Medicine and Health Sciences Commons^™

The Impact Of Obesity Surgery On Psychosocial Health, Sibel Taze, Oya Gumuskaya, Mustafa Taşkın

Journal of Perioperative Nursing

Background: As obesity affects different dimensions of health, psychosocial wellbeing of patients can be predicted to significantly improve after bariatric surgery.

Method: This qualitative study focused on determining the experience of patients who underwent bariatric surgery and the psychosocial impact of it on their daily lives and provides nurses with detailed information regarding patients’ experience. While some of these outcomes were in line with the literature, they have also revealed new aspects and provided deeper understanding regarding individuals’ experiences.

Results: Five themes were identified: limitations in physical activity, social isolation due to negative body image, increased self-esteem, change in romantic …

Pressure Injury Prevention In The Perioperative Setting: An Integrative Review, Isabel Wang, Rachel Walker, Brigid M. Gillespie Phd

Journal of Perioperative Nursing

Background: Pressure injury (PI) has a significant impact on patients and their families, and is costly to health care institutions. Perioperative PI remains problematic, although little is reported about current perioperative pressure injury prevention (PIP) strategies.

Aim: To identify the key perioperative PIP strategies, following a systematic review of published research, to describe existing gaps in the literature, and to inform the development of subsequent observational study.

Design:An integrative literature review method developed by Whittemore and Knafl was used.

Method: Research inclusion and exclusion criteria were identified a priori. Six data bases were searched and search terms included pressure …

Using The Acorn Standards: An Exploration Of Claims, Concerns And Issues, Carollyn Williams, Jed Duff Dr, Pat Nicholson, Lois Hamlin Rn, Brigid M. Gillespie Phd

Journal of Perioperative Nursing

An interactive action research workshop was offered during the ACORN & ASIORNA Conference which was held in Adelaide in 2018. The purpose of the workshop was to explore the research evidence supporting ACORN’s Standards for Perioperative Nursing in Australia, to identify gaps in the evidence related to standards and to explore challenges associated with the implementation of standards in clinical practice. The workshop also provided perioperative nurses with the opportunity to discuss their research interests and ask questions about undertaking research-focused degrees. Workshop participants provided an eclectic and credible range of issues related to the development and implementation of standards, …

Current Opinion About Surgery-Related Fear And Anxiety, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.

Perioperative Handover Using Isbar At Two Sites: A Quality Improvement Project, Patricia Kitney

Journal of Perioperative Nursing

Background:The use of ISBAR handover principles assists in enabling the provision of best care to perioperative patients1. Reviews of post-operative handover research studies confirm the positive association between the quality of handovers and the decrease in adverse patient events2,3. Other reviews identify that globally handovers can be highly unpredictable and unreliable3–6. Therefore, the argument for standardised handovers to reduce the probability of adverse patient events in comparison to unstructured handovers, which have been shown to increase the chances of adverse patient events, is worth investigating.

Method:The method used was a multisite quasi-experimental design involving audits of perioperative handovers …

Intestinal Bacterial Contamination Of Surgical Instruments Used For Wound Closure During Intestinal Surgery, Norihiro Kameda, Junko Nishio, Toshiko Ogawa, Shinobu Okada

Journal of Perioperative Nursing

No abstract provided.

Prevalence And Risk Factors Of Low Back Pain And Disability Index Among Operating Room Nurses, Anita Kiruba Jeyakumar, Florence Segaran

Journal of Perioperative Nursing

Introduction

Work related low back pain (LBP) has a clear impact on productivity at work. The aim of the study was to assess the prevalence and risk factors of LBP among operating room (OR) nurses. It also aimed to identify the disability index among those OR nurses diagnosed with LBP.

Method

This cross-sectional survey was conducted among the OR nurses working at a 2500-bed tertiary care centre with 37 operating rooms. OR nurses with a minimum of one year experience were included. A validated self- structured questionnaire was administered to them. Statistical analysis was done using Chi square test, and …

Editorial: Fundamentals Of Missed Care – Implications For The Perioperative Environment, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.

Pressure Injury Prevention For Surgery: Results From A Prospective, Observational Study In A Tertiary Hospital, Isabel Wang, Rachel Walker, Brigid M. Gillespie

Journal of Perioperative Nursing

No abstract provided.

Private Pain – Identifying Gaps In The Management Of Chronic Pain Patients In Private Hospitals: A Case Study, Johanna Gale

Journal of Perioperative Nursing

This is a case study of a patient who experiences chronic pain and was admitted for an acute surgical procedure in a private hospital. It illustrates how communication and teamwork can be overlooked within the multidisciplinary focus when jointly caring for this group of patients within the public and private sectors. This case study offers a nurse-led approach to improving individualised health care for chronic pain patients while preventing gaps in health care.

Establishing A New Cardiac Surgery Service In An Australian University Hospital: Pitfalls And Lessons Learned, Claudia Ciobanu, Sharon Latimer, Brigid M. Gillespie

Journal of Perioperative Nursing

Cardiovascular disease is the leading cause of death among Australians. Creating and delivering a world-class cardiac surgery service in a cost-effective way is the principle goal of health care organisations and managers. Establishing a new health care service is a unique opportunity and requires detailed planning and implementation. Managing change is pivotal to establishing a new patient-focused health care service, and should be coupled with effective communication and teamwork among all stakeholders. There are foreseen and unforeseen challenges associated with any project so sharing the lessons learned is an important way for others in a similar situation to avoid potential …

Technology Stress In Perioperative Nursing: An Ongoing Concern, Judith Smith, Debra Palesy

Journal of Perioperative Nursing

The following discussion will explore the impact of technology on perioperative nursing roles and the development of the phenomenon coined ‘technology stress’. We will begin by reviewing the ongoing debate of technical versus caring nursing practices. The impact of advanced technology on perioperative nursing roles is explored, highlighting the development of technology stress. The paper concludes with some recommendations for further research.

Clinical Handover Of Immediate Post-Operative Patients: A Literature Review, Samantha Clarke, Karen G. Clark-Burg, Elaine Pavlos

Journal of Perioperative Nursing

The transfer of professional responsibility for some or all aspects of patient care, within and between professional groups on a temporary or permanent basis, is termed clinical handover. Communication during clinical handover is considered a challenging patient safety problem. A key principle of transfer of professional responsibility for patient care is the minimum amount of information or content that must be contained and transferred in any particular type of clinical handover.

Aim: The purpose of this literature review was to establish the scope of the literature about clinical handover from the operating room to Post Anaesthesia Care Unit (PACU) published …

Compassion Fatigue In The Perioperative Environment, Erin Wakefield

Journal of Perioperative Nursing

No abstract provided.

Changing The Standard Of Blood Management In Australia: An Overview, Alana Delaforce, Jed Duff, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.

Is Your Graduate Nurse Suffering From Transition Shock?, Erin Wakefield

Journal of Perioperative Nursing

The term ‘transition shock’ is a relatively new concept used to describe the experience of moving from the comfortable and familiar role of the preregistration nursing student to the professional registered nurse (RN)1. The initial and most dramatic stage in this theory of role adaption occurs over the first four months of professional practice.

Transition shock has foundational basis in Kramer’s theory of ‘reality shock,’ which describes the phenomenon of studying for many years to practice a particular role, and then finding the professional reality is different than expected. Reality shock has four phases – the honeymoon phase, the shock …

Reshaping Perioperative Nursing Practice To Get The Job Done: A Constructivist Grounded Theory Study, Sharon Bingham, Kenneth Walsh, Karen Ford

Journal of Perioperative Nursing

No abstract provided.

Task Transfer: A Survey Of Australian Surgeons On The Role Of The Non-Medical Surgical Assistant, Toni Hains, Catherine Turner, Haakan Strand

Journal of Perioperative Nursing

Background: A non-medical surgical assistant is a clinician who provides perioperative care in the role of surgical assistant but does not possess a medical degree. This role has been practiced in Australia for more than 20 years.

Aim: This survey investigates Australian surgeons’ attitudes and current practice regarding the role of the non-medical surgical assistant.

Design/method: Distribution of the survey was online in December 2015 by the Royal Australasian College of Surgeons (RACS). Data analysis was descriptive using online survey methodology and convenience sampling.

Results: In the private sector in Australia 105 respondents (35 per cent) use a non-medical surgical …

Inadvertent Postoperative Hypothermia Prevention: Passive Versus Active Warming Methods, Jessica Watson

Journal of Perioperative Nursing

Temperature management within the perioperative environment is an imperative component of and a standard of practice in providing effective patient safety and comfort. This literature review will explore the evidence surrounding the use of active and passive warming mechanisms in the prevention of postoperative hypothermia. Many studies have recognised the adverse consequences of inadvertent postoperative hypothermia, hence the rapid advancement in education about and use of equipment and devices for its prevention. Evidence-based literature was reviewed to provide rationales and recommendations for strategies to prevent postoperative hypothermia. This literature review will potentially guide clinicians through the use of effective devices …

Recommended Practices For The Management Of Surgical Smoke And Bio-Aerosols For Perioperative Nurses In Thailand, Usavadee Asdornwised, Daranee Pipatkulchai, Suwat Damnin, Vitoon Chinswangwatanakul, Mongkol Boonsripitayanon, Sununtha Tonklai

Journal of Perioperative Nursing

Evidence-based guidelines for the management of surgical smoke and bioaerosols for perioperative nurses are necessary to improve the quality of care for patients and to ensure a safe environment in operating rooms. A survey of 377 operating room (OR) nurses throughout Thailand was used to assess the incidence of health problems related to surgical smoke exposure, as well as the current practices for these substances. A high percentage of OR nurses reported little or no use of smoke evacuation tools such as central smoke evacuation systems (100 per cent), portable smoke evacuation units (82 per cent), wall suction with inline …