Medical Specialties Commons^™

See One, Do One, Teach One: Advanced Perioperative Nursing Practice In Australia, Jed Duff

Journal of Perioperative Nursing

No abstract provided.

Cloth Hats: (W)Hat’S The Issue, Elizabeth Mckenna

Journal of Perioperative Nursing

Introduction

The aim of this discussion paper is to consider three issues regarding perioperative attire:

1. whether cloth hats or disposable hats are better for reducing patient risk of acquiring a surgical site infection (SSI)
2. whether the risk of infection is different for the bouffant style of hat compared to the skullcap style of hat
3. whether there is enough evidence available to support a statement that cloth hats are safe to wear in the operating suite.

Background

Hats have been routinely worn in operating suites since the 1950s. The intention of covering the hair has been to reduce the risk of …

Ex Utero Intrapartum Treatment (Exit) Procedure: Indications And Procedural Considerations, Melissa Silva

Journal of Perioperative Nursing

Problem identification

Ex Utero Intrapartum Treatment (EXIT) has become the optimal delivery strategy in fetuses with airway compromise; however, it remains an extremely rare procedure. This review aims to provide perioperative nurses with an overview of EXIT procedure to enable them to be an effective member of the multidisciplinary team.

Literature search

An electronic search of the CINAHL, Medline and Scopus databases was undertaken yielding 19 articles for inclusion in this integrative review. The papers included were case studies, case series or retrospectives and describe 42 EXIT procedures with 43 babies.

Data evaluation synthesis

The most common indication for the …

Supporting Paediatric Patients: Parental Presence In The Anaesthetic Journey, Salina Blake

Journal of Perioperative Nursing

Objective

This discussion paper explores the use of parental presence during induction of anaesthesia as a method of decreasing paediatric and parental perioperative anxiety.

Setting

A perioperative department in an Australian public hospital.

Subjects

Paediatric patients and parents/guardians.

Primary argument

There is evidence to support the importance of parental presence in the anaesthetic setting; however, this varies between different health care facilities. This paper will argue that the presence of the parent during induction of anaesthesia will decrease the anxiety of the child. However, there has been little discussion about the pivotal role parents can play when participating in the …

The Trusted Source Of Knowledge For Australian Perioperative Nurses, Jed Duff

Journal of Perioperative Nursing

No abstract provided.

Creating And Applying Shared Mental Models In The Operating Room, Alister Wilson

Journal of Perioperative Nursing

A shared mental model is a concept from high reliability environments, like aviation, to help teams develop collective understanding of how they will work together to safely accomplish their goals. Areas of high-risk health care like the operating room have adapted this concept to improve interdisciplinary teamwork and thus improve patient outcomes. Non-technical skills including communication, situational awareness, task management and leadership are employed to produce a functional shared mental model. Nurses play an important role in the change process as traditional hierarchical cultures, differing communication styles between doctors and nurses and an increasingly transient workforce are all challenges to …

The Patient, Case, Individual And Environmental Factors That Impact On The Surgical Count Process: An Integrative Review, Victoria Ruth Warwick, Brigid M. Gillespie, Anne Mcmurray, Karen G. Clark-Burg

Journal of Perioperative Nursing

Problem identification

The surgical count is an integral component of the perioperative nurse’s role designed to reduce the risk of unintentional retained items (URIs) during surgery. Current literature provides statistical data that URIs continue to occur which has exposed a lack of adherence to the surgical count process as a possible contributing factor. This review was undertaken to identify what is currently known about perioperative nurses’ practices in relation to the surgical count and the perceived barriers and enablers when trying to follow best practice as outlined in ACORN’s Standards for Perioperative Nursing in Australia.

Literature search

The objective …

Refining Guidelines For The Care Of Paediatric Perioperative Patients In A Rural Health Care Facility, Michelle Hibberson

Journal of Perioperative Nursing

No abstract provided.

Improving Hand Surgery Pain Management Results Using A Key Phrase And Patient Feedback: A Quality Improvement Project In A United States Ambulatory Surgery Site, Janet E. Reilly, Brenda Tyczkowski, Stacie Murley

Journal of Perioperative Nursing

Objective: The objective of this study was to report changes in patient pain satisfaction and quality indicator scoring of post-operative pain using key phrasing, or standardised scripts, as the nursing intervention.

Sample/setting: Data was collected from an ambulatory surgery clinic in an American non-profit, 185-bed community hospital which is part of a nationally ranked health system.

Method: This study used a before-and-after design in which quality improvement data was collected from the Press Ganey™ ambulatory surgery surveys completed by patients undergoing hand surgery. Changes in outcomes were measured three months before and during the key phrase intervention.

Results: Data indicated …

Implementing A Surgical Site Infection Care Bundle: Implications For Perioperative Practice, Elaine Michelle Proops

Journal of Perioperative Nursing

Surgical care bundles are made up of a group of evidence-based practice interventions which when performed together can have a positive outcome on patient care. The ACORN Standards for Perioperative Nursing in Australia outline practices that should be adhered to in Australia; however, practices can be further refined clinically to ensure best practice. Surgical site infection is one of the most preventable causes of hospital-acquired infections in Australia. Research suggests that care bundles implemented by the perioperative team can reduce the incidence of such infections while also offering additional benefits.Surgical site infection intervention bundles can support nurses in their evidence-based …

The Value Of A Perioperative Nurse, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.

Australian Perioperative Nurses’ Attitudes, Levels Of Knowledge, Education And Support Needs Related To Organ Donation And Procurement Surgery: A National Survey, Zaneta Smith, Cindy Woods, Kim Usher, Jackie Lea

Journal of Perioperative Nursing

Objectives: The aim of this study was to examine Australian perioperative nurses’ self-reported knowledge, attitudes, levels of education and support in relation to their participation in organ donation and procurement surgery.

Sample and setting: Data was collected from Australian perioperative nurses who are members of the peak national body Australian College of Perioperative Nurses (ACORN).

Methods: An online survey was distributed to ACORN members on behalf of the researchers. The online survey comprised 67 items encompassing open- and closed-ended questions along with graded Likert and ordinal multicategory scales.

Results: Of ACORN’s 4000 Australian members, 452 (11.3 per cent) responded to …

Preventing Perioperative Hypothermia Is Clinically Feasible And Cost Effective, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.

Improving Antibiotic Prescribing For Surgical Prophylaxis – The Role Of Perioperative Nurses, Pat Nicholson

Journal of Perioperative Nursing

No abstract provided.

Perioperative Nurses’ Perceptions Of Cross-Training: A Qualitative Descriptive Study, Mellisa S. Platt, Tracey Coventry, Leanne Monterosso

Journal of Perioperative Nursing

Purpose: To investigate the perceptions of perioperative nurses regarding the use and impact of cross-training in the perioperative department. Participants and setting: Scrub and scout perioperative nurses (n=8) who had completed a one-day recovery room cross-training program in a large tertiary private health care organisation in Western Australia.

Method: One-to-one, semi-structured interviews of perioperative scrub–scout nurses.

Findings: The participants perceived the positive aspects of cross-training were teamwork, professional satisfaction and added value to patient care. The aspects that inhibited participants from learning or taking part in the cross-training program were staffing issues, lack of confidence and burnout.

Conclusion: Cross-training supported …

Innovations In Postgraduate Work Integrated Learning Within The Perioperative Nursing Environment: A Mixed Method Review, Kylie P. Russell, Tracey Coventry Dr

Journal of Perioperative Nursing

Purpose: To determine the impact of the Graduate Diploma of Perioperative Nursing on student learning and career progression.

Participants and setting: A validated mixed methods descriptive survey was sent to participants (n=67). Findings were analysed using descriptive statistics and results were further investigated using a focus groups of 12 individuals.

Methods: Overall 96 per cent of graduates were satisfied with the program and agreed that the program had improved their delivery of patient care and enhanced their application of theoretical knowledge to clinical skills. Three themes were identified from data from the focus groups: ‘learning’, ‘empowerment’ and ‘opportunity’. Qualitative findings …

The Impact Of Improved Surgical Safety Checklist Participation On Or Efficiencies: A Pretest-Posttest Analysis, Brigid M. Gillespie Phd, Emma Harbeck Phd, Joanne Lavin Mn Rn, Therese Gardiner Bn Rn, Teresa Withers Fracs, Andrea Marshall Phd

Journal of Perioperative Nursing

Objective:To describe changes in day of surgery (DOS) cancellations and procedural delays following introduction of a practice improvement intervention to improve team members’ participation in the surgical safety checklist (SSC).

Methods:Pretest—posttest electronic audit of secondary data collected 12 months before and 12 months after implementation. A consecutive sample of patients who underwent elective surgeries were included. Elective surgeries over two periods (November 2014 to September 2015, and November 2015 to October 2016) were included in the audit and data was collected retrospectively. The practice improvement intervention coined ‘pass the baton’ was implemented over four weeks in October 2015. …

Pressure Injury Risk Assessment And Prevention Strategies In Operating Room Patients – Findings From A Study Tour Of Novel Practices In American Hospitals, Lauren Goudas, Steven Bruni

Journal of Perioperative Nursing

Hospital-acquired pressure injuries (HAPI) lead to complications such as increased pain, increased bed days, re-admissions, multiple surgical interventions, possible disfigurement, decreased quality of life, increased healthcare cost and mortality. There are several factors specific to the operating room suite which increase the risk of pressure injury development. Highlighting the need for OR specific pressure injury risk assessment tools. Research indicates that pressure injuries occurring in the OR can appear up to 48-72 hours post-surgery, thus the incidence of pressure injury originating in the OR is likely to be higher than is currently reported. Facilities in the USA are now attributing …