen
The New Era Of Aspiration Risk: The Dilemma Of Glp-1 Receptor Agonists, Jack D. Madden Fanzca, Andrew K. Goyen
Journal of Perioperative Nursing
There is a new wave of aspiration risk heading towards our operating theatres in the coming years. The popular weight loss drugs, glucagon-like peptide (GLP-1) receptor agonists, are providing us with new dilemmas in fasting guidelines and airway management. What does the anaesthetic team need to know?
Effect Of Using Virtual Reality To Manage Needle Phobia In Adults Undergoing Medical Procedures: A Rapid Review, Craig J. Gilbertson, Tshepo Rasekaba, Irene Blackberry
Effect Of Using Virtual Reality To Manage Needle Phobia In Adults Undergoing Medical Procedures: A Rapid Review, Craig J. Gilbertson, Tshepo Rasekaba, Irene Blackberry
Journal of Perioperative Nursing
Background: Needle phobia, also known as blood–injection–injury (BII)phobia, is a severe form of needle fear that affects from 20 to 50 per cent of adolescents, 20 to 30 per cent of young adults and less than 5 per cent of the older adult population. When faced with venepuncture, approximately 75 per cent of patients with needle phobia will undergo an extreme physiological response which can lead to a vasovagal or fainting episode. An emerging therapy for medical phobias is the use of virtual reality, a three-dimensional environment generated by a computer that creates a sense of immersion.
Aim: To evaluate …
Evaluation Of Nursing Approach To Assessment Of Post-Operative Respiratory Depression Using A Simulation Model, Natalia Tarasova, Usha Asirvatham, Robin D. Goetz, Mariela Riveria, Juraj Sprung, Toby N. Weingarten
Evaluation Of Nursing Approach To Assessment Of Post-Operative Respiratory Depression Using A Simulation Model, Natalia Tarasova, Usha Asirvatham, Robin D. Goetz, Mariela Riveria, Juraj Sprung, Toby N. Weingarten
Journal of Perioperative Nursing
Introduction: Assessments of post-operative patients that have been carried out by health care providers before critical opioid-induced respiratory events often do not detect respiratory depression. We hypothesise that opioidinduced respiratory patterns present during sleep may not be properly recognised as providers typically awaken patients for vital sign checks, and awake state assessment is recorded. We used a simulation manikin model to test this hypothesis.
Methods: Nurses who work on a standard post-operative hospital ward volunteered to participate in a study designed to record vital signs on an adult male manikin. None of the nurses had formal critical care or postoperative …
Australian Elective Surgery Patients’ Pre-Operative Preparation, Health Literacy, Learning Preferences And Knowledge Resource Needs: A Cross-Sectional Survey, Cory J. Williams, Jed Duff, Chloe Tannagan
Australian Elective Surgery Patients’ Pre-Operative Preparation, Health Literacy, Learning Preferences And Knowledge Resource Needs: A Cross-Sectional Survey, Cory J. Williams, Jed Duff, Chloe Tannagan
Journal of Perioperative Nursing
Aim: To investigate self-reported health literacy levels, learning preferences and knowledge resource needs of Australian elective surgery patients.
Background: Surgery contributes significantly to global health care, but surgical waitlists, cancellations and delay remain major challenges for health care systems. Pre-operative preparation and patient education about the surgical journey are essential to reducing these disruptions. Unfortunately, preparation and education are limited by short timeframes and one-size-fitsall approaches. Limited information exists about Australian surgical patients’ health literacy levels, learning preferences and knowledge resource needs.
Design and methods: This cross-sectional waiting room survey investigated patient health literacy, preferred education mode and learning styles …
‘I Want To Be A Member Of My Heart Team’: Insights From Patients’ Experiences Of Minimalist Transcatheter Aortic Valve Implantation, Celeste G. Percy, A. Fuchsia Howard Dr., Bobby Lee Dr., Janarthanan Sathananthan Dr., David A. Wood Dr., John G. Webb, Sandra B. Lauck Dr.
‘I Want To Be A Member Of My Heart Team’: Insights From Patients’ Experiences Of Minimalist Transcatheter Aortic Valve Implantation, Celeste G. Percy, A. Fuchsia Howard Dr., Bobby Lee Dr., Janarthanan Sathananthan Dr., David A. Wood Dr., John G. Webb, Sandra B. Lauck Dr.
Journal of Perioperative Nursing
Background: Internationally, transcatheter aortic valve implantation (TAVI) is the most common approach for treating aortic stenosis. There is growing evidence to support the implementation of a streamlined clinical pathway to optimise outcomes, improve capacity and facilitate safe early discharge home. Best practices that are emerging include adopting a minimalist approach and transition from general anaesthesia to conscious sedation or local anesthesia only. We aimed to explore what could be learned from patients’ experiences of their care in this rapidly evolving context
Methods: We conducted a qualitative study of patients in the first week after TAVI to explore their perspectives of …
Nonpharmacological Pain Management Methods Used By Post-Operative Patients: A Cross-Sectional Study, Senay Karadag Arli
Nonpharmacological Pain Management Methods Used By Post-Operative Patients: A Cross-Sectional Study, Senay Karadag Arli
Journal of Perioperative Nursing
Objectives: Surgical patients use many nonpharmacological methods to manage pain after surgery. Knowing these methods and relieving the patient’s surgical pain will increase the quality of care. This study aims to examine the nonpharmacological pain management methods used by surgical patients and identify significant relationships between gender and participants’ clinical characteristics.
Method: The study was conducted using a cross-sectional and descriptive design with the participation of 225 patients in a public hospital in eastern Turkey. Data collection was done using the patient identification and clinical characteristics form. Descriptive statistics and chi-square test were used in the analysis of the data. …
Why We Should Be Counting In The Cardiac Catheter Lab: A Discussion Paper, Stephanie Biggs, Paula Foran
Why We Should Be Counting In The Cardiac Catheter Lab: A Discussion Paper, Stephanie Biggs, Paula Foran
Journal of Perioperative Nursing
The cardiac catheter laboratory, which in many health care facilities falls under the umbrella of perioperative services, generally sits geographically outside the traditional operating suite. Perhaps due in part to this geographical distance, standards that are routinely applied in the operating suite may not be applied in the cardiac catheter laboratory. One such standard is the management of accountable items such as swabs, surgical instruments, sharps and sheaths. Well-known standards and guidelines for managing accountable items recommend mandatory counting and documentation of all accountable items in environments where a surgical item may be left behind; yet, despite this, counting is …
Multidisciplinary Simulation Training For Australian Perioperative Teams: A Qualitative Descriptive Exploratory Study, Michelle Hibberson, Jessica Lawton, Dean Whitehead
Multidisciplinary Simulation Training For Australian Perioperative Teams: A Qualitative Descriptive Exploratory Study, Michelle Hibberson, Jessica Lawton, Dean Whitehead
Journal of Perioperative Nursing
Background: Perioperative units are complex and high-risk environments in which teams of multidisciplinary health care professionals work collaboratively. Multidisciplinary simulation training is a form of education that allows perioperative teams to practise the non-technical and technical skills essential for managing emergency events within the perioperative environment. Despite the benefits of multidisciplinary simulation training, there is a paucity of literature about it; therefore, this study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken simulation training.
Objectives: This study examined the experiences of Australian multidisciplinary perioperative team members who had undertaken multidisciplinary simulation training with the aim of: …
Getting The Balance Right: Family Visitation In The Post Anaesthesia Care Unit, Felicity Hennessy, Paula Foran
Getting The Balance Right: Family Visitation In The Post Anaesthesia Care Unit, Felicity Hennessy, Paula Foran
Journal of Perioperative Nursing
The standard practice in Australia is to restrict family visitation for adult patients in the first-stage Post Anaesthesia Care Unit (PACU). While research on this topic in the Australian context is lacking, there is international evidence, particularly from the United States of America (USA), that demonstrates benefits to both patients and family members. These benefits include high satisfaction rates, reduced anxiety and an improvement in patient haemodynamic markers, pain and nausea. The facilitation of family visitation in the PACU may also enhance the delivery of not only personcentred care but also patient- and family-centred care. Despite this, the literature documents …
Nursing Innovation: Improved Perioperative Care With A Redesigned Urological Drape, Olivia Sonneborn, Indra Jolayemi
Nursing Innovation: Improved Perioperative Care With A Redesigned Urological Drape, Olivia Sonneborn, Indra Jolayemi
Journal of Perioperative Nursing
Inventions and innovations have the potential to change lives.1 Perioperative nurses strive for improved patient care2 and are well positioned to develop creative and innovative solutions to clinical challenges faced when caring for patients in the perioperative environment. Fluid leakage during percutaneous nephrolithotomy (PCNL) surgery poses risks to both patients3 and staff. The PCNL drape was developed by a collaborative perioperative team to reduce these risks and improve the quality of care provided to patients.
Bridging The Gap: Preparing And Nurturing Novice Perioperative Nurses, Nick Nijkamp, Pauline Calleja, Ashlyn Sahay
Bridging The Gap: Preparing And Nurturing Novice Perioperative Nurses, Nick Nijkamp, Pauline Calleja, Ashlyn Sahay
Journal of Perioperative Nursing
Perioperative nursing is a highly specialised area within the nursing profession that relies on high levels of theoretical knowledge, clinical skill and critical thinking to maintain patient safety before, during and after surgical procedures. However, attrition rates and the impending retirement of experienced perioperative nurses have created a need to address the transition of novice nurses into this complex and multi-skilled environment.
Procedural Considerations Of Hysterectomy By Vnotes (Vaginal Natural Orifice Transluminal Endoscopic Surgery): A Literature Review, Maritza Harvey, Paula Foran
Procedural Considerations Of Hysterectomy By Vnotes (Vaginal Natural Orifice Transluminal Endoscopic Surgery): A Literature Review, Maritza Harvey, Paula Foran
Journal of Perioperative Nursing
Problem identification: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) may be the next evolution in minimally invasive gynaecological surgery. vNOTES is a modernised vaginal approach to accessing the peritoneal cavity that combines the benefits of laparoscopic and traditional vaginal surgery techniques. While much has been written about the technicalities of this procedure, the aim of this review is to look at vNOTES through a perioperative nursing lens, focusing on providing greater understanding and knowledge for perioperative nurses.
Literature search: An electronic database search of EBSCO, CINAHL, Medline, PubMed and Scopus was undertaken. The search delivered 16 articles for inclusion in …
Peripheral Nerve Catheter Securement: A Narrative Literature Review, Joshua M. Wiesel, Bernadette R. Findlay, Li Ching Ooi, Jennifer A. Stevens, Renata Hadzic
Peripheral Nerve Catheter Securement: A Narrative Literature Review, Joshua M. Wiesel, Bernadette R. Findlay, Li Ching Ooi, Jennifer A. Stevens, Renata Hadzic
Journal of Perioperative Nursing
Peripheral nerve catheters are commonly used to provide analgaesia and improve patient outcomes. Catheter dislodgment, displacement or leakage can result in premature cessation of analgaesic effect. There are currently no published guidelines for how to secure peripheral nerve catheters.
This narrative review explores and integrates the available research into the efficacy of peripheral nerve catheter securement products and techniques to reduce catheter dislodgement and displacement.
All studies looking at peripheral nerve catheter securement methods were included from inception until 19 October 2022 across PUBMED, Scopus, Ovid, Google Scholar, EMBASE and The Cochrane Library. The Jadad scale and Newcastle–Ottawa scale were …
Busting Persistent Myths About Perioperative Hypothermia, Jed Duff
Busting Persistent Myths About Perioperative Hypothermia, Jed Duff
Journal of Perioperative Nursing
Perioperative hypothermia occurs when a patient’s core temperature drops below 36 °C during their surgical journey. Research spanning more than thirty years highlights the negative effects of hypothermia on clinical outcomes and patient comfort.
Perioperative hypothermia prevention is a classic example of an evidence–practice gap. Despite proven prevention methods, as many as half of all surgical patients continue to experience perioperative hypothermia.
Exploring The Feasibility Of Using Virtual Reality As A Nonpharmacological Intervention To Alleviate Patient Fear Of Needles During Medical Treatment: A Study Protocol, Craig J. Gilbertson, Tshepo Rasekaba Dr, Irene Blackberry Professor
Exploring The Feasibility Of Using Virtual Reality As A Nonpharmacological Intervention To Alleviate Patient Fear Of Needles During Medical Treatment: A Study Protocol, Craig J. Gilbertson, Tshepo Rasekaba Dr, Irene Blackberry Professor
Journal of Perioperative Nursing
Background: An extreme fear of needles results in patients avoiding procedures that involve needle exposure, potentially compromising their health outcomes. Virtual reality is a simulated three-dimensional environment created using an audio-visual headset that may reduce patients’ level of anxiety during needle exposure.
Aims: The primary aim of the study is to determine the feasibility of using virtual reality to manage anxiety and reduce fear during intravenous cannulation. The safety and experiences of patients and health care professionals using virtual reality will be explored.
Methods: This feasibility study will use mixed methods. Participants will undergo needle exposure with standard care and …
Pre-Operative Anxiety Of Patients In District Hospitals In Ashanti Region, Ghana, Sawan Dankyi Sa, Million Bimerew Mi, Jennifer-Anne Chipps Ja
Pre-Operative Anxiety Of Patients In District Hospitals In Ashanti Region, Ghana, Sawan Dankyi Sa, Million Bimerew Mi, Jennifer-Anne Chipps Ja
Journal of Perioperative Nursing
Objectives: To investigate pre-operative anxiety of patients at district hospitals in Ashanti Region, Ghana.
Method: A descriptive survey was conducted with patients who were being prepared to undergo various surgical operations at ten hospitals. The questionnaire included the Hamilton Anxiety Rating Scale (HAM-A) and questions about factors that may contribute to patients’ anxiety prior to surgery.
Results: Most of the 210 respondents reported anxiety with 189 (90%) reporting some anxiety before the surgical operation (20.57/30, +/-10.07), range 0–26). Respondents reported moderate anxious mood (2.14, +/-1.45), tension prior to surgery (2.00, +/-1.35) and insomnia on the day before the procedure (2.00, …
Effect Of Pre-Operative Education On Post-Operative Pain Management Among Adult Patients Undergoing Elective Surgery: An Integrative Review, Sameera Liaqat Adam Albalushi, Fadi Khraim Dr., Atef M. M. Al-Tawafsheh Dr., Daniel Forgrave
Effect Of Pre-Operative Education On Post-Operative Pain Management Among Adult Patients Undergoing Elective Surgery: An Integrative Review, Sameera Liaqat Adam Albalushi, Fadi Khraim Dr., Atef M. M. Al-Tawafsheh Dr., Daniel Forgrave
Journal of Perioperative Nursing
Introduction: Adequate pain control for surgical patients is an important aspect of their post-operative care. To manage pain, health care professionals use pharmacological and non-pharmacological strategies. A significant worldwide increase in the number of surgical procedures and their associated cost has led to a focus on non-pharmacological interventions, like education, to prevent post-operative complications. Education in the pre-operative phase aims to assist patients in overcoming their fears about upcoming surgery, promote pain management and enhance the recovery process.
Objective: This integrative review aims to assess the effectiveness of preoperative education on post-operative pain management among surgical patients.
Method: Whittemore and …
Evidence-Based Practice In Perioperative Nursing: Barriers And Facilitators To Compliance, Benita Ramage, Paula Foran
Evidence-Based Practice In Perioperative Nursing: Barriers And Facilitators To Compliance, Benita Ramage, Paula Foran
Journal of Perioperative Nursing
Evidence-based practice (EBP), in combination with clinical expertise and patient values and wishes, enables delivery of exceptional patient-centred care. Providing our perioperative patients care that is informed by best evidence has been proven to provide a safer and higher standard of care.
Best evidence forms the basis for standards and guidelines for nursing practice published by organisations such as Australian College of Perioperative Nurses (ACORN), Australian and New Zealand College of Anaesthetists (ANZCA) and Australian Commission on Safety and Quality in Health Care (ACSQHC). While perioperative nurses strive to provide the best possible care for their patients there is sometimes …
Effectiveness Of Virtual Reality Interventions To Reduce Pre-Operative Anxiety In Adult Surgical Patients In The Pre-Operative Period: Systematic Review And Meta-Analysis, Agnes Mulundu Mbewe, Zaneta Smith
Effectiveness Of Virtual Reality Interventions To Reduce Pre-Operative Anxiety In Adult Surgical Patients In The Pre-Operative Period: Systematic Review And Meta-Analysis, Agnes Mulundu Mbewe, Zaneta Smith
Journal of Perioperative Nursing
Aims: To synthesise and evaluate the effectiveness of virtual reality (VR) interventions compared to standard care to reduce pre-operative anxiety in adult surgical patients during the pre-operative period.
Design: Systematic review of effectiveness and meta-analysis.
Data sources: MEDLINE, EMBASE, JBI EBP, PUBMED, CINAHL, SCOPUS, PsycINFO, Cochrane Library, EMCARE, World Health Organisation, WEB OF SCIENCE, Grey Literature, National Institute of Health & Care Excellence were searched with limits between 2010 to 2022.
Review methods: The review followed the Joanna Briggs Institute (JBI) methodology for systematic reviews of effectiveness and the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA 2020) guidelines. …
Impact Of Using Personal Mobile Phones In The Operating Theatre: A Scoping Review, Sara Reis, Rita D. Marques, Patrícia Pontífice-Sousa Phd
Impact Of Using Personal Mobile Phones In The Operating Theatre: A Scoping Review, Sara Reis, Rita D. Marques, Patrícia Pontífice-Sousa Phd
Journal of Perioperative Nursing
Background: Nowadays, mobile phones are an indispensable tool in multiple settings, particularly in the field of health care. Consequently, it is important to understand the impact of their use by health care professionals in the operating theatre – an environment that should be as ‘sterile’ as possible, to ensure patient safety.
Purpose: To map the available scientific evidence on the impact of the multidisciplinary team’s use of personal mobile phones in the operating theatre.
Methods: A scoping review was conducted, following the methodology recommended by the Joanna Briggs Institute. The bibliographic search was carried out in the ‘PubMed’ and ‘Web …
Addressing Burnout And Compassion Fatigue In Perioperative Nursing: An Urgent Call To Action, Jed Duff
Addressing Burnout And Compassion Fatigue In Perioperative Nursing: An Urgent Call To Action, Jed Duff
Journal of Perioperative Nursing
Burnout and compassion fatigue have a considerable impact on perioperative nurses’ wellbeing and job satisfaction as well as on the quality of patient care. As a specialty, we must act collectively to address this.
Discharge Delay From The Post Anaesthesia Care Unit: A Nursing Perspective, Ruowen Peng, Farida Saghafi, Hazel Maxwell
Discharge Delay From The Post Anaesthesia Care Unit: A Nursing Perspective, Ruowen Peng, Farida Saghafi, Hazel Maxwell
Journal of Perioperative Nursing
Background: The Post Anaesthesia Care Unit (PACU) is a critical junction between the operating theatre and the wards. It is essential for the close monitoring of patients before they are discharged to their destination wards for recovery. Many clinical and non-clinical factors influence the flow of patient discharge from the PACU to the wards. This study explores PACU nurses’ perceptions of non-clinical factors causing discharge delays and how these impact the work of nurses.
Method: In this study, a descriptive qualitative methodology was implemented. This methodology is widely used in nursing and health care research as it provides a descriptive …
Surgical Plume And Its Associated Hazards To Perioperative Staff: A Review Of Current Standards For Practice And Risk Management, Andrea J. Carrick
Surgical Plume And Its Associated Hazards To Perioperative Staff: A Review Of Current Standards For Practice And Risk Management, Andrea J. Carrick
Journal of Perioperative Nursing
Surgical plume poses a risk to perioperative nurses and the perioperative team as a whole, as well as the operative patient. Surgical plume contains various hazardous components which pose multiple health risks to the perioperative staff who are exposed to it. Further research is required in order to definitively understand the risks to perioperative staff from long-term exposure to surgical plume and to advance current policies and procedures. The current practice standard on surgical plume management from the Australian College of Perioperative Nurses (ACORN) sets out methods of reducing these risks. However, this standard’s utility in practice and barriers to …
The Impact Of Quality Improvement Interventions On Compliance With Standardised Surgical Count Protocol And Count Discrepancies: A Quality Improvement Study, Sepideh Totonchilar, Akram Aarabi, Aygineh Hairabedian
The Impact Of Quality Improvement Interventions On Compliance With Standardised Surgical Count Protocol And Count Discrepancies: A Quality Improvement Study, Sepideh Totonchilar, Akram Aarabi, Aygineh Hairabedian
Journal of Perioperative Nursing
Background: Unintentionally retained surgical items (RSI) are a global problem contributing to adverse events for surgical patients. The Association of periOperative Registered Nurses (AORN) has developed a standardised protocol for the surgical count; however, many hospitals do not follow the protocol for the surgical count. This study was conducted to investigate the effect of implementing quality improvement interventions, for counting surgical sponges, on compliance with the AORN surgical count protocol and occurrence of count discrepancies.
Method: This study was performed as an interventional quality improvement project from 1 February to 20 September 2022 with an intervention and a control group …