scholarly journals Perioperative nursing care of a patient with urogenital sinus malformation who underwent vaginal calculus removal and correction: a case report

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052093131
Author(s):  
Baoqin Tong ◽  
Meili Wang ◽  
Jieqiong Yu ◽  
Suwen Feng

Cases of urogenital sinus malformation with a huge calculus are complex and rare. Improper nursing care of these cases can lead to a series of problems. We report here a 23-year-old married woman who was admitted to hospital because of primary amenorrhea and failed sexual intercourse for 5 years. Through combined diagnosis and treatment of radiology, ultrasound, urology, gynecology, and other disciplines, the patient was diagnosed with urogenital sinus malformation, a vaginal calculus, and primary amenorrhea. After full preparation, the patient underwent an operation for extraction of the vaginal calculus, urethroplasty, vaginoplasty, and hysteroscopy. The calculus of the patient was removed and the vagina was returned to its normal anatomy. Patients with urogenital sinus malformation and a huge calculus have complex care requirements and experience a particular state of vulnerability during the diagnostic phase. By establishing good communication with patients and providing proper perioperative nursing, physiological and psychological rehabilitation of these patients can be achieved.

1993 ◽  
Vol 13 (4) ◽  
pp. 25-32 ◽  
Author(s):  
DM Glankler

If no complications arise, the near-drowning victim is usually discharged within 48 hours. However, some patients require complex care because of multisystem failure. These patients challenge the critical care nurse, who must understand the interrelationships of the problems to provide quality care. The major focus of care is stabilization and normalization of the cardiovascular, respiratory and neurologic systems through accurate nursing assessments and implementation of appropriate nursing care.


2020 ◽  
Vol 33 (6) ◽  
pp. 463-475
Author(s):  
Priscilla Anaba ◽  
Emmanuel Anongeba Anaba ◽  
Aaron Asibi Abuosi

PurposePromoting patient satisfaction is crucial for healthcare quality improvement. However, literature on patient satisfaction with nursing care in Ghana is limited. The aim of this study was to assess patient satisfaction with perioperative nursing care in Korle-Bu Teaching Hospital, the largest tertiary hospital in Ghana.Design/methodology/approachThe study was a cross-sectional study. A sample of one hundred (n = 100) in-patients in the surgical department were interviewed. Statistical Package for Social Science (SPSS), version 22, was used to analyze the data. The results were presented using univariate, bivariate and multivariate analyses.FindingsIt was found that majority of the respondents were males (53%), employed (56%) and insured (85%). It was also found that eight in ten respondents were satisfied with the perioperative nursing care. Overall patient satisfaction with perioperative nursing care was significantly associated with information provision (p < 0.001), nurse–patient relationship (p < 0.001), fear and concern (p < 0.05) and discomfort and need (p < 0.05). At the multivariate level, overall patient satisfaction was significantly influenced by nurse–patient relationship (β = 0.430, p = 0.002).Originality/valueThere is limited literature on nursing care in surgical departments and rarely are patients' views considered in assessing quality of perioperative care, especially in Low- and Middle- Income Countries (LMICs). This study is a modest contribution to the literature on patient satisfaction with perioperative nursing care in Ghana.


AORN Journal ◽  
2019 ◽  
Vol 110 (2) ◽  
pp. 130-133
Author(s):  
Susan E. Brown Will

2010 ◽  
Vol 4 (2) ◽  
pp. 894
Author(s):  
Samuel Spiegelberg Zuge ◽  
Maria Luiza Cioccari Do Carmo ◽  
Crhis Netto de Brum ◽  
Laura De Azevedo Guido

ABSTRACT Objective: to describe correlated actions between services from a hospital company to obtain quality and productivity in the customers care, related to the enshrined materials management, and also to emphasize the importance of the nurse in this context. Methodology: this is an experience report ruled by a literature review. Results: it was verified that the systematization of processes and the interrelation between services are vital to the financial equilibrium of the institution and the accord that share the cost with the suppliers. The nurse it have clear objectives, be ethical, to remind the management of the company's needs, but above all be prepared to consider a nursing care appropriate technology and necessary as this, but especially geared to the needs of customers. Conclusion: it is considered that the enshrined management assures the assistant quality bound to the customer satisfaction in different levels, besides permitting the nursing staff higher tranquility to conduct its activities, once the management is concentrated in the work process of the nurses. Descriptors: assistance; perioperative nursing; operating room nursing; sterilization; waste management; technology; work.      RESUMO Objetivos: descrever ações de interação entre serviços de uma empresa hospitalar para obtenção de qualidade e produtividade no atendimento aos clientes, relacionado ao gerenciamento de materiais consignados, bem como destacar a importância do enfermeiro nesse contexto. Metodologia: trata-se de um relato de experiência pautado em uma revisão de literatura. Resultados: verificou-se que a sistematização de processos e a inter-relação entre serviços  são vitais para o equilíbrio financeiro da instituição e dos convênios que compartilham os gastos juntos aos fornecedores. Ao enfermeiro cabe ter objetivos claros, ser ético, lembrar da gestão das necessidades da empresa, mas acima de tudo estar preparado para contemplar uma assistência de enfermagem adequada a tecnologia tão presente e necessária, mas especialmente voltada às necessidades dos clientes. Conclusão: considera-se que a gestão de consignados assegura a qualidade da assistência vinculada à satisfação dos clientes em diferentes níveis, além de permitir a equipe de enfermagem maior tranqüilidade em realizar suas atividades, uma vez que o gerenciamento concentra-se no processo de trabalho do enfermeiro. Descritores: assistência; enfermagem de centro cirúrgico; enfermagem perioperatória; esterilização; gerenciamento de resíduos; tecnologia; trabalho.RESUMENObjetivo: describir acciones de interacion entre los servicios de una empresa hospitalar para la obtención de qualidad y productividad en atendimiento a los clientes, relacionada al gerenciamiento de materiales consignados, así como destacar la importancia de los enfermeros en ese contexto. Metodología: se trata de un relato de experiencia gobernado por una revisión de la literatura. Resultados: fue verificado que la sistematización con procesos y la interrelación entre los servicios son vitales para el equilibrio financero de la instituición y de los convenios que comparten los gastos junto a los fornecedores. La enfermera que tener objetivos claros, ser ético, para recordar la gestión de las necesidades de la empresa, pero sobre todo estar preparados para considerar una atención de enfermería de tecnología apropiada y necesaria como esta, pero especialmente orientada a las necesidades de los clientes. Conclusión: es considerado que la gestión de consignados asegura la qualidad de la asistencia vinculada a la satisfacción de los clientes en diferentes niveles, como también permite a el equipo de enfermeros mayor tranquilidad en conducir sus actividades, pues el gerenciamiento concentrase nel proceso del trabajo del enfermero. Descriptores: asistencia; enfermería perioperatoria; administración de residuos; enfermería de quirófano;  esterilización; administración de residuos; tecnología; trabajo.  


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