Health Services Research Commons^™

Innovations In Postgraduate Work Integrated Learning Within The Perioperative Nursing Environment: A Western Australian Experience, Kylie Russell, Tracey Coventry

Journal of Perioperative Nursing

A key expectation from the health care industry in Australia is that nurses engaged in postgraduate specialist education need to be able to apply their extended knowledge and skills to the workplace. For this to succeed, health services need to be involved in the development of course content and learning outcomes to ensure authentic engagement. Essential to this is student participation in workplace learning that provides experience, performance feedback and reflection. This promotes graduate success to meet industry expectations.

The Graduate Diploma of Perioperative Nursing aims to develop graduates with not only the knowledge of good perioperative nursing practice but …

A Personal Perspective On Separating Families Before Surgery, Coralie Steward

Journal of Perioperative Nursing

No abstract provided.

Factors Affecting Surgical Plume Evacuation Compliance, Stephanie Holmes

Journal of Perioperative Nursing

Despite the acknowledgement of the hazards of surgical plume, compliance with smoke evacuation is not routine. This review examines the current literature on factors influencing compliance with smoke evacuation. Factors identified included the design of the smoke evacuation device, surgeon refusal, education and managerial support. Strong leadership, education and policy enforcement from a local facility level are required to improve surgical plume evacuation compliance. More research in this field would help to further strengthen these findings.

Patient Organizations And Primary Care Development: Reflections By Patients With Chronic Diseases, Britta E. Berglund, Irene Westerlund

Patient Experience Journal

To explore how patients with chronic diseases, as well as members of patient organizations, perceive primary care and how they think about how to participate in primary care development. Focus group interviews with 28 patients in three regions in Sweden were conducted. We identified four themes: Availability of care, How to be met by professionals, Information needs and Continuity and prevention in care. Important was to meet the same doctor at every visit and to be met with empathy and knowledge about your disease. Suggestions about better use of technical information services, introduction of a coordinator in the waiting room …

An Opportunity Taken: Sunshine Coast University Private Hospital’S Perioperative Nurse Surgeon’S Assistant Experience, Catherine Smith, Toni Hains, Natasha Mannion

Journal of Perioperative Nursing

No abstract provided.

‘Below Ten Thousand’: An Effective Behavioural Noise Reduction Strategy?, Pete Smith, John Gibbs

Journal of Perioperative Nursing

Noise in the operating theatre environment has remained a persistent and unresolved problem1. The problem currently lacks an effective solution2. In order to partially resolve this issue, the authors created a behavioural noise reduction tool called ‘Below ten thousand’. This study identifies a potential solution to the problem of behavioural noise in the operating theatre, and indicates further research must be undertaken to identify the full scale of benefits this technique can deliver to the team environment in the operating theatre.

Factors That Predict Evidence Use By Australian Perioperative Nurses, Jed Duff, Margaret Butler, Menna Davies, Robyn Williams, Jannelle Carlile

Journal of Perioperative Nursing

Evidence-based practice has been demonstrated to positively impact patient outcomes; unfortunately, there are many factors that hinder the use of research evidence by healthcare clinicians. Our previous study reported a multisite survey assessing Australian perioperative nurses knowledge, practice, attitude, and perceived barriers to evidence use. This subsequent analysis used univariate and multivariate binary logistic regression with odds ratios (OR) and 95% confidence intervals (CI) to compare individual nurse and organisational characteristics with high evidence-basad practice (EBP) use. Two individual nurse characteristics found to be related to EBP were postgraduate qualifications (OR 1.69, 95% CI 1.07–2.6, p=0.02) and previous research experience …

A Failed Perioperative Nursing Journal Club: Reflections On Mistakes Made, And Lessons Learned, Jennifer Austin

Journal of Perioperative Nursing

No abstract provided.

Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury

Patient Experience Journal

Quantitative evidence links patient satisfaction scores to the use of communication strategies such as AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) and Hourly Rounding. However, little is known about patient perceptions of these tools in regards to their hospital experience. Qualitative interviews were conducted with a convenience sample of 14 adult medical/surgical inpatients in one mid-sized, community hospital, following hospital discharge. The interview data was transcribed and opened coded, utilizing constant comparison to identify common themes. Themes emerged in four topical areas: (a) patient experience of hospitalization, (b) AIDET, (c) Hourly Rounding, and (d) unexpected findings. Patients placed significant …

Tuberculosis And Local Health Department Expenditures On Tuberculosis Services, Michelle P. Yip, Betty Bekemeier

Frontiers in Public Health Services and Systems Research

Background: Although tuberculosis (TB) morbidity and mortality have decreased in recent decades, challenges exist regarding disproportionate distributions of TB among specific populations and geographic areas. Inconsistent local health department (LHD) funding for TB programs poses difficulties for LHDs to sustain resources and personnel that predisposes communities to risks of future outbreaks of TB and drug-resistant TB diseases.

Purpose: This study examined relationships between annual TB incidence rates and LHD expenditures on TB-related services to elucidate potential impacts of TB incidence on LHD TB spending.

Methods: This dataset included county-level TB incidence data with comparable, annual (2000–2010) TB-related service expenditures for …

The Value Of Guided Operating Theatre Experience For Undergraduate Nurses, Paula Foran

Journal of Perioperative Nursing

Can nurses who have not been involved in guided operating theatre experience care for patients before and after surgery with the same level of knowledge and expertise as those who have?

This paper will present an overview of a national mixed methods research project that investigated these issues, comparing different models of operating theatre education offered in Australia. Transferable skills learned via operating theatre experience that may be useful in the surgical wards will be explored and also possible correlations between students’ experiences in this specialty area and recruitment and retention of staff to this specialist area.

Handover Between Anaesthetists And Post-Anaesthetic Care Unit Nursing Staff Using Isbar Principles: A Quality Improvement Study, Patricia Kitney, Raymond Tam, Paul Bennett, Dianne Buttigieg, David Bramley, Wei Wang

Journal of Perioperative Nursing

A structured approach to communication between health care professionals contains introduction/identification; situation; background; assessment and request/recommendation (ISBAR). ISBAR was introduced into the post-anaesthetic care unit (PACU) of a large Victorian health service in 2013. The aim of this study was to measure the effect of an education program on ISBAR compliance.

Method: A pre/post-test design using a 14-item audit tool was used to measure compliance to ISBAR before and after an education intervention in two acute hospitals in Melbourne, Victoria. The intervention consisted of one 30-minute education session to anaesthetists, and two 30-minute education sessions to PACU nurses, combined with …

The Collaborative Development Of A Pre-Operative Checklist: An E-Delphi Study, Katherine Murphy, Kim Walker, Jed Duff, Robyn Williams

Journal of Perioperative Nursing

The aim of this study was to identify which items should be included in a pre-operative checklist based on recommendations by nurse experts in order to promote patient safety and effective communication in the perioperative environment.

Method: Thirty-five nurses participated in this e-Delphi study, which was conducted online via SurveyMonkey.. Each survey presented participants with a list of potential items for inclusion in a pre-operative checklist. Participants were asked to identify items they felt should be included in the checklist with the option to include comments. Comments were de-identified and shared with other participants to allow confidential interaction. The surveys …