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The Imperative To Build Research Capacity And Promote Evidence-Based Practice In Australian Perioperative Nurses, Jed Duff 2020 University of Newcastle

The Imperative To Build Research Capacity And Promote Evidence-Based Practice In Australian Perioperative Nurses, Jed Duff

Journal of Perioperative Nursing

Evidence-based practice is considered the gold standard of care, and as such it is now an expectation of our patients, regulatory agencies and health care funders. Unfortunately, much of what we do in perioperative nursing continues to be based on tradition and history rather than robust clinical evidence. Even when evidence is available to use, it is often not fully applied in practice. If we want to maintain our standing as a leading nursing specialty, then we need to address this issue by engaging with research and growing our evidence base. To do this, we need to conduct and disseminate ...


Ecg For All Patients In The Pacu: Some Say, Why? I Say, Why Not?, Paula Foran 2020 Australian College of Perioperative Nurses (ACORN)

Ecg For All Patients In The Pacu: Some Say, Why? I Say, Why Not?, Paula Foran

Journal of Perioperative Nursing

Currently in many Australian hospitals, electrocardiogram (ECG) leads are removed after the operative process and, despite the machines being freely available in the Post Anaesthesia Care Unit (PACU), they are not connected to all patients.

There are many evidence-based reasons why an ECG would be advantageous for perioperative patient safety, including the detection of often asymptomatic conditions such as myocardial injury after non-cardiac surgery (MINS) and new-onset atrial fibrillation, which has been shown to increase the risk of stroke. Advantages may also be seen in saving precious minutes in a cardiac arrest, and the ability for nurses to constantly observe ...


Who’S Under The Mask? Colour-Differentiated Identification Labels For Perioperative Staff, Diana Bentley 2020 Australian College of Perioperative Nurses (ACORN)

Who’S Under The Mask? Colour-Differentiated Identification Labels For Perioperative Staff, Diana Bentley

Journal of Perioperative Nursing

Staff identification in the perioperative environment is difficult when all staff, students and visitors wear the same attire. All attire needs to be laundered to national standards for infection control governance and consequently attire cannot be individualised. In emergency situations it is also difficult to identify the roles of all staff with standard methods of identification.

The aim of the ‘Colour-differentiated identification labels’ project was to improve identification of all staff and visitors in the perioperative environment with the intended result being improved communication and safety among staff, patients and visitors. The project began in February 2018 with project leads ...


Perioperative Nurses’ Engagement With The Surgical Safety Checklist: A Focused Ethnography, Julie A. Rogers Mrs, Paul Mcleish Mr, Jan Alderman Mrs 2020 University of Adelaide

Perioperative Nurses’ Engagement With The Surgical Safety Checklist: A Focused Ethnography, Julie A. Rogers Mrs, Paul Mcleish Mr, Jan Alderman Mrs

Journal of Perioperative Nursing

Purpose

To gain greater insight into how nurses engage with the multidisciplinary team during the surgical safety checklist process.

Participants and setting

Participants were a purposeful sample of eight operating room nurses. The study was conducted in the operating room department of a major tertiary teaching hospital in South Australia.

Methods

Phase 1 employed participant observations while phase 2 employed semi-structured interviews.

Findings

Participants supported the use of the surgical safety checklist and valued its role to enhance patient safety. Multidisciplinary team culture played a significant role in how the checklist was conducted and heavily influenced the level of nurse ...


General Surgery Mobile Procedure Cart: Providing Safe And Efficient Procedure Based Care To The Bedside, Ryan Lamm, Ellen Caparosa, James Fraser, Lindsay Lynch, Uzma Rahman, Lindsay Weil, Harish Lavu 2020 Thomas Jefferson University

General Surgery Mobile Procedure Cart: Providing Safe And Efficient Procedure Based Care To The Bedside, Ryan Lamm, Ellen Caparosa, James Fraser, Lindsay Lynch, Uzma Rahman, Lindsay Weil, Harish Lavu

House Staff Quality Improvement and Patient Safety Conference (2020-)

Objective

To create a mobile supply cart with all necessary supplies needed for the most common general surgery bedside procedures in order to decrease the amount of times residents need to “shop” for supplies from other locations and prevent delays in procedures to get supplies that are not available. In turn, this will increase patient safety and quality of procedure-based care delivered.


Asymptomatic Fluid Collections Following Distal Pancreatectomy – Is Intervention Warranted?, Elwin Tham, MD, Emily Papai, MS, David Nauheim, MS, Michael Morano, MS, Nicole Wagner, MS, Shawnna Cannaday, CRNP, Theresa P. Yeo, PhD, Geoffrey Krampitz, MD, PhD, Charles J. Yeo, MD, Harish Lavu, MD 2020 Thomas Jefferson University

Asymptomatic Fluid Collections Following Distal Pancreatectomy – Is Intervention Warranted?, Elwin Tham, Md, Emily Papai, Ms, David Nauheim, Ms, Michael Morano, Ms, Nicole Wagner, Ms, Shawnna Cannaday, Crnp, Theresa P. Yeo, Phd, Geoffrey Krampitz, Md, Phd, Charles J. Yeo, Md, Harish Lavu, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

Objective

To determine the incidence, associated factors, natural history, and interventions for FCs.


Thoracostomy Tube Placement: Resident Experience And Confidence At A Large Academic Medical Center, Lisa A. Bevilacqua, MD, Prashanth Palvannan, MD, MPH, Meryl Abrams, MD, D. Brock Hewitt, MD, MPH, Kory London, MD, Francesco Palazzo, MD, Tyler Grenda, MD 2020 Thomas Jefferson University

Thoracostomy Tube Placement: Resident Experience And Confidence At A Large Academic Medical Center, Lisa A. Bevilacqua, Md, Prashanth Palvannan, Md, Mph, Meryl Abrams, Md, D. Brock Hewitt, Md, Mph, Kory London, Md, Francesco Palazzo, Md, Tyler Grenda, Md

House Staff Quality Improvement and Patient Safety Conference (2020-)

The goal of this study was to investigate TT placement patterns and resident confidence at one academic medical center. In addition, our second objective was to gather quantitative data on the frequency and context of TT placement, rates of complications, and factors associated with complications among residents at TJUH.


The Impact Of Botox For Hospitalized Patients With Hirschsprung Associated Enterocolitis, Wendy J. Svetanoff, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

The Impact Of Botox For Hospitalized Patients With Hirschsprung Associated Enterocolitis, Wendy J. Svetanoff, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Optimal Treatment Of Pediatric Breast Abscesses: A Retrospective Analysis, Charlene Dekonenko, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Optimal Treatment Of Pediatric Breast Abscesses: A Retrospective Analysis, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Same-Day Discharge And Quality Of Life For Primary Laparoscopic Rectopexy For Rectal Prolapse In Children- A 10-Year Experience, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Same-Day Discharge And Quality Of Life For Primary Laparoscopic Rectopexy For Rectal Prolapse In Children- A 10-Year Experience, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Laparoscopic Gastrostomy During An Open Abdominal Procedure, Charlene Dekonenko, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Laparoscopic Gastrostomy During An Open Abdominal Procedure, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Same Day Discharge For Pediatric Laparoscopic Gastrostomy, Charlene Dekonenko, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Same Day Discharge For Pediatric Laparoscopic Gastrostomy, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Surgical Management Of Superior Mesenteric Artery Syndrome In Children, Charlene Dekonenko, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Surgical Management Of Superior Mesenteric Artery Syndrome In Children, Charlene Dekonenko, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Inpatient Management Of Hirschsprung’S Associated Enterocolitis (Haec) Treatment – The Benefits Of Standardized Care, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Inpatient Management Of Hirschsprung’S Associated Enterocolitis (Haec) Treatment – The Benefits Of Standardized Care, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Institution Experience With Laparoscopic Hernia Repair In 500 Children, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Institution Experience With Laparoscopic Hernia Repair In 500 Children, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Post-Operative Intra-Abdominal Abscess After Appendectomy – Are Drains Necessary In All Patients?, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Post-Operative Intra-Abdominal Abscess After Appendectomy – Are Drains Necessary In All Patients?, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Optimization Of Pediatric Bowel Management Using An Antegrade Enema Troubleshooting Protocol, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Optimization Of Pediatric Bowel Management Using An Antegrade Enema Troubleshooting Protocol, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Impact Of An Institutional Designed Protocol In The Management Of Dislodged Gastrostomy Tubes, Obiyo O. Osuchukwu 2020 Children's Mercy Kansas City

Impact Of An Institutional Designed Protocol In The Management Of Dislodged Gastrostomy Tubes, Obiyo O. Osuchukwu

Research Days

No abstract provided.


Laryngotracheal Stenosis, Kelsey Stuckey 2020 Southern Illinois University Edwardsville

Laryngotracheal Stenosis, Kelsey Stuckey

Doctor of Nursing Practice Projects

Laryngotracheal stenosis (LTS) is the luminal compromise at the laryngeal, subglottic, or tracheal level (Gelbard et al., 2014). Various etiologies for LTS exist. Endotracheal cuff over-inflation, inappropriately sized endotracheal tubes, and sudden movements of the tube contribute to injury, as well as anatomical differences(Cardillo et al., 2010; Divatia & Bhowmick, 2005; Medina et al., 2009; Miñambres et al., 2009; Nikolovski et al., 2019; Zaghi et al.,2016). The influence of estrogen may contribute to the development of LTS in women during the third through fifth decades Dedo & Catten, 2001; Poetker et al., 2006; Valdez & Shapshay, 2002). The project goal was to provide an evidence-based ...


Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav 2020 University of Nebraska Medical Center

Surgical Care Perspectives: Exploring Barriers And Facilitators To Surgery In Rural Nebraska, Sarah Stanislav

Capstone Experience

Background: Minimally invasive surgery (MIS) is associated with less pain, faster recovery, and lower complication rates. Despite being the standard of care, it remains underutilized in rural Nebraska. Surgeon shortages and limited studies describing patient and provider factors influencing treatment gaps contribute to unnecessary complications and healthcare expenditure. Our study aimed to understand rural surgical care barriers and facilitators encountered by patients, providers, and stakeholders in Nebraska. Methods: This exploratory mixed methods study involved 17 semi-structured interviews using a snowball sampling of eligible participants affiliated with an MIS Advisory Committee. Two coders analyzed data using NVivo12. A follow-up review of ...


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