Dimensions of perioperative nursing for a national specialty nomenclature

Abstract

Dimensions of perioperative nursing for a national specialty nomenclature Before nurses can develop a clinical database capable of evaluating quality of care or validating their impact on health or illness, they must describe the basic dimensions of their specialty. The purpose of this study was to define the dimensions of clinical perioperative nursing practice. Experienced perioperative nurses (n=239) were mailed a survey and asked to rank the frequency with which specific patient diagnoses occurred in their daily practice (1=never occurs; 5=occurs almost all the time) and the priority of treatment each diagnosis required (1=never requires attention of the nurse; 5=demands immediate attention of the nurse). Completion of the form indicated consent to participate in the study. Following a principal component analysis and theoretical discussion by perioperative experts, four dimensions of perioperative practice were delineated: (a) patient and family behavioural responses to surgery (26.7% of variance, alpha=0.92); (b) perioperative patient safety (10.1% of variance, alpha=0.89); (c) perioperative physiological response to surgery (5.7% of variance, alpha=0.87); and (d) the health systems required to deliver perioperative care. Dimensions extracted in this analysis served as the domains for the new perioperative nursing nomenclature.

Newly trained operating room nurses’ experiences of nursing care in the operating room

“…In an increasingly technological health care environment, there is always a risk of turning the focus away from nursing care towards technology and medicine. Kleinbeck (2010) found this a constant threat to good care and to the relationship between ORNs and patients 10. Alliex and Irurita (2004) had similar findings and reported that nurses found technology a hindrance to person‐centred interactions 11.…”

Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses

“…Teamwork can be defined as a small number of people who are committed to a relevant shared purpose, have common performance goals and a common approach to the work 9,10 . Operating room teamwork means combining team members’ complementary and overlapping skills, time and economic resources, 11,12 and having mutual understanding while taking care of patients undergoing surgery 13,14 . Teams are also likely to provide support to less experienced staff and so reduce stress 15 .…”

Surgery: Between Both Anguish and Joy

“…La forma como una persona afronta una situación se debe a sus recursos: la energía, las creencias existenciales, las habilidades en la solución de problemas, las habilidades sociales, el soporte social, los recursos materiales. Las emociones involucradas en esta experiencia han sido refrendadas por muchos autores en estudios relativos al miedo a la muerte, a la anestesia, a la deformación, al dolor, a la incertidumbre relacionada con el pronóstico, al tratamiento, a las preocupaciones con la familia, entre otras (25,26,27,28).…”