Perioperative Nursing Care in Obstetrics and Gynecology

Abstract

MS, APRN-CNS, RNC-OB, C-EFM N ursing education, with its scientific and holistic approach to health care, provides the foundation for nurses to assess a clinical situation and identify, implement, and evaluate evidence-based interventions for optimal patient and system health outcomes. The first step for any nurse interested in providing or improving patient care on any level is achieving role competence and expertise in his or her area of clinical focus. The authors of a comprehensive literature review identified that perioperative nursing requires competence in two domains: specialized knowledge and human factors. 1The first domain, specialized knowledge, includes familiarity and expertise with perioperative guidelines and standards of care. This includes knowledge of operative and other invasive procedures, procedure flow, surgical instruments and equipment, infection control principles, and patient safety considerations. Mastery of this domain is fundamental to success as a perioperative nurse and is the stepping stone to achieving competence in the higherlevel leadership and collaborative aspects of perioperative care. The second domain, human factors, includes consideration of the interpersonal and social aspects of team interactions in the perioperative setting. These include the critical aspects of teamwork such as leadership and communication. 1Nurses who attain competence in the domains of specialized knowledge and human factors are in a good position to identify actionable ways to advance nursing practice and improve patient care. Expert nurses can choose to use these skills in bedside practice and focus on providing high-quality, evidence-based care to a select patient population, or they can expand their influence on patient care by identifying and operationalizing improvement processes across entire patient populations or health care systems. When an expert nurse recognizes the need for and feasibility of a change in practice, he or she can assume roles in nursing leadership, patient safety, quality improvement, program or policy development, or staff member or patient education. OBSTETRICS AND GYNECOLOGY (OB-GYN) PATIENT CAREObstetrics and gynecology is one specialty area in which nurses can positively influence women's health and operative outcomes. Women seek or require specialized OB-GYN surgical care for many reasons. These include, but are not limited to, pregnancy termination, infertility procedures, fetal surgery, cesarean birth, sterilization, hysterectomy, myomectomy, cancer exoneration, and pelvic organ reconstruction. Providing patient-centered care with advocacy, caring, and shared decision making is vital for women in all these situations. 2,3 Obstetric and gynecologic surgeries represent 26.5% of all surgical procedures performed on adult women. 4 Hysterectomy is one of the most frequently performed operative procedures, 5 and currently, one out of every three mothers gives birth by cesarean delivery. 6 Development and implementation of perioperative pathways called Enhanced Recovery ...

Effect of the internet combined with exercise-based individualized nursing intervention in patients with gestational diabetes mellitus

“…However, due to the lack of effective intervention means, it is still unfeasible to effectively manage the occurrence of GDM. In recent years, thanks to the continuous improvement in nursing interventions, the high-quality nursing intervention has become one of the crucial modes for patients' recovery and health [ 23 ]. In agreement with the above findings, our study results displayed that the observation group had notably lower blood glucose levels, higher GT, and better blood pressure and IR than the control group.…”

Nursing Care during the Perioperative within the Surgical Context

“…Likewise, nursing must have human quality, excellent interpersonal and social relations in the surgical context, besides leadership and good communication. (5,6) In this regard, the Joint Commission International continues identifying errors in communication (7) and has identified it as objectives in patient safety, given that work in this context is complex and errors in communication occur when the staff is under stress, or conducting multiple tasks and when there are interruptions in communication, which can interfere with the cognitive process. (8) Moreover, the staff is prone to errors when there is no comprehension of their role, or do not feel supported, respected, valued, understood, or listened to, or does not have the training to provide high-quality information to their peers and patients.…”

Randomized trial of the application value of comprehensive nursing intervention in the perioperative period of ruptured bleeding of ectopic pregnancy

“…Perioperative period refers to the period of time between the establishment of surgical treatment and the completion of the treatment related to the operation (8,9). In recent years, laparoscopic surgery has been widely used in the surgical treatment of ectopic pregnancy.…”