Although evidence-based practices exist for preventing hypothermia in patients during surgery, few studies have focused on this concern in postoperative patients. The aim of this qualitative study ...was to explore the most challenging issues experienced by surgical ward nurses while managing the body temperature of adult surgical patients. To address this research gap, this study used a qualitative descriptive design to document barriers to body temperature management as reported by a sample of 16 perioperative nurses. The semi-structured, face-to-face interviews were digitally recorded, transcribed verbatim and analysed using inductive content analysis. The main barriers fell into three categories: professional nursing ability limitations, unfavourable working conditions and management of human resources. The eight subcategories were disadvantageous professional views, professional knowledge limitations, low motivation to provide nursing care, non-standard treatment environment, inadequate equipment and care protocols, heavy nursing care loads, inadequate staff training and ineffective staff supervision. These findings highlighted the importance of adequate resources, proper education and evidence-based care protocols in the effective delivery of body temperature management to postoperative patients.
Worry is an intuitive sense that goes beyond logical reasoning and is valuable in situations where patients’ conditions are rapidly changing or when objective data may not fully capture the ...complexity of a patient’s situation. Nurse anesthetists’ subjective reasons for worry are quite vague as they are valued inconsistently and not accurately expressed. This study aimed to identify factors playing a role in the emergence of worry during anesthesia practice to clarify its concept.
Mixed-methods design consisting of quantitative online surveys followed by qualitative focus group interviews including Dutch nurse anesthetists.
Both quantitative and qualitative thematic analyses were performed, followed by data and methodological triangulation to enhance the validity and credibility of findings and mitigate the presence of bias.
Surveys (N = 102) were analyzed, and 14 nurse anesthetists participated in the focus group interviews. A total of 89% of the survey respondents reported that at least once have had the feeling of worry, of which 92% use worry during clinical anesthesia practice. Worry was mentioned to be a vital element during anesthesia practice that makes it possible to take precautionary actions to change the anesthetic care plan in a changing situation or patient deterioration.
While a clear definition of worry could not be given, it is a valuable element of anesthesia practice as it serves as a catalyst for critical thinking, problem-solving, clinical reasoning, and decision-making. Use of the feeling of worry alongside technological systems to make an informed decision is crucial. Technology has significantly improved the ability of health care providers to detect and respond to patient deterioration promptly, but it is crucial for nurse anesthetists to use their feeling of worry or intuition alongside technological systems and evidence-based practice to ensure quick assessments or judgments based on experience, knowledge, and observations in clinical practice.
Objective: to correlate religiosity and spiritual well-being with anxiety and depression in patients in the preoperative period of cardiac surgery. Methods: cross-sectional study conducted with 174 ...patients admitted to a university hospital using the Hospital Anxiety and Depression Scale, the Spiritual Well-Being Scale, and the DUKE Religiosity Index. Results: the religious well-being and religiosity dimensions did not present significant differences between anxious and non-anxious patients. Existential well-being showed lower scores than religious well-being, being significantly lower among anxious patients. Among patients with depressive symptoms, the existential well-being score was significantly lower. Religiosity and religious well-being were not different between depressed and non-depressed patients. Conclusion: religiosity and spirituality did not exempt patients from presenting anxiety and depression in the preoperative period of cardiac surgery, although they are cited as mediators of coping strategies and psychological adaptation. Contributions to practice: the present study provides evidence that religiosity does not exempt patients from being anxious while waiting for heart surgery.
Zusammenfassung: Hintergrund: Infolge der Ökonomisierung im Gesundheitswesen und der Skill-Grademix-Entwicklung im OP-Bereich hat die Frage nach dem bestmöglichem Personaleinsatz hohe Priorität. Ein ...häufig thematisiertes Bedürfnis besteht darin, eingriffsbezogene Anforderungen an OP-Pflegefachpersonen möglichst exakt abzubilden. Eine OP-spezifische Patientenklassifikation kann hilfreich sein. Ziel: Dieser Beitrag zielt darauf ab, Kernelemente perioperativer Pflege im Deutschschweizer Kontext darzustellen sowie eine Verknüpfung mit dem Perioperative Nursing Data Set (PNDS) herstellen zu können. Methodik: Drei Fokusgruppeninterviews mit OP-Pflegefachpersonen fanden an einem Deutschschweizer Universitätsspital statt. Die Datenauswertung erfolgte analog zur qualitativen Inhaltsanalyse nach Mayring. Die inhaltliche Strukturierung der Kategorien orientierte sich an den entsprechenden PNDS-Taxonomien. Ergebnisse: Eingriffsbezogene Anforderungen lassen sich in drei Bereiche unterteilen: „Patientensicherheit (S)“, „Pflege und Betreuung (P)“ und „Umgebungsfaktoren (U)“. Die Verknüpfung mit der PNDS-Taxonomie dient als theoretisches Fundament. Schlussfolgerung: Elemente der PNDS-Taxonomie können die Anforderungen der perioperativen Pflege im Deutschschweizer Kontext beschreiben. Die ermittelte Definition eingriffsbezogener Anforderungen kann zur Sichtbarkeit der perioperativen Pflege beitragen sowie die Professionalisierung und Praxisentwicklung im OP fördern.
Nurses within a surgical team play such a fundamental role in the success of a surgery that they require specific training for the purpose. However, in Rwanda, there has been a severe scarcity of ...perioperative nurses. This article describes the collaborative effort for perioperative nursing training by the University of Rwanda (UR) and the Ministry of Health (MOH) with the Human Resources for Health (HRH) Program and a consortium of American Universities. The goal of the HRH program has been to build up the capacities of health professionals both in academia and clinical settings so as to address the shortage of qualified staff. In that regard, the UR in 2015 started a Masters program in nursing in eight specialties, of which one was perioperative nursing. The aim of this paper is to highlight the training process, success, and challenges of perioperative nursing training in Rwanda.
The training has so far been successful, with the 19 nurses who completed the program working now in academic and clinical teaching institutions. Students in the program have also increased their number of research publications in peer-reviewed journals and international conference presentations. The UR and its partners are investing in the sustainability and excellence of this program. Using the import-of-experts approach to train Rwandans within their country, the program addresses the scarcity of specialists in various disciplines within the nursing profession. As a consequence, countries where the lack of specialized nurses poses challenges may adopt this partnership strategy.
Rwanda J Med Health Sci 2021;4(1):185-196
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