scholarly journals Nursing performance in robotic surgeries: integrative review

2019 ◽  
Vol 72 (3) ◽  
pp. 795-800
Author(s):  
Raísha Costa Martins ◽  
Denilse Damasceno Trevilato ◽  
Marielli Trevisan Jost ◽  
Rita Catalina Aquino Caregnato

ABSTRACT Objective: To know the scientific production on the performance of the nursing staff in robotic surgeries, identifying the role of the nurse in the three perioperative periods. Methods: Integrative review, search in the databases National Library of Medicine, National Institutes of Health, Scientific Electronic Library Online and Biblioteca Virtual em Saúde, performed from June to September, 2017; 17 selected articles met the inclusion criteria. Results: Most articles were published in foreign journals in English, nine in the United States, classified with evidence level of 4 and 5. The role of nursing in the perioperative period was identified, related mainly to patient safety. The most mentioned perioperative period in the articles was the intraoperative, with greater concern in the positioning of the patient. Conclusion: The nursing performance and patient safety in robotic surgeries are similar to the ones in major surgeries, requiring from the patient a specific knowledge on the setting and preparation of the robot.

2020 ◽  
Vol 29 ◽  
Author(s):  
Michelle Darezzo Rodrigues Nunes ◽  
Sandra Teixeira de Araújo Pacheco ◽  
Cícero Ivan Alcantara Costa ◽  
Jaciane Alexandre da Silva ◽  
Welker da Silva Xavier ◽  
...  

ABSTRACT Objective: to identify in nursing literature scientific production on tests and clinical characteristics of COVID-19 in children and discuss the role of nursing in their care. Methods: an integrative review, which took place between April and June 2020, at Web of Science, CINAHL, BDENF, IBECS, LILACS, MEDLINE (via PubMed) to answer the guiding question: what do research articles on COVID-19 in children reveal? Original research articles published from January to May 2020 were included. Studies without research methodology (case reports, reflection, recommendations), review articles, studies focusing on other themes or conducted exclusively with neonates, infants, adolescents, and adults were excluded. Results: database search found 314 references. After exclusions, 59 studies were selected to be read in full. Of these, 14 articles were selected to compose this review, empirically grouped according to their similarities into two categories: Tests used in COVID-19 in children and Main clinical findings of COVID-19 in children. Conclusion: studies emphasize clinical tests and findings of COVID-19 in children; therefore, the role of nursing at the time of preparation and performance of such tests stands out, since they are an instrument for assessment and follow-up of children with coronavirus as well as in the promotion of adequate and qualified care to minimize the signs and symptoms of this disease, with a view to prompt restoration of their health.


Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1103
Author(s):  
Carlos Méndez-Martínez ◽  
María Nélida Fernández-Martínez ◽  
Mario García-Suárez ◽  
Santiago Martínez-Isasi ◽  
Jesús Antonio Fernández-Fernández ◽  
...  

“Postoperative delirium” is defined as delirium occurring in the hospital up to one week after a procedure or before discharge (whichever occurs first) that meets the DSM-5 diagnostic criteria. Objectives: To describe the risk factors related to this pathology and identify effective non-pharmacological forms of treatment. An integrative review of the available literature was performed. The search results considered included all quantitative studies published between 2011 and 2019 in both English and Spanish. A total of 117 studies were selected. Advanced age was identified as the principal risk factor for postoperative delirium. Nursing interventions appear to be the key to preventing or reducing the seriousness of delirium after an anaesthetic episode. The aetiology of postoperative delirium remains unknown, and no treatment exists to eliminate this pathology. The role of nursing staff is fundamental in the prevention, diagnosis, and management of the pathology.


2021 ◽  
Vol 20 (4) ◽  
pp. 700-743
Author(s):  
Ruth Cardoso Rocha Ruth ◽  
Maria Augusta Rocha Bezerra ◽  
Brenda de Meneses Barbosa Martins ◽  
Benevina Maria Vilar Teixeira Nunes

seguridad del paciente en la Enfermería.Metodología: Revisión integrativa de la literatura, realizada en las bases de datos: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science y SCOPUS.Resultados: Se seleccionaron 11 artículos publicados a partir de 2007, predominantemente en los Estados Unidos, descriptivos y de intervención, cuya estrategia para enseñanza de seguridad del paciente en la enfermería más utilizada fue la simulación y, en una investigación, el método del aprendizaje basado en el problema.Conclusión: La enseñanza sobre seguridad del paciente en la enfermería ha sido realizada en la mayoría de las veces por medio de simulación, pero es poco difundido en Brasil. Por lo tanto, es fundamental la inclusión de esta temática en las matrices curriculares de Enfermería desde el inicio del curso y el uso de métodos y estrategias robustos de enseñanza. Objective: To identify scientific evidence in the literature on how the teaching of patient safety takes place in Nursing.Methodology: It was an integrative review of the literature conducted in the following databases: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science, and Scopus.Results: 11 articles published from 2007 were selected, predominantly in the United States, descriptive and of intervention type, in which the most papers used strategy for teaching patient safety in Nursing was simulation and in research, the problem-based learning method.Conclusion: Teaching patient safety in Nursing has been carried out most of the time through simulation, but it remains little-known in Brazil. Therefore, it is essential to include this topic in Nursing curricular programs from the beginning of the course and the use of strong teaching methods and strategies. Objetivo: Identificar na literatura evidências científicas sobre como é realizado o ensino de segurança do paciente na Enfermagem. Metodologia: Revisão integrativa da literatura realizada nas bases de dados: LILACS, MEDLINE, BDENF, IBECS, CINAHL, Web of Science e SCOPUS. Resultados: Foram selecionados 11 artigos publicados a partir de 2007, predominantemente nos Estados Unidos, descritivos e de intervenção, cuja estratégia para o ensino de segurança do paciente na Enfermagem mais utilizada foi a simulação e em uma pesquisa o método da aprendizagem baseada em problema. Conclusão: O ensino sobre segurança do paciente na Enfermagem tem sido realizado na maioria das vezes por meio de simulação, mas é pouco difundido no Brasil. Portanto, é fundamental a inclusão desta temática nas matrizes curriculares de Enfermagem desde o início do curso e uso de métodos e estratégias robustos de ensino.


Background: Nurses have the ability to play an important role in patient safety related to antibiotic use and overuse but are often not involved in antimicrobial stewardship programs (ASP). Therefore, nurses need to be educated and trained in antimicrobial stewardship (AS) so that they can more competently contribute to safe patient care. Lewin’s change theory may be utilized as a framework for understanding the integration of nurses into these efforts. Objective of the Study: This integrative review is intended to explore the role of nurses in AS and discuss the importance of nurses needing to be educated, trained, and competent in this so that they can become more actively involved in such programs. Methodology: Articles were gathered from the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, and Google Scholar from June 2015 to December 2019. A five-year time frame was implemented to ensure that the most current information was included. Seventeen peer reviewed, written in English, original research studies that met the inclusion criteria (from the original 107 studies) and conducted in Australia, Canada, Scotland, South Africa, and the United States were included in this review. Results: The identified 17 recent studies focused on nursing and AS. Six major themes emerged, including nurses’ competency requirements and training related to AS, antimicrobial knowledge and educational gaps, perceived role of the nurse, nurses’ attitudes toward antimicrobial use, nurse and provider perspectives on ASPs, and nurses’ valuable contributions to AS. Discussion: This integrative review found that including nurses in AS would benefit ASPs and that finding ways for facilities to organize and implement such efforts is vital. This ties into the first stage of Lewin’s change theory of “unfreezing” and recognizing that the current (or old) way of practicing is in need of change. The literature reviewed provides evidence that nurses have the capacity to be an integral part of any ASPs and that they can help combat antimicrobial resistance in myriad ways when provided the necessary training and education. All studies reviewed found positive aspects to having nurse representation. However, there are gaps in antimicrobial based knowledge on the part of the nurses. Limitations: The limitations of this integrative review include the fact that the publications used were limited to a five-year timeframe and came specifically from nursing journals or have at least one nurse author contributor. Also, the current review included five international studies where the nurses’ scope and standards of practice may be different from those in the United States. A search of the grey literature reports related to AS was not conducted and could have provided additional valuable information as well. Conclusion and Recommendations: Nursing participation is needed in all ASPs. Empowering and educating nurses to feel confident and competent in this role will help to mitigate the overuse and misuse of antimicrobials. The ASPs most likely vary from institution to institution and future research should provide a framework for how to best disseminate information to nurses. Keywords: Antimicrobial Stewardship, Antibiotic Training, Nurses


Author(s):  
E. William Ebomoyi

In this chapter, the crucial role of nursing profession was explored, regarding the current healthcare delivery system nationwide. In collaboration with the National Institutes of Health and other national institutes, nursing scholars have developed the blueprint which should guide the integration of genomic science into nursing curriculum not only in the United states but also internationally. Assiduously, effort was devoted to espouse the life-threatening risks associated with nursing profession even at the outbreak of deadly emerging infectious disease such Ebola virus which has a very high case fatality rate. Besides, this pathogenic disease is without known cure. Many of the self-fulfilling psychological attributes, and prospects of the profession were discussed and as well as the overt challenges.


1996 ◽  
Vol 115 (1) ◽  
pp. 89-93 ◽  
Author(s):  
Charles D. Bluestone

In 1993 the National Institutes of Health Consensus Statement, Early Identification of Hearing Impairment in Infants and Young Children, recommended “universal screening for hearing impairment prior to three months of age.” However, the decision to invoke screening programs that include all newborns remains highly controversial, even though such programs now exist in at least 60 hospitals in 18 states. Unfortunately, otolaryngologists in the United States have not been actively involved in this ongoing debate, despite the role of those in our specialty as “gatekeepers” of hearing loss in patients of all ages. In relation to identification of hearing loss in the neonatal period, we have abrogated our responsibility to other health care professionals. Otolaryngologists, this is your “wake up call.”


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