The Attitude of Iranian Critical Care Nurses Toward Euthanasia

Surgical wounds may arise due to harm inflicted upon soft tissue during surgical intervention, and many complications and injuries may accompany them. These complications can lead to prolonged hospitalization and poorer clinical outcomes. Also, Machine learning (ML) is a Section of artificial intelligence (AI) that has emerged in medical care and is increasingly used for diagnosis, complications, prognosis and recurrence prediction. This study aims to investigate surgical wound risk predictions and management using a ML algorithm by R programming language analysis. The systematic review, following PRISMA guidelines, spanned electronic databases using search terms like ‘machine learning’, ‘surgical’ and ‘wound’. Inclusion criteria covered experimental studies from 1990 to the present on ML's application in surgical wound evaluation. Exclusion criteria included studies lacking full text, focusing on ML in all surgeries, neglecting wound assessment and duplications. Two authors rigorously assessed titles, abstracts and full texts, excluding reviews and guidelines. Ultimately, relevant articles were then analysed. The present study identified nine articles employing ML for surgical wound management. The analysis encompassed various surgical procedures, including Cardiothoracic, Caesarean total abdominal colectomy, Burn plastic surgery, facial plastic surgery, laparotomy, minimal invasive surgery, hernia repair and unspecified surgeries. ML was skillful in evaluating surgical site infections (SSI) in seven studies, while two extended its use to burn‐grade diagnosis and wound classification. Support Vector Machine (SVM) and Convolutional Neural Network (CNN) were the most utilized algorithms. ANN achieved a 96% accuracy in facial plastic surgery wound management. CNN demonstrated commendable accuracies in various surgeries, and SVM exhibited high accuracy in multiple surgeries and burn plastic surgery. In sum, these findings underscore ML's potential for significant improvements in postoperative management and the development of enhanced care techniques, particularly in surgical wound management.

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk predictions of surgical wound complications based on a machine learning algorithm: A systematic review

Zhang,

Zhao,

Farzan

et al. 2024

“…A pressure ulcer (PU) is defined as an injury to a point on the skin or its underlying tissue that is usually located on a bone or its protrusion and is caused by pressure or pressure in combination with a cut. [1][2][3][4][5][6][7][8] This complication is a fundamental health concern in people who have problems moving and changing their position in any way and cannot do this easily. For example, in patients with fractures or those who receive palliative care, difficulty in changing positions is seen.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of caregivers' knowledge and related factors towards pressure ulcer prevention

Farzan

Yarali

Mollaei

et al. 2023

This systematic review aimed to examine the knowledge of caregivers regarding pressure ulcer (PU) prevention. A thorough, methodical search was conducted from the earliest date to February 1, 2023 using keywords extracted from Medical Subject Headings such as “Caregivers”, “Knowledge”, and “Pressure ulcer” in various international electronic databases such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex and Scientific Information Database. The quality of the studies included in this systematic review was evaluated using an appraisal tool for cross‐sectional studies (AXIS tool). In total, 927 caregivers participated in the eight studies. The average age of the participants was 40.50 (SD = 12.67). Among the participants, 61.87% were women. The average caregiver's knowledge of PU prevention was 53.70 (SD = 14.09) out of 100, which suggests a moderate level of knowledge. Factors such as level of education, age, occupation, information about PUs, attitude, and practice had a significant positive relationship with caregivers' knowledge related to the prevention of PUs. Knowledge had a significantly negative relationship with age. In addition, marital status, type of relationship, age, gender, occupation, level of education, and inpatient wards had a significant relationship with caregivers' knowledge regarding PUs prevention. Therefore, managers and policymakers in the medical field can help increase caregivers' knowledge by providing an online or in‐person educational platform relevant to PU prevention.

“…1 Although such injuries, known as pressure ulcers (PUs), often occur on a bony prominence, they can also be associated with medical devices. [2][3][4][5][6][7][8][9][10][11] In addition to causing health issues for patients, PUs can cause quality and financial problems for organisations. Expensive care for patients with PUs hinders the recovery process and becomes a complicated issue when combined with infection and pain, and can also increase the duration of hospitalisation.…”

Section: Introductionmentioning

confidence: 99%

“…These injuries are related to the loss of perfusion in the area following prolonged pressure on the skin 1 . Although such injuries, known as pressure ulcers (PUs), often occur on a bony prominence, they can also be associated with medical devices 2‐11 . In addition to causing health issues for patients, PUs can cause quality and financial problems for organisations.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of nursing students' attitude and related factors towards pressure ulcer prevention

Hermis

Mollaei

Vajargah

et al. 2023

The purpose of this review study is to investigate the attitude of nursing students toward the prevention of pressure ulcers (PUs) and related factors. From February 1, 2023, a comprehensive search was conducted in international and Persian electronic databases such as Web of Science, PubMed, Scopus, Iranmedex, and Scientific information database (SID). The keywords obtained from Medical Subject Headings, including “Attitude”, “Nursing students”, and “Pressure ulcer” were used in this search. The quality assessment of the present studies in this systematic review was based on the appraisal tool for cross‐sectional studies (AXIS tool). A total of 6454 nursing students participated in ten cross‐sectional studies. All students were studying at the undergraduate level and 81.20% of them were female. Nursing students were in the first (39.27%), second (28.19%), and third and fourth (32.54%) academic years. Among the participants, 49.86% have completed at least 2 clinical units. The mean scores of attitudes toward PU prevention in nursing students based on attitude toward PU prevention (APuP) and researcher‐made questionnaires were 75.01% and 68.82%, respectively. The attitude of nursing students was influenced by various factors, including age, sex, academic year, clinical experience, number of clinical units, experience in caring for PU patients, previous courses on PU in the curriculum, and contribution of training to knowledge. Also, in the present study, the positive relationship between the attitude and knowledge of nursing students was shown as the only significant correlation. In sum, the attitude of the majority of nursing students toward the prevention of PUs was at a satisfactory level. Therefore, it is expected to transfer the necessary knowledge to them with proper planning so that preventive actions can be carried out by following the guidelines.