scholarly journals Perioperative nursing: maintaining momentum and staying safe

2018 ◽  
Vol 23 (8) ◽  
pp. 727-739 ◽  
Author(s):  
Jon R McGarry ◽  
Catherine Pope ◽  
Sue M Green
Keyword(s):  
Clinical Practice ◽  
Thematic Analysis ◽  
Healthcare Services ◽  
Operating Theatre ◽  
Core Component ◽  
Perioperative Nurses ◽  
Perioperative Nursing ◽  
Ethnographic Observation

Background: Perioperative practice underpins one of the key activities of many healthcare services, but the work of perioperative nurses is little known. A better understanding of their work is important to enable articulation of their contribution to clinical practice. Aim: This study observed the practice of perioperative nurses and explored how they described their role. Methods: Using ethnographic observation and interview, 85 hours’ observation of 11 nurses were undertaken, and 8 nurses were interviewed. Results: Thematic analysis was undertaken enabling themes to emerge with two being identified. The first, ‘maintaining momentum’, described the need to keep people and equipment moving. The second, ‘accounting for safety’, referred to the need to keep the patient safe during this dangerous period. Tension between these two phenomena was apparent. Conclusions: Perioperative nurses describe one of their key roles as maintaining the momentum of the patient’s journey through the operating theatre, but having to balance this with the need to ensure the patient’s safety. A core component of the perioperative nurse’s work is thus management of the tension between these two elements. This study illuminated how these nurses understand their practice.

Hot off the Press for Perioperative Nurses

2017 ◽  
Vol 27 (6) ◽  
pp. 128-129
Author(s):  
Mona Guckian Fisher
Keyword(s):  
Perioperative Care ◽  
Core Curriculum ◽  
Operating Theatre ◽  
National Board ◽  
Perioperative Nurses ◽  
Perioperative Nursing ◽  
The Press

I am delighted to bring you the Perioperative Care Collaborative (PCC) National Core Curriculum for Perioperative Nursing 2017, whose purpose is ‘influencing and supporting clinical policies into perioperative practice’. This is a very important document for nurses working within operating theatre settings. Since the dissolution of the English National Board (ENB), perioperative nurses have not had access to appropriate professional courses in line with what had been previously available.

scholarly journals Experiences of recovery from colorectal cancer surgery after hospital discharge among the oldest old: A qualitative study

2021 ◽  
pp. 205715852199445
Author(s):  
Kristina Sundt Eriksen ◽  
Sissel Iren Eikeland Husebø ◽  
Hartwig Kørner ◽  
Kirsten Lode
Keyword(s):  
Colorectal Cancer ◽  
Thematic Analysis ◽  
Oldest Old ◽  
Healthcare Services ◽  
Hospital Data ◽  
Colorectal Cancer Surgery ◽  
Discharge From Hospital ◽  
Depth Interviews ◽  
Inductive Thematic Analysis

Colorectal cancer affects a large number of people aged ≥80 years. Little is known about how they manage after discharge from hospital. The aim of this study was to explore the experiences of individuals aged ≥80 years recovering from surgery for colorectal cancer, and the challenges they may encounter after discharge from hospital. Data were collected between January and March 2016 through in-depth interviews with ten participants approximately one month after surgery. Inductive thematic analysis was employed to analyse the data. The COREQ checklist was used in reporting this study. Two themes were identified: Managing the recovery from CRC surgery, and Insufficient follow-up from the healthcare services after CRC surgery. The findings indicate that older people treated for colorectal cancer manage surprisingly well after discharge despite challenges in their recovery; however, there are seemingly areas of improvement in their follow-up healthcare.

scholarly journals Use of symptom checkers for COVID-19-related symptoms among university students: a qualitative study

2021 ◽  
pp. bmjinnov-2020-000498
Author(s):  
Stephanie Aboueid ◽  
Samantha B Meyer ◽  
James R Wallace ◽  
Shreya Mahajan ◽  
Teeyaa Nur ◽  
...  
Keyword(s):  
Young Adults ◽  
Qualitative Study ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Qualitative Interviews ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Positive Experience ◽  
Perceived Credibility ◽  
Inductive Thematic Analysis

ObjectiveSymptom checkers are potentially beneficial tools during pandemics. To increase the use of the platform, perspectives of end users must be gathered. Our objectives were to understand the perspectives and experiences of young adults related to the use of symptom checkers for assessing COVID-19-related symptoms and to identify areas for improvement.MethodsWe conducted semistructured qualitative interviews with 22 young adults (18–34 years of age) at a university in Ontario, Canada. Interviews were audio-recorded, transcribed, and analysed using inductive thematic analysis.ResultsWe identified six main themes related to the decision of using a symptom checker for COVID-19 symptoms: (1) presence of symptoms or a combination of symptoms, (2) knowledge about COVID-19 symptoms, (3) fear of seeking in-person healthcare services, (4) awareness about symptom checkers, (5) paranoia and (6) curiosity. Participants who used symptom checkers shared by governmental entities reported an overall positive experience. Individuals who used non-credible sources reported suboptimal experiences due to lack of perceived credibility. Five main areas for improvement were identified: (1) information about the creators of the platform, (2) explanation of symptoms, (3) personalised experience, (4) language options, and (5) option to get tested.ConclusionsThis study suggests an increased acceptance of symptom checkers due to the perceived risks of infection associated with seeking in-person healthcare services. Symptom checkers have the potential to reduce the burden on healthcare systems and health professionals, especially during pandemics; however, these platforms could be improved to increase use.

‘It’s Not Really a Part of Standard Practice’: Institutional Silencing of Sexuality Within Australian Mental Health Settings

2021 ◽  
pp. 104973232110613
Author(s):  
Kristi Urry ◽  
Anna Chur-Hansen ◽  
Carole Khaw
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Thematic Analysis ◽  
Professional Education ◽  
Institutional Context ◽  
Social Constructionist ◽  
Mental Health Clinicians ◽  
Making Sense ◽  
Mental Health Settings ◽  
Workplace Cultures

Research seeking to understand and improve sexuality-related practice in mental health settings has paid little attention to the institutional context in which clinicians’ practice is embedded. Through a social constructionist lens, we used thematic analysis to examine how 22 Australian mental health clinicians implicated the wider institutional context when discussing and making sense of sexuality-related silence within their work. Interviews were part of a study exploring participants’ perceptions of sexuality and sexual health in their work more generally. Broader silences that shaped and reinforced participants’ perceptions and practice choices were situated in professional education; workplace cultures; and the tools, procedures and policies that directed clinical practice. We argue that sexuality-related silence in mental health settings is located in the institutional context in which clinicians learn and work, and discuss how orienting to this broader context will benefit research and interventions to improve sexuality-related practice across health settings.

scholarly journals Operating theatre nurses’ self‐reported clinical competence in perioperative nursing: A mixed method study

Nursing Open ◽  
2019 ◽  
Vol 6 (4) ◽  
pp. 1510-1518 ◽  
Author(s):  
Ann‐Catrin Blomberg ◽  
Lillemor Lindwall ◽  
Birgitta Bisholt
Keyword(s):  
Mixed Method ◽  
Clinical Competence ◽  
Operating Theatre ◽  
Mixed Method Study ◽  
Perioperative Nursing

scholarly journals Silent voices of the midwives: factors that influence midwives’ achievement of successful neonatal resuscitation in sub-Saharan Africa: a narrative inquiry

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jan Becker ◽  
Chase Becker ◽  
Florin Oprescu ◽  
Chiung-Jung Wu ◽  
James Moir ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Narrative Inquiry ◽  
Thematic Analysis ◽  
Neonatal Death ◽  
Clinical Skills ◽  
Real Life ◽  
Neonatal Resuscitation ◽  
Birth Asphyxia ◽  
Sub Saharan Africa ◽  
Successful Resuscitation

Abstract Background In Tanzania, birth asphyxia is a leading cause of neonatal death. The aim of this study was to identify factors that influence successful neonatal resuscitation to inform clinical practice and reduce the incidence of very early neonatal death (death within 24 h of delivery). Methods This was a qualitative narrative inquiry study utilizing the 32 consolidated criteria for reporting qualitative research (COREQ). Audio-recorded, semistructured, individual interviews with midwives were conducted. Thematic analysis was applied to identify themes. Results Thematic analysis of the midwives’ responses revealed three factors that influence successful resuscitation: 1. Hands-on training (“HOT”) with clinical support during live emergency neonatal resuscitation events, which decreases fear and enables the transfer of clinical skills; 2. Unequivocal commitment to the Golden Minute® and the mindset of the midwife; and. 3. Strategies that reduce barriers. Immediately after birth, live resuscitation can commence at the mother’s bedside, with actively guided clinical instruction. Confidence and mastery of resuscitation competencies are reinforced as the physiological changes in neonates are immediately visible with bag and mask ventilation. The proclivity to perform suction initially delays ventilation, and suction is rarely clinically indicated. Keeping skilled midwives in labor wards is important and impacts clinical practice. The midwives interviewed articulated a mindset of unequivocal commitment to the baby for one Golden Minute®. Heavy workload, frequent staff rotation and lack of clean working equipment were other barriers identified that are worthy of future research. Conclusions Training in resuscitation skills in a simulated environment alone is not enough to change clinical practice. Active guidance of “HOT” real-life emergency resuscitation events builds confidence, as the visible signs of successful resuscitation impact the midwife’s beliefs and behaviors. Furthermore, a focused commitment by midwives working together to reduce birth asphyxia-related deaths builds hope and collective self-efficacy.

scholarly journals The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’

2021 ◽  
Vol 25 (1) ◽  
pp. 1-4
Author(s):  
Tolga Ergönenç ◽  
Jalan Şerbetçigil Ergönenç ◽  
Eve Yamak Altınpulluk
Keyword(s):  
Chronic Pain ◽  
Clinical Practice ◽  
Pain Management ◽  
Cancer Pain ◽  
Healthcare Services ◽  
Home Healthcare ◽  
Human Right ◽  
Triage Protocol ◽  
Interventional Pain Management

The coronavirus disease 2019 (COVID-19) can be responsible for severe acute respiratory syndrome and death. To limit the infection spread, non-urgent surgical procedures, day procedures, including interventional pain management, and patient visits, have been postponed or interrupted during the COVID-19 pandemic. Pain management is defined as a fundamental human right, but the rapidly changing nature of the COVID-19 outbreak requires revisions in clinical practice for chronic pain. This article describes the role of home healthcare services in managing cancer pain based on clinical practice during the COVID-19 pandemic and emphasizes the triple triage concept and the use of telemedicine. Key words: Coronavirus; COVID-19; Telemedicine; Home care; Cancer Pain Citation: Ergönenç T, Ergönenç JS, Altınpulluk EY. The role of home healthcare in managing cancer-related pain during COVID-19 pandemic: ‘The Triple Triage Protocol’. Snaesth. Pain intensive care 2021;25(1):1-4. DOI: 10.35975/apic.v25i1.1430 Received: 4 January 2021, Reviewed & Accepted:  8 January 2021

PP164 Improving Medical Diagnosis Through Advanced Data Analytics Tools

2019 ◽  
Vol 35 (S1) ◽  
pp. 67-68
Author(s):  
Imanol González-Barcina ◽  
Aitor García de Vicuña-Meléndez ◽  
Ana Santorcuato ◽  
Ivan Revuelta-Antizar ◽  
Santiago Rodríguez-Tejedor ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Language Processing ◽  
Clinical Data ◽  
Clinical Management ◽  
Data Analytics ◽  
Clinical Decision Making ◽  
Medical Information ◽  
Emergency Services ◽  
Healthcare Services ◽  
Added Value

IntroductionCurrent clinical practice is based on guidelines and local protocols that are informed by clinical evidence. This means that clinical variability is reduced, but can lead to inefficient clinical decision-making, and can increase medical errors, decreasing patient's safety. The aim of the EXCON project is to investigate the innovative concept of Intelligent Clinical History (ICH), and to develop functional prototypes of high added-value in healthcare services.MethodsThe innovative EXCON project will take advantage of recent advances in technologies for coding, structuring and semantizing medical information. Thanks to this new structuring, the EXCON platform will be developed. Final users will be health professionals and other decision-makers. Doctors, nurses, epidemiologists and information specialists will be involved in the development and subsequent validation of the platforms.ResultsTo develop the ICH platform clinical data on a highly prevalent symptom with high variability in clinical practice, such as non-traumatic chest pain in emergency services, has been collected from different electronic medical record databases. The extraction of clinical data to implement new techniques of artificial intelligence requires tasks that must be automated, which today is difficult and tedious (data is often not computerized). Through techniques applied in EXCON, such as natural language processing, relevant clinical data have been extracted and a Decision Support System has been developed and validated. This tool optimizes resources and improves clinical management, reducing errors and increasing patient's safety.ConclusionsIn coming decades, patient management will be impacted by the application of new advanced data analytics tools. This will allow for safer and more efficient clinical management, decrease variability in clinical practice, and improve equity. That is why the development and assessment of these technologies is necessary.

scholarly journals Same but different? A thematic analysis on adalimumab biosimilar switching among patients with juvenile idiopathic arthritis

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
William D. Renton ◽  
Helen Leveret ◽  
Catherine Guly ◽  
Heather Smee ◽  
Jamie Leveret ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Thematic Analysis ◽  
Drug Effects ◽  
Healthcare Utilisation ◽  
Healthcare Services ◽  
Medication Administration ◽  
Inflammatory Conditions ◽  
Relative Safety ◽  
Significant Difference ◽  
Research Recommendations

Abstract Background Biologic medications have dramatically enhanced the treatment of many chronic paediatric inflammatory conditions. Their high cost is a factor that prohibits their broader use. Cheaper generic versions, or biosimilars, are increasingly being used. Healthcare services are switching some patients over to biosimilars for economic reasons, known as ‘non-medical switching’. Some patients unsuccessfully switch due to perceived decreases in efficacy or non-specific drug effects. The implications of failed switching include exhaustion of therapeutic options, unnecessary exposure to other medications, increased healthcare utilisation, worse patient outcomes and higher overall healthcare costs. Patient perceptions almost certainly play a role in these ‘failed switches’. Methods A thematic analysis was performed to better understand patient and parent perceptions on non-medical biosimilar switching. The study was conducted in accordance with the Consolidated Criteria for Reporting Qualitative Research recommendations. Patients with juvenile idiopathic arthritis currently taking adalimumab were included. Results Nine families were interviewed just prior to a hospital trust-wide non-medical switch to an adalimumab biosimilar. Several common themes were identified. The most frequent concerns were regarding practical aspects of the switch including the medication administration device type; the colour of the medication and administration device; and whether the injections would sting more. The relative safety and efficacy of the biosimilar was raised although most families felt that there would be no significant difference. Anxieties about the switch were largely placated by reassurances from the medical team. Conclusions We derived recommendations based on existing adult literature and the observations from our study to optimise the benefits from non-medical biosimilar switching.

scholarly journals Food “from the Outside” and Correct Nutrition for Outpatients

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Tur-Sinai ◽  
B Bisharat ◽  
S Zelber-Gagi
Keyword(s):  
Thematic Analysis ◽  
Medical Staff ◽  
Inpatient Care ◽  
Food Products ◽  
Healthcare Services ◽  
Nutrition Information ◽  
Medical Professionals ◽  
Health Implications ◽  
Questionnaire Surveys ◽  
Structured Questionnaire

Abstract Background It is a common custom to visit patients in hospital. Visitors often bring along outside food products, including some that may not be recommended for the patient. Even so, neither the Ministry of Health nor the hospitals have explicit guidelines in place as to what people can and cannot bring their inpatient friends or kin. The study deals with three main questions: What are the patterns of spending on outside food products for inpatients? What are the types of food products brought for inpatients? How medical professionals view the matter? Methods This quantitative study uses three closed-structured-questionnaire surveys-among visitors, inpatients, and medical staff. Thematic analysis of the findings yields patterns of spending on outside food products for inpatients, the types of food products brought, awareness of the health implications of consuming these products, patterns of consumption among inpatients, and how medical professionals view the matter. Results There are five major findings: (a) Most expenditure on outside food for inpatients occurs in the first few days of hospitalization. (b) Most food brought to inpatients is not defined as healthy. (c) There is a gap between visitors’ awareness of the health implications of bringing food to inpatients and their actual conduct. (d) Most patients realize that the food brought to them is bad for their health but tend to eat it anyway. (e) Medical staff disapproves of bringing food to inpatients. Conclusions Information on the extent of bringing food to inpatients, and the types and nature of what is brought, sheds light on the question of food security among inpatients, with emphasis on the motive behind the (in)correct nutrition. Information about the attitudes of patients, visitors, and medical staff toward the need to continue bringing food sheds light on questions of equality and social justice in inpatient care. Key messages Healthcare services should be more aware of assuring inpatients’ right to correct nutrition in the senses of reducing inpatients’ exposure to externalities that may impede their convalescence. Healthcare services should be more mindful of the advantages of using the egalitarian nutrition system that hospitals operate for all patients.

Sign in / Sign up

Export Citation Format

Share Document